Avon Healthcare Limited Recruits Case Managers - 8 Positions

Avon Healthcare Limited (Avon HMO) provides healthcare services to individuals, families, groups, companies and the government. We offer a comprehensive line of products and services that caters to the unique needs of all our members, at every price point. We were incorporated on the 26th of August, 2010 and duly licensed by the regulatory authority(NHIS) to operate as a national HMO.

Our range of healthcare services has been designed with organisations such as yours in mind. In addition to our health insurance plans, we offer health risk assessment, occupational health management and employee well-being services. Across all these services, we are able to customise our offerings to suit your specific needs. Through our network of over 300 hospitals and clinics spread across the 36 states and major LGAs in the country, we commit to providing your staff and their families easy to access, responsive and world best standards healthcare services.

We are recruiting to fill the following positions:

Job Title: Case Managers

Location: Lagos, Abuja, Port Harcourt, Calabar, Warri, Makurdi, Kaduna, Abakaliki

Responsibilities

• Reporting to the Head of Provider Services, Case Managers will
• Use clinical experience and established administrative policies, review and evaluate medical services being delivered to enrollees by provider hospitals and clinics, ensure compliance with agreed protocols, drug formulary and issued pre-authorizations from Avon HMO to the providers.
• Analyze trends for internal monitoring purposes and external reporting
• Liaise with other departments in order to improve overall customer service
• Uses available resources to promote quality, cost effective outcomes
• Perform other tasks assigned by supervisor.

Requirements

• Associate degree in Nursing Or a graduate of an accredited school of Nursing
• Five years of recent clinical experience in a defined specialty area, such as oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic or general medicine/surgery
• Or five years of utilization review, case management, clinical or a combination of experience; three of the five years must be clinical experience.
• Previous case management and case note auditing experience.
• Knowledge of quality improvement processes and demonstrated ability with these activities.
• Knowledge of contract language and its application.
• Ability to work independently, prioritize effectively and make sound decisions.
• Good judgment
• Demonstrated customer service, organizational and presentation skills.
• Demonstrated oral and written communication skills.
• Ability to persuade, negotiate or influence others.
• Analytical or critical-thinking skills.
• Ability to handle confidential or sensitive information with discretion.
• Ability to operate standard office equipment.
• Working knowledge of Microsoft Word or other word processing software.
• Team player
• Ability to drive

Note: The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

Application Closing Date
6th December, 2013

Method Of Application
Interested and qualified candidates should please send their CVs and cover letters to: careers@avonhealthcare.com.Applicants should please state the job position applied for in the subject header.