Global Excel Medical Case Manager

2 days ago

Sherbrooke, Quebec, Canada Global Excel Management Inc Full time

At Global Excel Management Inc., we are seeking a skilled and compassionate Medical (Nurse) Case Manager to join our team.

As a key member of our team, you will play a vital role in assessing and managing clients' medical emergencies while traveling. With your expertise in healthcare and customer service, you will provide exceptional support to individuals who have purchased travel insurance policies and need assistance on their trip or to submit a claim.

About the Role

This is a unique opportunity to leverage your clinical experience and skills in a dynamic environment that encourages personal and professional growth. You will work closely 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.

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

To be successful in this role, you will require:

  • A University Degree/College Diploma in Nursing or equivalency medical training;
  • A 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;
  • The ability to 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;
  • A 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

We offer a competitive compensation package that includes a base salary of $85,000 per year, performance bonus, and an extensive benefits package. You will also have opportunities for development, growth, and advancement in a professional future with Global Excel Management Inc.

In addition to your annual salary of $85,000, you will receive a comprehensive benefits package and RRSP Match program. We also offer financial assistance to employees who wish to continue their education, work/life balance, health and wellness initiatives, and employee engagement programs that focus on fitness, food, and fun.

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