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Biyinzika Poultry International Limited, C-Care Uganda, FINCA Uganda, Makerere University Joint AIDS Program, Yalelo UgandaProfession
Industry
Seniority
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GA Insurance
Banking + 2 more
Description
Qualifications, Skills and Experience:
- 2 years relevant experience
- A diploma in Nursing
- A Certificate in Insurance is added advantage
- Must be a registered and licensed Nurse with the Uganda Nurses and Midwives Council
Required Skills
- Good negotiation and influencing skills
- Strong networking and relationship skills.
- Excellent interpersonal, verbal and communication skills.
- Demonstrate a high degree of confidentiality and attention to detail
How to Apply:
Interested candidates should submit their resume and cover letter to careers@gauganda.com . Please include “Careteam Nurse Application – [Your Name]” in the subject line.
Responsibilities
- Pre-authorization of scheduled and non-scheduled admissions to ensure validity, legitimacy of admission, and advice on cover
- Liaise with physicians to obtain client medical reports to ensure they are getting optimal, quality care at most
- Negotiate professional fees for each admission to ensure clients are receiving cost effective care within the scope of their cover
- Manage the 24-hour helpline and ensure client enquiries are sorted to satisfaction and assist with medical emergencies
- Visit all admitted clients as part of company PR and to ensure the clients are getting appropriate satisfactory services
- Attend to preauthorization email requests promptly
- Co-ordination of inter-hospital transfers, medical evacuation, step down care, home care and nursing, care upgrade as when required as per clinical assessment
- Audit existing providers to ensure that protocol is adhered to (if not adhered to, make recommendation on next action-suspend/terminate/warning.)
- Train providers on GA protocols to maintain standards
- Renegotiation of terms with existing Service Providers within set GA insurance guidelines; make recommendations for changing terms outside the job’s
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