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Professional Jobs in Sherbrooke, QC
Medical (Nurse) Case Manager
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Global Excel Management IncSherbrooke, QC, CA- Full-time
Job Description
Are 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.
What skills and training do you need?
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
To get a taste of the Global Excel life and for more information on our company, visit our Facebook page and website :
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