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Nurse medical case manager

Haywards Heath
Collinson
Case manager
Posted: 11 June
Offer description

We use our expertise and products to craft customer experiences. Our range of services helps global brand acquire, engage and retain choice-rich customers.

© 2023 Collinson International Limited. Registered in England & Wales under registration No. 2577557
Registered address : 3 More London Riverside, London, SE1 2AQ, United Kingdom.

Company Overview

We provide Medical Assistance and Claims Management services for insurers and brokers around the world. Our expertise in Claims Management, pioneering processes, in-house professionals and worldwide network of associates, are what make stand out to our partners and their customers. Our Medical Assistance service which the Medical Team are part of won Medical Assistance Company of the Year award 2024.

Purpose of the job

The role of the Nurse Case Manager is to provide medical assistance and advice to customers/partners of Collinson, provide medical support to the operational department, and deliver effective medical assistance and guidance to policyholders whilst supporting the cost containment of assistance cases.

The role is also involved in providing recommendations for medical repatriation and delivering medical guidance to ensure safe transfer of policyholders back to their country of residence.

Key responsibilities

* Medical Case management including communicating and liaising with medical professionals and customers/policyholders worldwide
* Reporting to the Chief Nursing Officer, Chief Medical Officer/Duty Doctor as per guidelines where escalation is needed.
* Reviewing of medical reports with accurate and timely completion of case notes and advising next steps
* Assess each individual medical case and monitor accordingly to ensure services remain safe, efficient and effective
* Process cases in accordance with department procedures, agreed authority levels and professional bodies
* Advising on all aspects of repatriation requirements (Transport and Medical).
* Assist the repatriation team in selecting the correct escort
* Arranging UK NHS client admissions when appropriate.
* Assist with the maintenance of medical equipment and medical disposables
* Check and maintain medical repatriation equipment to agreed standards
* Maintain professional awareness with medical and nursing current practice and clinical techniques to ensure safe practice for client.
* Manage personal development, clinical skills and qualifications in line with all necessary professional body recommendations
* Assistance with maintaining clinical governance
* Assess workload and nature of case, prioritise accordingly and take responsibility for your own list of cases
* Understand and use the necessary programmes, applications and IT software systems
* Gather and provide suitable information on a wide variety of health related queries using research based, factual and up to date medical
* Must abide by, promote and adhere to the Collinson Group culture and standards

Knowledge, skills and experience required

* Registered General Nurse
* Minimum 5 years post registration experience with exposure to acute setting either A&E / ICU / CCU
* Evidence of current registration with appropriate professional body e.g NMC
* Evidence of meeting PREP requirements
* PC literate, with accurate keyboard and computer skills.
* Current membership with Royal College of Nursing or equivalent which offers professional indemnity.
* CCAT qualification preferable

Person Specification

* Decision maker
* Excellent communication skills – both verbal and written
* Can do will do attitude
* Ability to take ownership of problems and resolve them
* Effective time manager and a person who can prioritise
* Effective medical scenarios and condition interpretation skills
* Flexibility regarding shift allocation
* Ability to work autonomously as well as part of a team

Core Competencies

* Collaboration
* Commercial Awareness
* Delivery
* Customer Service
* Innovation
* Leadership

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