Medical Case Manager - Nurse

Crisis24 • Annapolis, MD

10d • Onsite

About The Position

This role will provide Medical Assistance and Claims Management services for insurers and brokers around the world. Our expertise in Claims Management, pioneering processes, in-house professionals and worldwide network of associates, are what make us stand out to our partners and their customers. The (Medical Assistance) Nurse Advisor is critical in supporting the Medical Operations – Medical Team department and is integral to the provision of Medical Assistance. Our role is to review medical information in a timely fashion and provide an expert opinion on how to provide the highest level of care to our client group. The types of cases we manage vary widely from oversight of non-urgent outpatient reviews to emergency medical evacuations. Our client groups are located all around the world and as such, we need to be prepared to interact with medical professionals from different countries to obtain medical information in a timely fashion to provide an effective response. We ask our medical team to draw upon their own experience and the shared experience of the team to provide an informed opinion on case management. The Medical Team are a small team which makes good communication skills essential as we very much encourage team working.

Requirements

• Must be a qualified and registered nurse
• Must have the ability to provide correct clinical judgement when dealing with assistance escalation
• Own and promote medical case handling procedures
• Must have a minimum of 3 years of clinical experience, preferably in a critical care setting but other settings will be considered if the experience is suitable.
• The ability to plan and manage their caseload.
• Good Problem-solving skills
• Who is a decision maker
• Who has excellent communication skills – both verbal and written
• Who has a can do, will do attitude
• Who has the Ability to take ownership of problems and resolve them
• Who is an effective time manager and a person who can prioritize
• Who is able to integrate and work well within a team.

Nice To Haves

• recent clinical expertise, preferably from a critical care area

Responsibilities

• Day to day case management
• Reaching out and contacting medical professionals on an international basis to gain medical updates on a patient's condition.
• Demonstrate critical thinking skills when planning for case management
• Liaise with colleagues within the Operations team to ensure open effective communication.
• Perform telephonic patient assessments.
• Provide remote health advice for some of our prestige clients.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed