{"id":107951,"date":"2026-08-14T10:05:31","date_gmt":"2026-08-14T10:05:31","guid":{"rendered":"https:\/\/jobs.dataaxisnode.com\/kenya\/uncategorized\/case-management-officer\/"},"modified":"2026-08-14T10:05:31","modified_gmt":"2026-08-14T10:05:31","slug":"case-management-officer","status":"publish","type":"post","link":"https:\/\/jobs.dataaxisnode.com\/kenya\/jobs\/nairobi\/case-management-officer\/","title":{"rendered":"Case Management Officer"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\/\", \"@type\": \"JobPosting\", \"title\": \"Case Management Officer\", \"description\": \"Job Purpose:\\nReporting to the Manager Clinicals, the role holder will be responsible for control and managing of the policy cycle through pre-authorization and case management, to ensure quality and cost effective care.\\nKey responsibilities:\\nSet the appropriate parameters for each admission claim reserve, initial authorized cost and duration.\\nInteract with clients and service providers to ensure that the care is given within policy guidelines.\\nReview medical reports and claims for compliance with set guidelines.\\nLiaise with underwriters on scope of cover for the various schemes.\\nEnsure that medical scheme members are attended to round the clock with support from 24 hour call centre.\\nPoly-Pharmacy \u2013 discourage poly-pharmacy by diligent challenging of prescriptions and suggesting better alternatives.\\nGeneric substitution \u2013 Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure.\\nDelegated Authority: \u00a0As per the approved Delegated Authority Matrix.\\nPrepare periodic reports for management on medical claims.\\nEnsure claims are processed within the stipulated time.\\nPerform any other duties as may be assigned from time to time\\nKnowledge, experience and qualifications required:\\nDiploma\/Degree in Nursing or Diploma in clinical medicine or Diploma in Pharmacy.\\nUnderstanding of insurance concepts.\\nProfessional qualification in FLMI, ACII and IIK would be an added advantage.\\n3-4 years\u2019 experience in case management.\", \"datePosted\": \"2026-08-12\", \"hiringOrganization\": {\"@type\": \"Organization\", \"name\": \"Britam\"}, \"jobLocation\": {\"@type\": \"Place\", \"address\": {\"@type\": \"PostalAddress\", \"addressLocality\": \"Nairobi\", \"addressCountry\": \"KE\"}}, \"directApply\": true, \"validThrough\": \"2026-08-26T23:59:59\", \"employmentType\": \"FULL_TIME\"}<\/script><\/p>\n<p><strong>Company:<\/strong> Britam<\/p>\n<p><strong>Location:<\/strong> Nairobi<\/p>\n<p><strong>Job Type:<\/strong> Full Time<\/p>\n<p><strong>Apply Before:<\/strong> 2026-08-26<\/p>\n<h3>Job Description<\/h3>\n<p>Job Purpose:<br \/>Reporting to the Manager Clinicals, the role holder will be responsible for control and managing of the policy cycle through pre-authorization and case management, to ensure quality and cost effective care.<br \/>Key responsibilities:<br \/>Set the appropriate parameters for each admission claim reserve, initial authorized cost and duration.<br \/>Interact with clients and service providers to ensure that the care is given within policy guidelines.<br \/>Review medical reports and claims for compliance with set guidelines.<br \/>Liaise with underwriters on scope of cover for the various schemes.<br \/>Ensure that medical scheme members are attended to round the clock with support from 24 hour call centre.<br \/>Poly-Pharmacy \u2013 discourage poly-pharmacy by diligent challenging of prescriptions and suggesting better alternatives.<br \/>Generic substitution \u2013 Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure.<br \/>Delegated Authority: \u00a0As per the approved Delegated Authority Matrix.<br \/>Prepare periodic reports for management on medical claims.<br \/>Ensure claims are processed within the stipulated time.<br \/>Perform any other duties as may be assigned from time to time<br \/>Knowledge, experience and qualifications required:<br \/>Diploma\/Degree in Nursing or Diploma in clinical medicine or Diploma in Pharmacy.<br \/>Understanding of insurance concepts.<br \/>Professional qualification in FLMI, ACII and IIK would be an added advantage.<br \/>3-4 years\u2019 experience in case management.<\/p>\n<h3>How to Apply<\/h3>\n<p>Interested and qualified? Go to Britam on britam.taleo.net to apply<br \/>Build your CV for free. Download in different templates.<\/p>\n<p><a href=\"https:\/\/www.myjobmag.co.ke\/apply-now\/1305215\" target=\"_blank\" rel=\"noopener\" style=\"display:inline-block;padding:10px 20px;background:#2271b1;color:#fff;text-decoration:none;border-radius:4px;\">Apply Now<\/a><\/p>\n<p><small>Source: MyJobMag<\/small><\/p>\n<p><!-- job-expiry: 2026-08-26 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Company: Britam Location: Nairobi Job Type: Full Time Apply Before: 2026-08-26 Job Description Job Purpose:Reporting to the Manager Clinicals, the role holder will be responsible for control and managing of the policy cycle through pre-authorization and case management, to ensure quality and cost effective care.Key responsibilities:Set the appropriate parameters for each admission claim reserve, initial [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1408,1409],"tags":[1528,1425,1413,1412],"class_list":["post-107951","post","type-post","status-publish","format-standard","hentry","category-jobs","category-nairobi","tag-britam","tag-full-time","tag-job-listing","tag-myjobmag"],"_links":{"self":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/posts\/107951","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/comments?post=107951"}],"version-history":[{"count":0,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/posts\/107951\/revisions"}],"wp:attachment":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/media?parent=107951"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/categories?post=107951"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/tags?post=107951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}