Case Manager (Freelance)

What You'll Bring

• Bachelor of Medicine, Bachelor of Surgery (MBBS or equivalent) or Bachelor of Nursing (BNS)
  
• Valid, unrestricted medical or nursing license to practice in Nigeria
  
• Minimum of 3 years of clinical practice experience
  
• Strong understanding of clinical guidelines and standards of care
  
• Experience in clinical audits, case review, or hospital practice
  
• High level of integrity and adherence to medical ethics
  
• Strong analytical and reporting skills
  
• Ability to work independently in field-based environments
  

• Conduct on-site clinical reviews at assigned healthcare facilities.
  
• Review patient cases to assess clinical appropriateness, quality of care, and adherence to established standards.
  
• Perform morbidity and mortality audits to evaluate patient outcomes and identify opportunities for improvement.
  
• Provide structured, evidence-based recommendations following clinical reviews and audits.
  
• Identify patterns of unnecessary, excessive, inappropriate, or potentially fraudulent healthcare services.
  
• Investigate suspected cases of fraud, waste, and abuse at healthcare facility level and document findings accordingly.
  
• Escalate critical issues and high-risk findings to the appropriate internal stakeholders.
  
• Provide independent clinical opinions and recommendations based on reviewed cases and available evidence.
  
• Prepare detailed reports and documentation following facility visits and case reviews.
  
• Support internal teams with insights and recommendations on complex clinical cases and healthcare delivery concerns.
  
• Engage professionally with healthcare providers and facility representatives during reviews and investigations.