THT helps make healthcare work in Nigeria. We enable our customers to access affordable, reliable healthcare and we support healthcare providers in their efforts to deliver it. We manage healthcare so that our customers and our partners can thrive.
THT is one of Nigeria’s pioneer Health Management Organisations (HMOs), renowned by our stakeholders f...
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To ensure specific cases are managed in order to receive the best outcome
To facilitate the process of pre-authorisations and authorisations between the provider and the scheme and to give feedback to the relevant party concerned
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
To advise members on individual benefits and how to best utilize these benefits
To adhere to and live the organizational values.
Requirements
Candidate must be a registered nurse, midwife or possess B.Sc. Nursing with valid license.
Candidate must have a minimum of Credit or Second Class Upper Division and additional medical qualification will be an added advantage
Candidate must have minimum of 2 years clinical experience and experience in similar role in a Health Maintenance Organization (HMO) will be an added advantage
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules
Excellent organizational, communication (verbal and written), listening skills and attention to detail.
Candidate must be very proficient in Microsoft office packages
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