Clinical Case Manager

1 day ago

Canada MSH Americas - Diot-Siaci Group Full time
Job Title: Clinical Case Manager

We are seeking a highly skilled Clinical Case Manager to join our team at MSH Americas - Diot-Siaci Group. As a Clinical Case Manager, you will play a critical role in managing a large caseload, providing expert medical opinion, and ensuring compliance with all procedures and processes.

Key Responsibilities:
  • Manage a large caseload of medical cases, ensuring timely and effective resolution
  • Provide expert medical opinion on medical necessity, length of stay, and reasonable and customary charges
  • Comply with all procedures and processes established for medical teams
  • Review and release high claims, including notifications for high-dollar cases
  • Participate in new projects as needed
  • Summarize medical information in a clear and concise manner
  • Facilitate commercial or medevac repatriations
Requirements:
  • Excellent verbal and written communication skills in English
  • Superior time management skills
  • Intermediate level of experience in Microsoft Office Suite
  • Prior experience managing cases for an International Patient Program
  • Previous experience in travel, major medical, or expat insurance within a TPA environment
  • Preference given to those speaking a third language (German, French, Spanish, Italian, Mandarin, etc)
What We Offer:
  • Excellent health benefits
  • Wellness account
  • A work environment that embraces diversity and promotes inclusivity
  • Supportive leadership prioritizes your success and cares about your well-being

MSH Americas - Diot-Siaci Group is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.

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