Case Manager at Total Health Trust Limited

⏲ Jan 22, 2021, 10:57 PM
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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 unrivaled 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).

We are recruiting to fill the position below:

Job Title: Case Manager

Location: Lagos
Employment Type: Full-time

Responsibilities

To ensure specific cases are managed in order to receive the best outcome
To facilitate the process of pre-authorizations and authorizations between the provider and the scheme and to give feedback to the relevant party concerned
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 utilize these benefits
To adhere to and live the organizational values.
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 utilize these benefits
To adhere to and live the organizational values.