A highly talented, dedicated and skilled medical professional with ten years of service in Major health care Centers, seeking to utilize my skills and proficiency in a reputable Organization
Experienced medical professional with strong leadership and relationship-building skills.
History of being an effective team member with full understanding of the underwriting process and team needs. Well-versed in using Excel to create and update tracking spreadsheets.
Meticulous Public health specialist, excellent at juggling multiple tasks and working under pressure. Broad industry experience in Healthcare
Excellent Communication skills in written and oral forms.
Attentive to detail \
Excellent verbal and written Communication skills
Good leadership and decision making skills.
Proficient with MS Word, Excel, and PowerPoint
Handling several tasks simultaneously
prioritize work in a fast-paced environment
Initiative and problem-solving abilities
Coach, train and supervise Care Managers to deliver services to expected level by the organization to ensure quality service delivery and client satisfaction.
Monitor quality of service of outpatient and inpatient services against member benefits whilst negotiating charges and ensuring adherence of tariff structures by providers.
Responsible for the comprehensive and proactive management of chronically ill members with the objective of improving quality outcomes and containing costs
Applies case management concepts, principles, and strategies in the development of an individualized case plan that addresses the member's needs
Develops new programs as appropriate to reduce admissions for acute and chronic members and assist with decreasing their lengths of stay
Assists in the identification and reporting of potential quality improvement issues related to Care management
Works in liaison with the physician network(s) to insure overall improvement in quality of medical care and outcomes
Manage and resolve all clients' conflicts/disputes as escalated by the Care Managers.
Maintain information on long stay/high cost cases and escalate such cases to the HOD-Care& Medical Advisory and the GM-Medical to alert them on the cost implication.
Responding to patients needs and managing their enquiries Post discharge care and follow up to ensure continuity of care and member satisfaction Facilitating on overseas admission and ensuring all travel requirements are met Generating and maintain quarterly and daily medical and logistical reports Handle the tasks of responding to customer queries, patient care and assure that the Complaints are handled in accordance with Company policies Ensure that patient care requirements are met with appropriate competence and delivery Preauthorization of in and outpatient services against a member's benefit Coordination of local and overseas admissions and evacuation Chronic disease management and disease trends reporting Coordination of local hospital admissions through physical hospital visits Responding to patients needs and managing their enquiries Post discharge care and follow up to ensure continuity of care and member satisfaction Facilitating on overseas admission and ensuring all travel requirements are met Generating and maintain quarterly and daily medical and logistical reports.
Maintaining of drug records and project evaluation records.
Coordination of HIV campaigns and registration of new Health care providers.
Patient evaluation and preparation for Antiretroviral therapy both adult and Children.
Diagnosis and Treatment of common opportunistic infections.
Follow up of Hiv/Aids patients, Home visitation to patients.
Community mobilization for HIV infection prevention through focus groups.
Provision of prevention of mother to child transmission services.
Palliative services to cancer patient like pain relief, emotional and psychological support
Handled the tasks of responding to customer queries, patient care and assured that the complaints are handled in accordance with legal compliance
Provision of post exposure prophylaxis and emergency contraception to victims of rape
Educate their patients about their health condition and what their various treatment options are.
Coordinating with and supporting their patient's entire care team, including the primary doctor, dietician, and more, to ensure that the patient receives the absolute best care possible.
Overseeing the entire hemodialysis procedure, and monitoring the patient's comfort and condition throughout.
Consult and coordinate with health care team members about whole patient care plans.
Monitor the critical patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions.
Monitor patients' fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances.
Monitor all aspects of patient care, including diet and physical activity.
Ensuring that ventilator, monitors and other types of medical equipment function properly.
Ensure that equipment or devices are properly stored after use.
Identify malfunctioning equipment or devices.
Collaborating with fellow members of the critical care team.
Responding to life-saving situations, using nursing standards and protocols for treatment.
Identify patients who are at risk of complications due to nutritional status.
Direct and supervise less skilled nursing/health care personnel, or supervise a particular unit on one shift to patient's response and conditions.
Exercised exemplary clinical judgment when making care decision
Interviewed patients to obtain medical information, weight and height measurements and vital signs.
Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards.
Chronic patient care in med-surgical unit, adeptly handling all aspects of treatment from medication to wound care to monitoring of patients,
Diploma Kenya Registered Community Health Nursing.
Completed a training on leading high performance teams
Completed training on Adult and children Retro viral therapy
Certified as a registered Community Nurse
Certification as a Registered Public Health officer -Ongoing
Companies Worked For:
Job Titles Held:
Where can I find a Resolution Insurance co ltd Assistant Manager-Care &Medical Advisory resume example in Nairobi, Nairobi ?
This is an actual resume example of a Assistant Manager-Care &Medical Advisory. LiveCareer’s Resume Directory contains real resumes created by subscribers using LiveCareer’s Resume Builder.
© 2018, Bold Limited. All rights reserved.