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WPA Health Insurance | Senior Clinical Case Manager

1 week ago


united kingdom WPA Health Insurance Full time

Are you a Healthcare professional who is looking for a fresh and exciting new career and looking for role that will enable you to research?


Starting Salary from £30,756 rising to £32,745 on successful completion of probation.

The role is full time 37 hours per week, Monday to Friday between the hours of 08:
00 and 18:
00, however flexible working patterns can be considered. The role is based in our office on Blackbrook Business Park in Taunton, TA1 2PE.


About us

WPA is a private healthcare provider with over 100 years’ experience in treating our customers the way in which we would wish to be treated. We have won many awards for the levels of service we give and are the only Which? Recommended Provider for private medical insurance. As a non-for-profit organisation, it’s not only our customers we look after, but our amazing workforce who are the key to our success. You’ll feel proud to work for WPA due to our inclusive culture, career progression and generous benefits.

As a result of our continued success and growth, we are looking to expand our Clinical Excellence team.


Benefits

We offer an attractive starting salary alongside our annual non-contractual bonus. Your health and wellbeing is very important to us and you will have access to our private medical insurance cover, a WPA cash plan and private remote GP services. Other benefits include purchasing additional annual leave, pension and length of service awards which make us stand out as an employer of choice.

Social events are fun and frequent, including BBQs on the patio, annual parties, team building and sporting events.


The team and role

The Clinical team have a variety of healthcare and clinical experience, including paramedics, radiographers and nurses. Together we are able to provide exceptional support to customers who have been diagnosed with complex medical conditions, such as cancer.

The team provide a single point of contact for our customers to discuss their ongoing treatment as we support them through their treatment journey. We also liaise with healthcare professionals and hospitals to ensure we have the information needed to support these complex medical claims. Our Chief Medical Officer and other Medical Advisers (all practising specialists in the NHS and private sector) are on hand to support the team with complex cases, to ensure our customers can access the very best treatment.


About you

Are you a healthcare professional with experience working in the healthcare sector or are have a relevant clinical qualification (e.G. undergraduate or postgraduate in life sciences, nursing, paramedic or physiotherapy) or significant clinical experience (e.G. pharmaceutical or theatre technician)

This is a fantastic opportunity for you to utilise and retain your skills and experience, to help support our customers and their families when they need us the most.

The successful candidate will have a willingness to act as front-line support to our customers via all communication channels, including email and telephone with some of the main aspects of the role including;

  • Beinga part of the customer pathway, proactively reviewing the eligibility for the customer to make use of their health policy in line with their policy cover.
  • Signposting, where required, to enable access to other eligible services.
  • Use clinical skills to make informed decisions on highly complex treatment eligibility e.G. levels of care, hospital length of stay and treatment options.
  • Work proactively with providers to ensure care is appropriate to need and eligible under the customers policy.
  • Maintain up to date and accurate knowledge of current best practice and clinical guidelines.
  • Support front line business areas where there are clinically complex cases to provide clinical case management support.
  • Maintain up to date and accurate knowledge of appropriate WPA products, policies, and initiatives to ensure that all queries are answered accurately.
  • Able to carry out medical research to support claim decisions and ensure current and accurate evidence to support claims advice.


What we can offer

We offer a contemporary working environment with a wide range of benefits, including free onsite parking. You will also play a critical role in WPA’s future knowing that you are key in retaining existing customers and where your contributions will always be valued. If you are looking for an opportunity to develop and undertake further training, we can certainly support you with this, if this is in your future plans.


We are all different, be yourself and thrive

WPA is a not-for-profit, environmentally friendly organisation whose ethos is treating others as we want to be treated including our fabulous team, customers and local community. We hire great people, we believe in everyone and recognise that individual differences are what makes our team stronger.


Closing date and important information

This remains flexible subject to us finding the right candidate, we therefore recommend that you apply at your earliest convenience.


Job Types:
Full-time, Permanent

Pay:
£30,756 - £32,745 per year