Medical Case Manager

2 weeks ago

Sherbrooke, Quebec, Canada Global Excel Management Inc Full time

Job Description

Are you a healthcare professional looking for a challenging role in case management? Do you have a passion for providing excellent customer service and working in a multilingual environment? We are seeking a skilled Case Manager to join our team at Global Excel Management Inc.

Job Summary

The Case Manager will be responsible for assessing and managing medical emergencies while traveling. This includes communicating with healthcare providers worldwide, assessing the appropriateness of proposed medical treatment, and coordinating medical patient transfers. The ideal candidate will have a strong background in nursing, excellent communication skills, and the ability to work in a fast-paced environment.

Key Responsibilities

  • Communicate with healthcare providers worldwide to obtain clinical status of insured's medical condition
  • Assess appropriateness of proposed medical treatment with support of GEM Medical Directors
  • Initiate and coordinate medical patient transfer in collaboration with Case Coordinators to promote client safety and contain cost
  • Identify acuity and anticipated medical management of clinical presentation to inform case strategy and implementation
  • Analyze clinical information and communicate impact on eligibility for coverage to internal and external stakeholders
  • Educate healthcare providers on role of travel insurance and medical benefits available to 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 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

What We Offer

  • Competitive compensation package that includes a base salary, performance bonus, and an extensive benefits package
  • 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

How to Apply

If you are a motivated and detail-oriented individual with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to our Human Resources department.

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