Care Officer – Medical Job CIC Insurance
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Care Officer – Medical Job CIC Insurance
Purpose
Responsible for care facilitation/cost containment and call centre reachability.
Primary Responsibilities
- Issuance of approval to insured members seeking both inpatient and outpatient care as per policy
- Monitor cost, average length of stay on inpatient
- Issue guidance on Pre-authorized optical, dental and scheduled procedures
- Conduct Hospital visits whenever the insured members are hospitalized
- Respond to stakeholder inquiries on cases involving medical care
- Receive and respond to Medical emergency lines and ensure 24-hour coverage
- Negotiate for discounts from doctors and hospitals on specific cases and procedures from time to time
- Facilitate referrals and medical evacuations when need
- Monitor benefits utilization and share timely updates to the
- Prepare and share timely reports as may be guided.
Academic and Professional Requirements
- Education Diploma in Nursing or Clinical Medicine E
- Computer literate in MS Office and other office applications E
Experience Required:
- Two years Relevant experience in Care Management, medical claims and call centre
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