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Clinical Case Manager

hace 2 semanas

Madrid, Madrid, España Further Underwriting International SLU A tiempo completo
Your mission (responsibilities):

Further Group is a fast-growing and dynamic company at the forefront of innovation, leveraging cutting-edge technology and a deep understanding of the healthcare sector to deliver turnkey solutions for the treatment of serious medical conditions.

Our company works with insurers, large employers, and affinity organizations worldwide, to accelerate consumer access to the best treatment choices. As the global leader in our field, we are seeking a highly experienced and dynamic individual to join us Clinical Case Manager (Danish Speaker)

Position

We are looking for a Clinical Case Manager, with an empathic, can-do attitude who is passionate about service delivery and eager to make an impact on people's lives at the most vulnerable moment for them – through the pathway of a critical illness. This role will be constantly enhancing the quality of the Patient's journey and delivering a 5-star Customer experience at each interaction. 

The ideal candidate has experience in customer operations within the sector of health insurance or second medical opinion. The Clinical Case Manager will assess, plan, implement, monitor, and evaluate actions required to provide the best remote support to the patient prior, during and after the treatment. The successful candidate will be accountable for the full Customer Care cycle. 

As our Clinical Case Manager (Danish Speaker), you'll get to: 

  • Provide support to incoming cases and confirm policy, as well as medical eligibility according to internal process
  • Coordinate and provide access to the best specialists and health care providers in a timely and effective manner
  • Support the insured member to understand the products, process, and clinical journey
  • Interact directly with Customers and Families along the Customer journey for intake interviews and others, keeping track of their progress and ensuring satisfaction
  • Provide support to Claimants, Clients and Providers via phone, chat, email, digital platforms or other as per communication standards
  • Organize internally with Medical Panel and externally with Medical Providers to establish a clear pathway for treatment recommendation and consequent services
  • Review medical reports and treatment plans and control medical costs triggering the appropriate level of authorizations
  • Handle assigned cases, draft service plans, review case progress and determine case closure
  • Help insured members make informed decisions by acting as their advocate regarding their clinical status and treatment options
  • Develop effective working relations and cooperate with internal Teams and colleagues, especially the medical team throughout the entire case management process
  • Collaborate and coordinate with international TPA's wherever and whenever applicable.
  • Use the clinical background and knowledge to provide guidance and support to Claims Coordinators and other colleagues
  • Participate in clinical case discussions as needed and support the medical panel
  • Maintain all case records completed and up to date within internal systems (i.e., record case information, complete accurately all necessary forms, produce reports…)
  • Adhere to professional standards as outlined by protocols, rules, and regulations
We'd love to meet someone who:
  • A University or College Undergraduate degree (Medical or Nursing)
  • 3-5 years of professional experience in a similar role, ideally from an international health/insurance-oriented business is a plus
  • Understanding of the customer operations or Patients' Care processes
  • Excellent verbal and written communication skills in English and Danish, any other language will be considered an asset
  • Strong interpersonal skills, empathetic
  • High attention to detail, organized and structured mind
  • Strong can-do attitude
  • Experience in problem resolution
  • Ability to multi-task, organize and prioritize work
What we're offering:

Are you looking for a new challenge in your career? Do you want to join a growing, dynamic and engaged international company with perspective for significant growth? If so, we have the perfect opportunity for you

We are looking for talented professionals who want to work in a hybrid working model, where you can enjoy the best of both worlds: three days in the office and two days at home. You will also benefit from a competitive compensation package that rewards your performance and skills.

As part of our team, you will collaborate with colleagues from different countries and backgrounds, sharing your expertise and learning from theirs. You will work in a modern, open plan office in a beautiful building in central Madrid, close to transport hubs. And you will have access to complementary fruit, tea and coffee to keep you energized throughout the day.

In addition, we offer attractive employee benefits, including Cobee for social benefits and flexible compensation, as well as Wellhub, a platform designed to support your well-being and promote an active, healthy lifestyle.

If this sounds like the ideal job for you, don't hesitate to apply now We are looking forward to hearing from you

Why us?

We believe passionately that employing a diverse workforce is central to our success. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital, or disability status.