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Care Manager

Kampala, Uganda * Full-time
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Prudential Uganda

Category: Insurance Total Positions: Location: Kampala, Uganda Full-time Salary: not mentioned Posted 1 year ago
KEY DUTIES AND RESPONSIBILITIES
• Preauthorization of procedures and admissions. • Handling customer queries and providing solutions through the call centre. • Preparation of care management reports as required by management. Present monthly reports on overall inpatient and outpatient visits, customer satisfaction indices, including quarterly reports when required as per agreed outline to direct business services. • Negotiating with specialists for more affordable but quality services to our clients. • Vetting bills before discharge to minimize overutilization. • Handling and coordinating patient emergencies. • Assisting patients to access services in case of any challenges experienced during access of treatment. Respond to suggestions and compliments submitted by patients and provide positive reinforcements. Facilitate resolutions of compliments/grievances/requests for patients, visitors and assigned clinical service units. • Compose letters or emails to patients, visitors, health system physicians, management ensuring content and grammatical accuracy. • Carrying out scheme sensitisations where necessary and applicable. • Carrying out day-to-day interactions with partner hospitals country wide to ensure good working relations. • Participate on committees, work groups, and or process improvement teams that improve patient/customer satisfaction, e.g., wellness programmes. • Detect, investigate, and manage fraud from both the clients and healthcare service providers.
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HOW TO APPLY

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Deadline: Expired
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