Case Manager – Medical Case Management

Job title:

Case Manager – Medical Case Management

Company

Global Excel

Job description

Job DescriptionAre you a people person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you! Global Excel Management works with Canadian, International Insurers and prestigious brands, provides services to individuals who have purchased a travel insurance policy and need assistance on their trip or to submit a claim.As a Case Manager, you are a health care professional who will assess and manage our clients’ medical emergencies while travelling. With in-house Case Management training and utilizing proprietary networks and tools, the Case Manager is able to uncover the clinical facts, facilitate access to appropriate health care regardless of location, and work with local health care providers to coordinate a patient’s safe transition back home. At the same time, the Case Manager works with our Emergency Assistance, Case Management, and Claims teams to determine what a clients’ travel policy covers and ensure that medical expenses are appropriate and necessary.What does your typical day look like?

• Communicate with health care providers worldwide to obtain the clinical status of an insured’s medical condition;
• Assess the appropriateness of proposed medical treatment with the support of GEM Medical Directors;
• Initiate and coordinate medical patient transfer in collaboration with Case Coordinators to promote client safety and contain cost;
• Identify the acuity and anticipated medical management of a clinical presentation to inform case strategy and implementation;
• Analyze clinical information and communicate the impact on eligibility for coverage to internal and external stakeholders;
• Educate health care providers on the role of travel insurance and medical benefits available to the insured;
• Review, summarize and analyze client medical records;
• Use case management software to accurately and concisely document all call details and actions taken/required;
• Provide professional mentorship of Case Management Team while also performing other duties as assigned;
• Able to work various shifts and days of the week as required, primarily day shift with rotating evenings and weekends;
• Hybrid work model post completion of orientation.

What skills and training do you need?

• University Degree/College Diploma in Nursing (RN/RPN) or equivalency medical training;
• Current license in good standing with the respective provincial nursing governing body;
• At least one year of clinical experience in an acute care setting;
• Experience in ICU/ER an asset;
• Handle/communicate and exchange sensitive and confidential information in a professional manner;
• Excellent written and verbal communication skills with proven ability to communicate medical terms/concepts to diverse groups, including medical professionals and the general public;
• Able to handle fluctuating work volumes in a fast paced, customer focused environment;
• Able to successfully work independently and in a team;
• Proven ability to prioritize work responsibilities to achieve best possible outcomes;
• Proactive approach to case management, anticipating needs and taking necessary steps to ensure success;
• Basic understanding of travel insurance, insurance terminology and case management is an asset;
• Strong computer skills (Microsoft System including Word, Excel, Teams, Outlook etc.), with the ability to work multiple systems at one time;
• Ability to multi-task, while maintaining strong organizational and prioritization skills.

When you apply:If you require assistance or accommodation during our recruitment process, please notify Human Resources so that we can review and consider how we may be able to assist you based on your individual needs.We offer you

• Global Excel offers more than a position!
• We offer a competitive compensation package that includes a base salary, performance bonus and an extensive benefits package;
• Licensing fee reimbursement and bilingual bonus (when applicable);
• A professional future with opportunities for development, growth, and advancement;
• RRSP Match program;
• Financial assistance to employees who wish to continue their education;
• Work/life balance, health and wellness initiatives including an excellent EAP program;
• Employee engagement programs that focus on fitness, food, and fun.

To get a taste of the Global Excel life and for more information on our company, visit our Facebook page and website:

Expected salary

Location

Windsor, ON

Job date

Sun, 09 Mar 2025 08:20:53 GMT

To help us track our recruitment effort, please indicate in your email/cover letter where (jobs-near-me.eu) you saw this job posting.