Posted on: Wed 24-01-2024

Mediplan Healthcare Limited is a Health Maintenance Organization (HMO) with a national spread incorporated in May 2000 to carry on the business of providing qualitative healthcare Insurance services to discerning members of the public, under a prepaid arrangement utilizing a network of primary, on-site clinics, secondary and specialist healthcare providers nationwide. Mediplan Healthcare Ltd is a foremost HMO in the managed care industry and is duly accredited as a National Health Maintenance Organization by the National Health Insurance Authority (NHIA) to participate in the Health Insurance Scheme.

We are recruiting to fill the position below:

Job Title: Case Officer (Registered Nurse)

Location: Maryland, Lagos

Employment Type: Full-time

Role Description

• Develop and execute a strategic plan to acquire and manage HMO providers in Mediplan Healthcare’s network
• Hospital assessment, accreditation, and provider education
• Provide thorough assessment and credentialing of provider facilities
• Ensure prompt attention and resolution to provider issues
• Ensure effective case management/referral of enrollees on admission
• Organize and conduct annual medical examinations for entitled clients
• Conduct tariff negotiations for provider services
• Monitor provider network to ensure quality assurance etc.

Qualifications

• Registered Nurse (RN).
• A valid practicing license with 2-5 years of post-accreditation experience, preferably within the Health Insurance/Managed Care environment
• Knowledge of the workings of the National Health Insurance Authority (NHIA) will be an added advantage.
• Strong interpersonal, communication, and leadership skills
• Excellent analytical and problem-solving skills
• Proficiency in Microsoft Office tools (Word, Excel, and PowerPoint).

How to Apply

Interested and qualified candidates should send their CVs to: [email protected] using the Job Title as the subject of the mail.

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