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Case Manager - Polish Nurse [N925]
Responder al anuncioPosition based in Madrid, Spain. We may consider having someone remote from Poland if needed.
We are looking for a Case Manager, with an empathic, can-do attitude who is passionate about service delivery and eager to make an impact on people’s lives at the most vulnerable moment for them - through the pathway of a critical illness. This role will be constantly enhancing the quality of the Patient’s journey and delivering a 5-star Customer experience at each interaction.
As our Case Manager, you'll get to:
- Provide support to incoming cases and confirm policy, as well as medical eligibility according to internal process.
- Coordinate and provide access to the best specialists and health care providers in a timely and effective manner.
- Support the insured member to understand the products, process, and clinical journey.
- Interact directly with Customers and Families along the Customer journey for intake interviews and others, keeping track of their progress and ensuring satisfaction.
- Organize internally with Medical Panel and externally with Medical Providers to establish a clear pathway for treatment recommendation and consequent services.
- Review medical reports and treatment plans and control medical costs triggering the appropriate level of authorizations.
- Handle assigned cases, draft service plans, review case progress and determine case closure.
- Help insured members make informed decisions by acting as their advocate regarding their clinical status and treatment options.
- Develop effective working relations and cooperate with internal Teams and colleagues, especially the medical team throughout the entire case management process.
- Collaborate and coordinate with international TPA’s wherever and whenever applicable.
- Maintain all case records completed and up to date within internal systems (i. e. , record case information, complete accurately all necessary forms, produce reports).
- Use the clinical background and knowledge to provide guidance and support to Claims Coordinators and other colleagues.
- Adhere to professional standards as outlined by protocols, rules, and regulations.
We'd love to meet someone who has:
- University Degree in Nursing, or similar clinical qualifications.
- Clinical experience.
- 1-2 years of professional experience in a similar role, ideally from an international health/insurance-oriented business is a plus.
- Understanding of the customer operations or Patients’ Care processes.
- Excellent verbal and written communication skills in English, any other language will be considered an asset.
- Strong interpersonal skills, empathetic.
- High attention to detail, organized and structured mind.
- Strong can-do attitude.
- Experience in problem resolution.
- Ability to multi-task, organize and prioritise work.
Salary: 21, 000. 00€ - 25, 000. 00€ per year
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