Clinical Nurse Specialist at Vesta Healthcare Partners

Profile

• We seek a proactive, well-spoken, and experienced Clinical Nurse Specialist (CNS) to serve as a Clinical Nurse Case Manager (CNCM). The role requires managing and coordinating personalised (Concierge) healthcare plans for Insured, Corporate and High-Net-Worth Clients, ensuring timely access to Quality Care, and serving as a trusted Clinical Advisor. The role requires working closely with a network of top-tier Specialists, overseeing Care Continuity to provide round-the-clock support to International Private Medical Insurance (IPMI) policyholders. The ideal candidate must demonstrate proven Clinical Excellence, High Intellectual Capacity, and the ability to thrive in a fast-paced, Customer-Service-Driven environment

Key Responsibilities 

• Provides and coordinates Clinical Nursing Care and Concierge Medical Services
• Responds to Helpline/Call Centre calls to conduct structured Triage and assess Patient Care needs
• Specifies detailed Care and Management Plans based on Clinical Diagnoses
• Evaluates medical records and hospitalisation requests for coverage eligibility under IPMI policies
• Act as Liaison between Policyholders, Healthcare Providers, and Insurers to facilitate Care Pathways
• Monitors and reports to the Medical Director on the inpatient care of hospitalised patients
• Maintains accurate Clinical Case Records and generates reports on Clinical Outcomes
• Ensures secure, compliant and accurate Patient Medical Records
• Provides Domiciliary Service in special cases requiring Home Nursing Support
• Facilitates Pre-Authorisation requests for Procedures, Diagnostics, and Specialist Referrals.
• Provides Health Education guidance to Policyholders on available treatment options
• Monitors ongoing treatments for Medical Necessity and Policy Compliance
• Ensures Case Management complies with Insurer and International Quality Assurance Standards

Key Behaviours

• Strong Clinical Assessment and Clinical Diagnostic skills
• Adept at recognising a “Sick Patient” for prompt intervention and referral
• Excellent knowledge of local and international Treatment Protocols
• Strong Networks within the health care space (Specialists, Clinicians and Providers)
• Tech-savvy, with proficiency in required software (M365, EMR, PACS, etc).
• Practice of Comprehensive Patient Care Documentation and Administration
• Excellent verbal and written communication skills (well-spoken, articulate, and confident)
• Ability to work under pressure, calm in critical situations, and provide dependable 24/7 support
• Highly proactive, resourceful, and dedicated to delivering personalised patient care

Qualifications

• Bachelor’s Degree in Nursing (BNSc): Second-Class Upper Division with a record of achievement
• Valid Practising License with the Nursing and Midwifery Council of Nigeria (NMCN)
• Minimum 4 years experience: 2 years in a Tertiary Care ICU, Care Coordination, or Case Management
• Confident and Assertive: willing to work long hours, independently in an Ultra-Modern environment
• Proven Managerial Experience: leading Clinical Teams or Coordinating Multi-Disciplinary Care
• Experience with IPMIs (BUPA, Cigna, Allianz) or International Health Insurance preferred
• Additional Certifications (BLS/ACLS) are an advantage
• Postgraduate qualification(s): MPH or MBA is an advantage

Additional Information

• Normal hours of work are 8:30 am to 5:30 pm, Monday to Friday
• CNCM will be required to work outside these hours, as may be necessary, without extra remuneration
• Position is based in Lagos and is offered permanently
• Attractive compensation package including Competitive Salary, Benefits and Performance Bonus