Medical Case Manager
3 weeks ago
Job Title: Medical Case Manager
Global Excel Management Inc is seeking a skilled Medical Case Manager to join our team. As a Medical Case Manager, you will be responsible for assessing and managing medical emergencies while traveling. You will work with our Emergency Assistance, Case Management, and Claims teams to determine what a client's travel policy covers and ensure that medical expenses are appropriate and necessary.
Key Responsibilities:
- Communicate with healthcare providers worldwide to obtain the clinical status of an insured's medical condition;
- Assess the appropriateness of proposed medical treatment with the support of GEM Medical Directors;
- Initiate and coordinate medical patient transfer in collaboration with Case Coordinators to promote client safety and contain cost;
- Identify the acuity and anticipated medical management of a clinical presentation to inform case strategy and implementation;
- Analyze clinical information and communicate the impact on eligibility for coverage to internal and external stakeholders;
- Educate healthcare providers on the role of travel insurance and medical benefits available to the insured;
- Review, summarize, and analyze client medical records;
- Use case management software to accurately and concisely document all call details and actions taken/required;
- Provide professional mentorship of Case Management Team while also performing other duties as assigned.
Requirements:
- University Degree/College Diploma in Nursing or equivalency medical training;
- Current license in good standing with the respective provincial nursing governing body;
- At least two years of clinical experience in a hospital;
- Experience in ICU/ER an asset;
- Handle/communicate and exchange sensitive and confidential information in a professional manner;
- Excellent written and verbal communication skills with proven ability to communicate medical terms/concepts to diverse groups, including medical professionals and the general public;
- Able to handle fluctuating work volumes in a fast-paced, customer-focused environment;
- Able to successfully work independently and in a team;
- Proven ability to prioritize work responsibilities to achieve best possible outcomes;
- Basic understanding of travel insurance, insurance terminology, and case management is an asset;
- Strong computer skills (Windows, Excel, typing);
- Able to work various shifts and days of the week as required.
We Offer:
- Global Excel offers more than a position;
- We offer a competitive compensation package that includes a base salary, performance bonus, and an extensive benefits package;
- A professional future with opportunities for development, growth, and advancement;
- RRSP Match program;
- Financial assistance to employees who wish to continue their education;
- Work/life balance, health, and wellness initiatives including an excellent EAP program;
- Employee engagement programs that focus on fitness, food, and fun.
About Us:
Global Excel Management Inc is a leading provider of travel insurance and assistance services. We are committed to delivering exceptional customer service and providing our employees with a dynamic and supportive work environment.
How to Apply:
If you are a motivated and experienced Medical Case Manager looking for a new challenge, please submit your application. We thank all applicants for their interest; however, only those selected for an interview will be contacted.
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