95 Case Managers jobs in Kenya

• Assess the needs of clients and develop individualized care plans in collaboration with clients, families, and service providers.
• Coordinate and facilitate access to a range of services, including healthcare, social support, housing, and financial assistance.
• Provide ongoing case management, including regular follow-up and re-assessment of client needs.
• Act as a primary point of contact and advocate for clients, ensuring their voices are heard and needs are met.
• Maintain accurate and confidential client records, documenting all interactions and services provided.
• Liaise with healthcare professionals, government agencies, and community organizations to ensure seamless service delivery.
• Identify and address barriers to accessing care and support services.
• Provide emotional support and guidance to clients and their families.
• Stay informed about relevant legislation, policies, and resources within the social care sector.
• Participate in team meetings and contribute to the continuous improvement of service delivery models.
• Supervise and mentor junior case managers or care support staff (as applicable).
• Ensure compliance with all ethical standards and professional guidelines.

• Bachelor's degree in Social Work, Psychology, Nursing, Public Health, or a related field. A Master's degree is a plus.
• Minimum of 5 years of experience in case management or care coordination, preferably within community and social care settings.
• In-depth knowledge of local and national social services, healthcare systems, and relevant legislation.
• Strong understanding of client assessment techniques and care planning processes.
• Excellent interpersonal, communication, and active listening skills.
• Proficiency in using case management software and electronic health records.
• Demonstrated ability to manage a complex caseload and prioritize tasks effectively.
• Strong problem-solving and crisis intervention skills.
• Ability to work autonomously and collaboratively within a remote team structure.
• Empathy, compassion, and a strong commitment to client advocacy.
• Relevant professional certifications (e.g., LSW, LCSW, RN) are highly desirable.

• Conduct comprehensive assessments of seniors' needs, including medical, social, emotional, and financial aspects.
• Develop individualized care plans in collaboration with clients, families, and healthcare providers.
• Coordinate and facilitate access to a wide range of services, including medical appointments, therapy, transportation, and home care.
• Liaise with doctors, specialists, hospitals, and community agencies to ensure seamless care transitions.
• Monitor clients' well-being and the effectiveness of care plans, making adjustments as needed.
• Provide emotional support and counseling to clients and their families.
• Educate clients and families about available resources, benefits, and legal rights.
• Maintain detailed and confidential client records and documentation.
• Advocate on behalf of clients to ensure they receive optimal care and support.
• Participate in team meetings and contribute to the continuous improvement of services.
• Stay updated on geriatric care best practices, relevant legislation, and community resources.

• Bachelor's degree in Social Work, Nursing, Gerontology, Psychology, or a related field. Master's degree preferred.
• Minimum of 5 years of experience in case management, social work, or elder care services.
• Strong understanding of geriatric care, chronic health conditions, and aging processes.
• Knowledge of local and national resources for seniors and their families.
• Excellent assessment, planning, and problem-solving skills.
• Exceptional communication, interpersonal, and active listening skills.
• Demonstrated ability to build rapport and trust with clients from diverse backgrounds.
• Proficiency in case management software and electronic health records (EHR).
• Ability to work independently, manage time effectively, and maintain confidentiality in a remote setting.
• Passion for empowering seniors and ensuring their dignity and independence.

• Conduct comprehensive needs assessments for clients, evaluating physical, emotional, social, and financial well-being.
• Develop, implement, and monitor individualized care plans in collaboration with clients and their families.
• Coordinate and facilitate access to a wide range of community resources, including healthcare, housing, employment services, and legal aid.
• Act as a primary point of contact and advocate for clients, ensuring their needs are met and their rights are protected.
• Maintain accurate and confidential client records, documenting all services provided and progress made.
• Liaise effectively with healthcare providers, government agencies, social service organizations, and other stakeholders.
• Provide crisis intervention and support as needed.
• Educate clients and families about available resources and support systems.
• Stay informed about relevant policies, programs, and legal requirements affecting clients.
• Participate in case conferences and interdisciplinary team meetings.
• Mentor and provide guidance to junior case managers and volunteers.
• Contribute to program development and quality improvement initiatives.
• Ensure adherence to ethical standards and professional conduct in all aspects of work.

• Bachelor's degree in Social Work, Psychology, Sociology, Human Services, or a related field. A Master's degree is preferred.
• Minimum of 5 years of experience in case management, social work, or a related client-focused role.
• Proven experience working with diverse populations and addressing complex social issues.
• Strong understanding of community resources and social service systems.
• Excellent assessment, intervention, and care planning skills.
• Proficiency in case management software and electronic health records (EHR) systems.
• Exceptional interpersonal, communication, and active listening skills, crucial for remote client engagement.
• Strong organizational and time management abilities, with the capacity to manage a caseload independently.
• Empathy, patience, and a genuine commitment to client advocacy.
• Ability to work autonomously and collaboratively in a fully remote setting.
• Relevant professional certifications (e.g., LCSW, LSW) are highly desirable.

Job Purpose
To oversee and coordinate all pre-authorization, admission, discharge, and care coordination activities, ensuring quality patient care while managing medical costs and provider relationships effectively.

Key Responsibilities

• Oversee medical case management and pre-authorizations.
• Ensure timely and appropriate approvals for inpatient and outpatient services.
• Collaborate with hospitals, TPAs, and providers to ensure quality care delivery.
• Monitor and track high-cost cases, chronic illnesses, and frequent claimants.
• Offer clinical guidance to underwriters and claims analysts on complex cases.
• Train and mentor staff and ensure process adherence.
• Maintain and update provider tariff lists and treatment protocols.
• Support fraud detection and provider performance reviews.
• Stay updated on industry trends, emerging risks, regulatory changes, and new technologies that could affect underwriting practices.
• Deliver on performance requirements as defined in the departments' strategy map, balanced scorecard and Personal Scorecard.
• Perform any other duties as may be assigned from time to time

Knowledge, Experience And Qualifications Required

• Bachelor's Degree or Diploma in Nursing, Clinical Medicine, or related health field.
• 2-4 years' experience in medical case management in the insurance sector.
• Strong clinical knowledge and experience managing medical claims or provider relations.
• Excellent communication and decision-making skills.
• Ability to work under pressure and coordinate with multiple stakeholders.
• Experience in customer, market and competitor understanding.
• Knowledge of Insurance regulatory requirements.

Primary Location
Kenya-Nairobi-Nairobi

Organization
Britam

Job Type
Permanent

Shift
Day Job

Contract Type
Full-time

Job Posting

Unposting Date
Ongoing

Number of Openings
2

• Conduct comprehensive needs assessments for individuals and families.
• Develop, implement, and monitor individualized case plans.
• Connect clients with community resources, social services, and support programs.
• Provide advocacy and support to clients navigating complex systems.
• Maintain accurate and confidential case records using management software.
• Conduct regular virtual check-ins and follow-ups with clients.
• Collaborate with other service providers and agencies to coordinate care.
• Educate clients on available resources and empower them to achieve self-sufficiency.
• Respond to client inquiries and provide crisis intervention when necessary.
• Document client progress and outcomes, reporting on service delivery.

• Bachelor's degree in Social Work, Psychology, Sociology, or a related field.
• Minimum of 2-3 years of experience in case management or social services.
• Strong understanding of social welfare systems and community resources.
• Excellent communication, active listening, and interpersonal skills.
• Proficiency in case management software and virtual communication tools.
• Ability to empathize with clients and maintain professional boundaries.
• Strong organizational and time management skills.
• Ability to work independently and manage a caseload remotely.
• Knowledge of relevant legislation and ethical practices in social work.
• Commitment to promoting client well-being and empowerment.

• Conduct comprehensive assessments of client needs, identifying challenges and strengths.
• Develop individualized care plans and service strategies tailored to each client's unique situation.
• Connect clients with appropriate community resources, support services, and agencies.
• Provide ongoing counseling, guidance, and emotional support to clients and their families.
• Monitor client progress and regularly review and update care plans as needed.
• Maintain accurate and confidential case records, documenting all client interactions and progress.
• Advocate for clients' rights and needs within various systems and organizations.
• Collaborate with other professionals, such as healthcare providers and educators, to ensure holistic client care.
• Respond to crisis situations with sensitivity and professionalism, providing immediate support and referrals.
• Stay informed about relevant social policies, legislation, and community resources.
• Participate in team meetings, case consultations, and professional development activities.
• Educate clients on available resources and empower them to utilize them effectively.

• Bachelor's degree in Social Work, Psychology, Sociology, or a related field. A Master's degree in Social Work (MSW) is highly preferred.
• Minimum of 3 years of experience in social work, case management, or a related direct service role.
• Strong understanding of social welfare systems, community resources, and human behavior.
• Excellent assessment, counseling, and crisis intervention skills.
• Proficiency in maintaining case notes and client records according to professional standards.
• Exceptional interpersonal, communication, and active listening skills.
• Ability to empathize with clients from diverse backgrounds and circumstances.
• Strong organizational and time management skills, with the ability to manage a caseload effectively in a remote environment.
• Knowledge of relevant ethical guidelines and professional standards for social workers.
• Proficiency in using technology for remote communication and record-keeping.
• Licensure or registration as a Social Worker (where applicable) is a significant advantage.