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Medical and Assistance Case Manager

3 months ago

Durham, United States Divers Alert Network Full time

POSITION OVERVIEW

FLSA:                                                    Temporary – Contract

Department:                                         Assistance Services

Primary Worksite:                                 Remote

Supervisory Responsibilities:                Yes, to oversee other Assistance staff

Reports to:                                            Director, Medical and Assistance Services

                                                        

 


 

 

JOB SUMMARY

 

The DAN Medical & Assistance Case Manager monitors medical transfers and travel assistance cases and coordinates services and providers, including travel arrangements, physician visits, repatriations, evacuations, and ongoing hospitalized cases. In conjunction with the treating physician's recommendations and under the direction of the DAN Assistance Services Director, the Medical & Assistance Case Manager serves in a medical advocacy role for the client. He directs assistance to the client within the guidelines of the DAN travel emergency assistance policy.

The Medical & Assistance Case Manager must exercise independent thinking and evaluate information critically to make appropriate decisions that may directly impact the case outcome and client satisfaction.

 

RESPONSIBILITIES

·      Coordinate and provide safe, timely, effective, efficient, and client-centered care.

·      Handle case assignments, draft service plans, review case progress, and determine case closure.

·      Facilitate multiple care aspects (case coordination, information sharing, etc.); go the extra mile and interact with clients to monitor their progress and ensure satisfaction.

·      Work with other DAN departments to develop and maintain a database of local providers (air ambulance, hospitals, etc.) to supplement the existing Hyperbaric Chamber and Referral Physician databases.

·      Help clients make informed decisions by advocating on their DAN membership and insurance benefits.

·      Develop effective working relations and cooperate with the Medical Services team throughout the case management.

·      Record case information, complete accurately all necessary forms, and produce statistical reports as needed.

·      Promote quality and cost-effective interventions and outcomes.


·      Adhere to professional standards outlined by DAN’s protocols, rules, and regulations.

MINIMUM REQUIREMENTS

 

·      Proven working experience in travel medical case management, including expertise and knowledge in emergency/critical and acute care; aeromedical transport services, and understanding of flight physiology is a plus.

·      Excellent knowledge of case management principles, healthcare management, and reimbursement.

·      Critical, independent thinking where outcomes are often time-sensitive; must be self-motivated and able to work in high-pressure situations.

·      Effective communication skills, verbal and written, to build and maintain internal and external relationships.

·      Excellent organizational and time management skills, with the ability to multi-task, problem solve, prioritize, delegate, and meet critical deadlines.

·      Compassionate, with teamwork skills.

·      Typing and computer skills with proficiency in Microsoft Office software.

·      Bachelor's degree in the healthcare field or equivalent experience.