Reliance Health’s mission is to make quality healthcare delightful, affordable, and accessible in emerging markets. From Nigeria, Egypt, Senegal and beyond, we offer comprehensive health plans tailored to both employers’ and employees’ needs through an integrated approach that includes telemedicine, affordable health insurance, and a combination of partner and proprietary healthcare facilities.
By leveraging advanced technology, we are transforming the healthcare landscape, making it more efficient and accessible for everyone.
The Case Management Associate is responsible for analyzing and reporting fraud, waste, and abuse data, managing the escalation of emergency cases, conducting mortality investigations, overseeing general case management and care coordination activities, managing at-risk cases, and monitoring ICU admissions of enrollees receiving healthcare services from providers within the Reliance HMO Providers network.
Responsibilities
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Join Reliance Health as a Freelance Case Management Associate, where you'll become an essential part of our mission to provide delightful, affordable, and accessible healthcare in emerging markets. We're transforming the healthcare landscape with cutting-edge technology, and we need your expertise to make a significant impact in our community. In this role, you'll analyze and report on data related to fraud, waste, and abuse while managing emergency case escalations and conducting mortality investigations. You're not just handling cases; you're overseeing general case management, coordinating care, and monitoring ICU admissions within our reliable provider network. With your analytical skills, you'll sift through claims data and billing records to uncover anomalies and trends, working alongside medical professionals and forensic experts to get to the heart of the matter. A background in medicine, nursing, or related fields, coupled with knowledge of fraud prevention and healthcare operations, will set you up for success. Ideally, you have experience in case management and a passion for improving healthcare quality. At Reliance Health, we value our team members and provide a supportive workplace with excellent benefits, including a competitive salary, premium health insurance, unlimited leave, and growth opportunities tailored to your development. This is your chance to not only advance your career but to genuinely impact the lives of countless individuals who rely on us for their healthcare needs. Get ready to thrive and make a real difference with Reliance Health!
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Reliance Health (https://reliancehealthinc.co/) is a healthcare company using technology to make healthcare more affordable and accessible. Through an integrated approach that includes affordable health insurance, telemedicine and a combination of...
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