Clinical Case Manager
6 days ago
We are seeking a skilled Clinical Case Manager to join our team at HCML. This role involves working closely with members who have healthcare claims, providing them with support and guidance throughout the process.
The ideal candidate will have experience in the insurance or claims industry, as well as a clinical background coordinating care and treatment outcomes for the corporate market.
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.
- Where appropriate, 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.
- Work seamlessly with our onsite Functional Health team to manage referrals and provide a three-dimensional service.
Key Requirements:
- Proficient with Microsoft Office packages and confident using IT systems in general.
- Essential Experience: Experience working in an insurance or claims environment (healthcare strongly preferred).
- Ability to conduct telephone assessments.
Estimated Salary Range: £24,000 - £27,000 per annum.
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