Bio
Experience
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CARE MANAGER
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Aug 2023 - Present
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Pakistan
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Hospitals and Health Care
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700 & Above Employee
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Head of Care Management
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Oct 2007 - Aug 2023
•Provides leadership of the care management team •Ensures adherence to client guidelines during healthcare delivery leading to quality and cost effective care.•Identifies competitive strategies for different clinical departments and performs a monthly strategic evaluation.•Negotiates treatment rates and protocols continuously keeping the claims rate below 60%.•Ensures implementation of all care management protocols leading to accurate medical assessment, interpretation and intervention.•Performs daily evaluation of hospitalized patients ensuring seamless provision of care.•Creates modules for business acquisition leading to business growth.•Participates in development and implementation of the overall hospital marketing plan•Resolves disputes amicably with clients leading to overall client satisfaction
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Clinical Nurse
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Feb 2006 - Nov 2007
•Provided leadership in the casualty department.•Conducted training and mentorship of nursing staff leading to quality care as per hospital standards.•Continuously liaised with private insurers and National health insurance fund to ensure quality and cost effective care for their clients.•Reviewed standards of operations and made relevant updates to ensure quality and relevant service standards.
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Care Management Officer,
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Sep 2003 - Jan 2006
•Reinforced a multidisciplinary approach to healthcare to leading to provision of cost effective and quality care.•Worked with the marketing team to deliver a positive image and increase awareness of the hospital brand.•Increased customer satisfaction by addressing client queries and sharing feedback and recommendation for improvement with relevant departments.•Prepared periodic corporate client reports with a view of improving care and processes for both the hospital and the corporate clients.•Spearheaded implementation of hospital care packages to reduce cost and make procedure cost predictable for the clients.
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Care Manager
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Oct 2002 - Aug 2003
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Clinical Nurse
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Jun 2001 - Oct 2002
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Education
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2014 - 2017Kenya Methodist University
Masters in health Systems Management, Hospital and Health Care Facilities Administration/Management -
2005 - 2007Aga Khan University
Bachelor Of Science in Nursing, Health/Health Care Administration/Management -
1996 - 2000Kenya Medical Training College
Diploma in Nursing, Health Services/Allied Health/Health Sciences, General -
College of Insurance
Certificate of Proficiency, Health Insurance
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