Healthcare Case Manager

4 weeks ago

London, Greater London, United Kingdom Health Case Management Limited Full time

About the Role

We are seeking a skilled Healthcare Case Manager to join our team at Health Case Management Limited. As a key member of our team, you will play a vital role in providing an effortless journey for our members making claims through their company Healthcare Plan.

Key Responsibilities

  • Establish the current reason for ill health/injury and identify any underlying cause or contributory factors
  • Support the multidisciplinary assessment process by providing thorough and accurate information to assess personal and occupational risk factors
  • Advise the member on the reason(s) and multifactorial issues associated with their current episode of ill health-injury and how they can take control of mitigating these
  • Follow managed care pathways, NICE and other evidence-based clinical guidelines
  • Review private and NHS treatment options when making onward referrals for consultations, investigations, and treatment
  • Source appropriate treatment providers, in line with the rules and benefits of their health insurance plan
  • Keep up to date with the latest rules and benefits of each plan offered by our Corporate Customers, including changes, amendments, and exceptions
  • Work seamlessly with our onsite Functional Health team to manage referrals and provide three-dimensional service

Requirements

  • Proficient with Microsoft Office packages and confident using IT systems in general
  • Excellent communication skills, both telephonically and in written communications
  • Able to adopt an investigatory and problem-solving mindset
  • Manage workloads effectively to deliver against customer service deadlines and expectations
  • Essential experience: Experience working in an insurance or claims environment (healthcare strongly preferred)
  • Understanding of clinical and non-clinical pathways
  • Ability to conduct telephone assessments

What We Offer

  • 25 days annual leave
  • Your birthday off
  • 6% company pension contribution
  • Bike to Work Scheme
  • Medicash Health plan
  • Enhanced Maternity/Paternity/Adoption and Shared Parental leave
  • 2 voluntary days per year
  • Long Service Awards
  • Employee Wellbeing Seminars
  • CPD opportunities
  • Professional memberships paid for (role dependent)

Location

Tewkesbury (hybrid and remote options available)

Salary

£24,000

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