We have an opening for a Medical Case Manager position at Healix in our Esher-based office.
Reporting to the Clinical Lead, the post holder will provide a confident, knowledgeable and efficient service to Healix members, via telephone (inbound and outbound) and email, managing claims and signposting to appropriate services included in the scheme benefits.
This role is more than simply assessing member claims; the post holder will be expected to use their clinical knowledge to ensure members feel supported during treatment, guiding, supporting and signposting to ensure best outcomes and service.
We are looking for candidates who meet the following criteria:
* Registered RN, RMN or allied health professionals with an active HCPC registration.
* Broad range of acute clinical experience.
* Ability to deal calmly and professionally face to face or remotely with stakeholders at all levels.
* A resilient manner and excellent communication skills, a mature confident approach and the ability to interact with individuals who are undergoing complex treatment and may be distressed, anxious or unhappy with the outcome of a cover decision.
* Ability to use clinical and commercial skills to carefully balance member experience, treatment eligibility and cost effectiveness.
* Awareness of own limitations, recognising when it is appropriate to escalate cases to the Head of Clinical Service for review.
Key activities/main duties:
* Provide support and guidance to members during their treatment.
* Manage claims and signpost to appropriate services.
* Utilize clinical knowledge to enhance member experience.
* Maintain professionalism in interactions with distressed individuals.
* Recognize when to escalate cases for further review.
Required Criteria
* Registered Nurse or Paramedic
Desired Criteria
* Case Management Experience
* Private Medical Insurance
About The Company
We offer UK employee healthcare benefits, and travel, medical and security assistance in every corner of the globe. Our purpose is to help people in difficult situations – whether that’s a cancer diagnosis, a need for medical assistance when they’re far from home, or being caught up in conflict or natural disaster. We talk to them, support them, and make sure they get the help they need.
We’re co-ordinators and problem-solvers: experts at navigating the global health and security landscape. Our teams of doctors, nurses, travel and medical co-ordinators and security experts make sure that your people will be looked after, whatever happens supported by technology designed help individuals, not slot them into a predetermined solution.
We work with governments, broadcasters, NGOs, international corporations, major insurers and more. No two clients are the same: we adapt our services to their needs.
Our clients have thousands of employees and customers, at home and abroad, so they need a business big enough to handle any situation. But they chose Healix because they also need an organisation that’s personal enough to care.
Company Culture
We focus on ensuring our highly trained specialists have the space and time they need to be effective. We let them use their initiative to get the job done, because the situations they face often throw up unexpected challenges – and no protocol survives contact with the real world.
Our people are driven to do things in the best way, not the way they have always been done. We work hard, and our efforts are rewarded with great development opportunities and a supportive team spirit.
As a part of Healix, you can expect a range of excellent benefits and an environment where people really do care.
Company Benefits
We are committed to helping our people build and develop successful careers. Our employees are given direct responsibility and opportunity to develop and grow whilst working on challenging and worthwhile projects in a rewarding and supportive environment.
We invest in the continuous development of our team, offering on-going training and professional enhancement opportunities for those wishing to diversify or take additional responsibilities.
Health insurance, Vacation, Paid time off, Retirement plan and/or pension, Office perks, Employee development programs, Employee discounts, Gym membership or wellness programs, Opportunity to travel, Casual dress, Cycle to work, Open office, Competitive salary, Life insurance, Employee Assistance Scheme, Wellbeing Scheme, Social Opportunities, Hybrid Working.
Salary
£40,000.00 - £42,000.00 per year
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