Medical Case Manager - Nurse

Crisis24•Annapolis, MD

11d•$80,000 - $85,000•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.
Must have recent clinical expertise, preferably from a critical care area.
Must have effective communication skills.
Critical thinking is a key component of our role so the Nurse needs to be able to draw upon their own experience and the experience of other members of the team to make informed decisions.

Nice To Haves

Applicants will need to have a valid passport to travel as training will likely be provided in the UK.

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.
Protect the data and systems of Crisis24 and its stakeholders by adhering to policies, reporting incidents and potential problems, completing regular training, and identifying opportunities for improvement.