Case Manager

  • 2 Marconi Rd, Onipanu, Lagos, Nigeria
  • Full-time

Company Description

Total Health Trust Limited (THT), Nigeria’s leading Health Maintenance Organization (HMO) was founded in 1997 and commenced operations in June 1998. Renowned by our stakeholders for our reliability, we have been connecting our members to healthcare providers since 1998. Our unrivalled 18 years industry track record has seen us build a formidable reputation in Nigeria and we remain the HMO of choice for over 300,000 members and over 500 corporate clients and government institutions. We were the first HMO to be registered in Nigeria and 18 years later, we are still number one in the market. We are one of the very few HMOs that can boast the financial and technical backing of a world class company – Liberty Health (a member of the Liberty Group).
 

Job Description

To ensure specific cases are managed in order to receive the best outcome

To facilitate the process of pre-authorisations and authorisations between the provider and the scheme and to give feedback to the relevant party concerned

To resolve all queries from providers and members on specific cases and within the agreed SLA

To vet specific case requests from providers and members to ensure that the treatment is cost effective and in line with best practice

To ensure ongoing case management (including hospital visits) of high risk members and specific hospital cases

Track and manage staff performance and co-ordination within the Case Management team

To advise members on individual benefits and how to best utilise these benefits

To adhere to and live the organisational values.

Qualifications

Medical Degree (Doctor)

Masters in Medicine or Public Health - (Advantageous)

3-5 years Experience

Experince in an HMO is an added advantage

 

Additional Information

Other requirements:
• Good communication skills 
• Innovative and quick thinking capabilities
• Innovativeness
• Adaptive
• Decision Making skills
• Integrity
• Ability to work under pressure
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Strategic