Global Medical Case Manager

4 weeks ago


Chicago, Illinois, United States AXA Full time

Job Summary:

The International Nurse Case Manager will work closely with the AXA team to provide medical travel assistance to beneficiaries worldwide. This role requires a strong understanding of medical information and the ability to coordinate care with healthcare providers.

Key Responsibilities:

  • Obtain, review, and assess customers' medical information to determine medical necessity for care being prescribed.
  • Evaluate the appropriateness of Provider diagnosis, care, and treatment plan.
  • Recommend and assist with transfer to higher level of care when appropriate.
  • Document pertinent medical information in customer's medical notes, and notify and disseminate information to AXA team.
  • Communicate with beneficiary to assess level of comfort with Provider, facility and medical situation.
  • Review medical information to determine pre-existence of relevant medical conditions, onset date of medical condition and how it relates to coverage based on customer's specific travel policy.
  • Recommend medically necessary travel arrangements for customers' repatriation, and or evacuation.
  • Communicate repatriation recommendations and arrangements with hospital, medical staff and beneficiaries.
  • Provide expertise and support to Operations, Claims, Marketing and Client.
  • Synthesize complex or diverse information; Collect and research data; Use intuition and experience to complement data.
  • Identify and resolve problems in a timely manner; Gather and analyze information skillfully; Develop alternative solutions; Work well in group problem solving situations; Use reason even when dealing with emotional topics.
  • Manage difficult or emotional customer situations; Respond promptly to customer needs; Respond to requests for service and assistance; Meet commitments.
  • Focus on solving conflict, not blaming; Maintain confidentiality; Listen to others without interrupting; Keep emotions under control; Remain open to others' ideas and try new things.

Requirements:

The ideal candidate will have a strong background in nursing and experience in medical case management. Excellent communication and problem-solving skills are essential for this role.



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