About the role
It's an exciting time to join AXA Health, with significant investment planned to transform, deliver new digital services to our customers, and streamline and automate our business processes. As a result, we're looking for a talented person to join our Mental Health team.
As Nurse Case Manager, you'll use your mental health clinical and case management skills to provide high quality support on mental health cases referred to the team. You'll work closely members, their families, clinicians, and hospitals to get the best care for our members, whilst helping the member to receive effective treatment in line with their policy cover and benefits.
At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work at least 40% of your week away from home in either our Bristol, Tunbridge Wells or Glasgow offices. Typical working hours Monday – Friday 8.30am – 5.00pm. No evenings, weekends or Bank Holidays. You'll travel every 2 -3 months for team meetings.
What you'll be doing:
Provide specialist mental health clinical knowledge and assistance to ensure members receive timely, empathetic help and sound clinical and policy information.
Manage high cost or complex clinical cases, challenging clinical information as required. Ensure the member is aware of the cover available under their plan and their treatment options.
Provide specialist mental health knowledge and assistance to guide AXA Health colleagues dealing with mental health calls and claims.
Manage claims accurately and effectively. Demonstrate the principles of claims cost management and identify potential areas of leakage.
Involvement in project work as required.
Know GDPR, PRA and FCA legal authority in relation to AXA Health.&...