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- Tasks: Coordinate patient care and manage pre-authorizations for a seamless healthcare experience.
- Company: Bristol Park Hospital, a leading provider of quality healthcare in Nairobi.
- Benefits: Competitive salary, professional development, and a supportive work environment.
- Other info: Opportunity for career growth in a multi-specialty hospital setting.
- Why this job: Join a dynamic team dedicated to innovative and accessible healthcare solutions.
- Qualifications: Bachelor’s Degree in Nursing or related field with 3 years of relevant experience.
The predicted salary is between 30000 - 40000 £ per year.
Bristol Park Hospital is a licensed healthcare provider that has been in operation for over 17 years, offering quality and affordable healthcare services in Nairobi, Kajiado, and Machakos counties. Guided by our commitment to excellence in service delivery as well as patient care and safety, we are seeking to recruit a highly skilled, experienced, and dynamic professional to join our team as Care Manager.
Key Responsibilities
- Coordinate all inpatient and outpatient pre-authorization requests, extensions, and undertakings with payers.
- Ensure timely submission, follow-up, and approval of pre-authorizations and extensions within required turnaround times.
- Liaise with insurers, brokers, patients, and internal clinical teams to provide timely communication and clarification.
- Validate and manage undertakings, guarantee of payments, and financial exposures for admissions and specialized procedures.
- Ensure accuracy, completeness, and compliance of documentation and medical reports required by payers.
- Review service validity, membership, and benefit coverage against payer rules and clinical standards.
- Maintain accurate and structured records of authorization activities, including high-value cases.
- Coordinate inward and outward referrals, ensuring complete documentation and seamless continuity of care.
- Monitor trends, generate reports (daily, weekly, monthly), and identify gaps for continuous improvement.
- Support interdepartmental communication to enhance timely service flow and customer experience.
- Conduct capacity building for staff on appropriate billing and care coordination.
- Uphold compliance with regulatory, ethical, and care quality standards.
Qualifications & Experience
Essential
- Bachelor’s Degree in Nursing, Clinical Medicine, or related healthcare field.
- Minimum 3 years’ experience in:
- Care coordination / Case management
- Utilization review
- Medical insurance liaison
- Claims processing
- Admission and discharge management
- Experience working with insurers, payers, and TPAs.
- Proven ability to interpret medical documentation, reports, and treatment plans.
Desirable
- Certification in Case Management, Utilization Management, or Health Insurance.
- Experience in referral coordination or clinical pathways.
- Experience in a multi-specialty hospital environment.
- Experience using HIS/EMR authorization modules.
Interested and qualified candidates are invited to send their application letter, detailed CV, and academic certificates to humanresource@bristolpark.or.ke, clearly indicating the subject line as CARE MANAGER, on or before 19th December, 2025. Only shortlisted candidates will be contacted.
CARE MANAGER employer: Bristolpark
Contact Detail:
Bristolpark Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land CARE MANAGER
✨Tip Number 1
Network like a pro! Reach out to your connections in the healthcare field, especially those who might know about openings at Bristol Park Hospital. A friendly chat can sometimes lead to opportunities that aren’t even advertised!
✨Tip Number 2
Prepare for interviews by researching the hospital's values and recent initiatives. Show us you’re not just another candidate; demonstrate how your experience aligns with our commitment to quality and accessible healthcare.
✨Tip Number 3
Practice your responses to common interview questions, especially around care coordination and case management. We want to see how you handle real-life scenarios, so think of examples that showcase your skills!
✨Tip Number 4
Don’t forget to apply through our website! It’s the best way to ensure your application gets noticed. Plus, it shows us you’re genuinely interested in being part of our team at Bristol Park Hospital.
We think you need these skills to ace CARE MANAGER
Some tips for your application 🫡
Tailor Your Application: Make sure to customise your application letter and CV to highlight your relevant experience in care coordination and case management. We want to see how your skills align with the Care Manager role, so don’t hold back!
Showcase Your Achievements: When detailing your experience, focus on specific achievements that demonstrate your ability to manage care effectively. Use numbers or examples where possible to illustrate your impact – we love a good success story!
Keep It Professional Yet Personal: While we appreciate professionalism, don’t be afraid to let your personality shine through. A touch of warmth and authenticity can make your application stand out from the crowd. Remember, we’re looking for someone dynamic!
Apply Through Our Website: We encourage you to submit your application through our website for a smoother process. It’s the best way to ensure your application gets into the right hands quickly. Plus, it shows you’re tech-savvy!
How to prepare for a job interview at Bristolpark
✨Know Your Stuff
Make sure you brush up on your knowledge of care coordination, case management, and medical insurance processes. Familiarise yourself with the specific responsibilities listed in the job description, as this will help you demonstrate your understanding of the role during the interview.
✨Showcase Your Experience
Prepare to discuss your previous experience in care management or related fields. Have specific examples ready that highlight your skills in liaising with insurers, managing authorisations, and ensuring compliance with healthcare standards. This will show that you’re not just qualified, but also experienced.
✨Ask Smart Questions
Interviews are a two-way street! Prepare thoughtful questions about the hospital's approach to patient care, team dynamics, and how they measure success in the Care Manager role. This shows your genuine interest in the position and helps you assess if it’s the right fit for you.
✨Demonstrate Your Communication Skills
As a Care Manager, effective communication is key. During the interview, practice clear and concise responses. Use examples that showcase your ability to communicate with various stakeholders, from patients to insurers, to illustrate your capability in this area.