Global Medical Case Manager
4 weeks ago
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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