John Best
@johnbest
Experienced healthcare case manager and registered nurse improving patient outcomes.
What I'm looking for
I am a registered nurse and experienced care manager with over seven years managing case operations, preauthorizations, provider relations, and patient-centered care across insurance and hospital settings. I have led cost negotiations, fraud detection, provider training and accreditation, and coordinated complex referrals and evacuations to ensure timely, efficient service delivery.
Skilled in quality assurance, audits, stakeholder engagement and clinical practice, I combine clinical experience with administrative expertise to drive cost-effective, high-quality care. I am committed to improving health outcomes through strong communication, organization, and evidence-based case management.
Experience
Work history, roles, and key accomplishments
Care Manager
Minet Kenya Insurance Brokers
Dec 2016 - Present (8 years 9 months)
Manage care operations including daily hospital visits, preauthorizations, evacuations and discharges while negotiating provider costs, vetting bills and leading fraud detection to ensure timely, cost-effective patient care.
SLA Executive
Bliss GVS Healthcare Kenya
Jan 2016 - Nov 2016 (10 months)
Recruited and trained health providers on IT systems, managed provider relationships and customer feedback, and conducted audits and mystery shopping to ensure quality compliance and detect fraud.
Registered Nurse
The Karen Hospital
May 2015 - Jan 2016 (8 months)
Delivered high-standard nursing care by assessing patient needs, implementing care plans, maintaining records and ensuring a safe environment while supporting medical staff.
Registered Nurse
Prestige Medicare Clinic
Sep 2014 - Apr 2015 (7 months)
Managed minor infections and procedures, provided immunizations and monitored vaccine data while ensuring instrument sterilization and adherence to clinic protocols.
Junior Nursing Officer
Sinai Hospital
Feb 2014 - Jul 2014 (5 months)
Administered medications, vaccines and contraceptives, performed simple surgical procedures, provided health education and supported admissions and discharges.
Student Nurse
Kisumu District Hospital & Kilungu Sub-District Hospital
Aug 2013 - Aug 2013 (0 months)
Supported patient care by dispensing drugs, providing immunizations, assisting with HIV testing and contributing to general ward duties during clinical placements.
Education
Degrees, certifications, and relevant coursework
Richan Eco Consult Ltd
First Aider, First Aid
2024 - 2024
Attended first aider training and obtained a First Aider certificate in September 2024.
Seven Springs Hub Limited
Advanced Case Management Level 002, Case Management
2020 - 2020
Completed Advanced Case Management Level 002 training between September and November 2020.
Amani Counselling Centre and Training Institute
Certificate in HIV Testing Services (HTS), HIV Testing Services
2016 - 2016
Completed a Certificate in HIV Testing Services (HTS) from September 12 to 30, 2016.
Kenyatta University Conference Centre
Bridged Course - PMTCT, PMTCT
2015 - 2015
Completed the Bridged Course on Prevention from Mother to Child Transmission (PMTCT) in March 2015.
Kenya Medical Training College, Machakos
Diploma in Kenya Registered Community Health Nurse, Community Health Nursing
2010 - 2014
Completed a Diploma in Kenya Registered Community Health Nursing at KMTC, gaining clinical and community nursing competencies.
Diemo High School
Kenya Certificate of Secondary Education, General Secondary Education
2006 - 2009
Completed secondary education and obtained the Kenya Certificate of Secondary Education.
Bongia Primary School
Kenya Certificate of Primary Education, Primary Education
1996 - 2005
Completed primary education and obtained the Kenya Certificate of Primary Education.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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