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Clinical Case Manager
2 months ago
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 complex medical cases and providing expert medical opinion to ensure the best possible outcomes for our clients.
Key Responsibilities:- Manage a high-volume caseload of medical cases, including medical reviews and validations
- Provide expert medical opinion on medical necessity, length of stay, and reasonable and customary charges
- Collaborate with internal teams to ensure seamless case management and resolution
- Develop and implement effective case management strategies to optimize outcomes
- Stay up-to-date with industry developments and best practices in case management
- Advanced degree in a healthcare-related field (e.g., nursing, medicine, health administration)
- Minimum 3 years of experience in case management or a related field
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced environment and prioritize multiple tasks
- Strong analytical and problem-solving skills
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Collaborative and dynamic work environment
- Recognition and rewards for outstanding performance
