Case Referrals Adviser

4 weeks ago

Leeds, United Kingdom Bupa Full time

**Case Referrals Adviser**

**Flexible **Location either Leeds - LS5 3BF or Salford Quays - M50 3SP**

**Hybrid working options (2 days per week in office)**

**Permanent - Full time 35hours**

**From **£32,000 depending on experience with fantastic benefits**
- We consider all types of flexibility, including locations, hours and working patterns. _

**We make health happen**

Working in our Group legal function you’ll play a key part in helping our customer facing colleagues deliver exceptional standards of customer service and patient care.

As a Case Referrals Adviser you’ll identify and consider potential statutory and professional body referrals to comply with i) our statutory obligations as a regulated activity provider and ii) our responsibility to ensure the quality of registered healthcare professionals is maintained. You will manage ongoing professional body cases within the UK geography, including providing support to those assisting in the process and being the point of contact for external parties. You’ll also identify, manage and mitigate risk to the business using horizon scanning, auditing processes and raising awareness of the team to make ourselves more visible to our customers.

No matter your role, you’ll have an opportunity to do work that matters. Making a difference to the lives of our customers each and every day.

**How you’ll help us make health happen**:

- Reviewing individual cases to identify professional and statutory body referrals and understanding the potential implications of not complying with our statutory obligations as a healthcare provider
- Liaising with the Operations team to obtain information and documentation needed to support the referrals to ensure the professional / statutory body can make an informed decision.
- Making referrals to professional and statutory bodies on behalf of Bupa’s UK geography - providing key information which falls under the professional body’s power to request, and redacting any data which is not relevant for the purpose of their investigation.
- Establish and maintain relationships with key stakeholders including regular calls with the Dental Head of Professional Standards and with the Health Services Revalidation Manager and Associate Clinical Director to discuss individual cases and general regulatory matters, as well as regular discussions with the people team
- Diarising key hearing dates and reminders to chase for outstanding information required for referrals - ensuring any issues are escalated promptly within the operations/people team if necessary.
- Sharing information with colleagues in the wider legal teams where cases may cross over i.e. employment matters, coroners’ cases etc
- Liaising with professional bodies and/or their solicitors in response to requests for information. Also challenging requests for information if their requests are too wide / not relevant for the purposes of their investigation.
- Keeping record of professional body case progression and briefing stakeholders at key stages
- Providing witness support to employees and ex-employees called upon as witnesses to professional body investigations - discussing the process generally, reviewing and amending witness statements when required, listening to concerns and answering queries.
- Regularly reviewing our processes and template documents to ensure these are kept up to date, adopting continuous improvement mindset to potential efficiencies to encourage smarter working and/or better risk management
- Updating reputational risk register when new risk identified to be shared with the Corporate Affairs team and attend bi-monthly calls to provide updates
- Carrying out monthly audits of payroll leavers data and the ER trackers to identify any potential referrals to comply with our statutory obligations
- Monitoring Datix alerts to identify any potential referral cases

**Key Skills / Qualifications needed for this role**:

- Excellent administration, organisational skills and attention to detail.
- Excellent written and verbal communication skills in order to obtain the required information, often relating to sensitive matters.
- Ability to work to tight deadlines.
- Excellent IT skills, ability to organise quantities of data using spreadsheets and IT systems.

**Benefits**

Our benefits are designed to make health happen for our people. Viva is our global wellbeing programme and includes all aspects of our health - from mental and physical, to financial, social and environmental wellbeing. We support flexible working and have a range of family friendly benefits.

Joining Bupa in this role you will receive the following benefits and more:

- 25 days holiday, increasing through length of service, with option to buy or sell
- Bupa medical insurance as a benefit in kind
- An enhanced pension plan and life insurance
- Annual performance-based bonus as part of the Management Bonus Scheme
- Onsite gyms or local discounts where no onsite gym available

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