Care Manager

Afia Concept Claims Settling Agency (ACS) is hiring for the Care Manager position in Nairobi. This is a full time role. Qualification level: Bachelors; experience: 0 – 4 yrs. Afia Concept Claims Settling Agency (ACS) is a forward-thinking healthcare consulting firm operating in East Africa, with headquarters in Nairobi, Kenya. Applications close on 2 November 2026.

Established to bridge the gap between healthcare infrastructure and accessible, high-quality services, ACS offers end-to-end solutions in healthcare facility design, health financing advisory, digital health, and operational management.Role Purpose

The Care Manager is a clinically trained professional at the heart of ACS's medical operations function.

Key responsibilities

• Coordinate and manage care plans for assigned members.
• Conduct clinical assessments and evaluate members' healthcare needs.
• Monitor admissions, ongoing treatment, referrals, and discharge processes.
• Facilitate continuity of care across healthcare providers and service points.
• Ensure timely escalation of critical and emergency cases.
• Review treatment plans to ensure appropriateness, quality, and cost-effectiveness.
• Facilitate pre-authorizations and care approvals in accordance with clinical guidelines.
• Monitor healthcare utilization and identify opportunities for cost containment.

Requirements

• A particularly critical aspect of this role is the ability to step down care — identifying situations where a member can receive equivalent quality of treatment at a more…

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