Medical Case Manager

Main purpose of the job (why does the job exist?) including responsibilities:

Reporting to the Operations, the Medical Case Managers, along with the Assistance Coordinators remotely coordinate medical requirements and care plans for individuals and their dependants posted overseas, ensuring we provide care to the highest standard, within NHS guidelines.  

Key activities/main duties:

The role is extremely diverse, and may cover;

• Pre-posting screening assessments.
• Travel vaccination requirements.
• Medical advice, which may require liaising with one of our in-house GPs.
• Medical advice on current/on-going and specific treatment plans.
• Case Management from initial consultation to discharge.
• Care plans for pre-existing conditions, taking into account local facilities, nature of case and cost of care.
• Organisation of repatriation or evacuation, including patient care and travel/accommodation for dependants.
• Support through the management of repatriation requirements, whilst considering any limitations of travel for sick/injured individuals.
• Assess each case taking into account; medical need; local facilities; time remaining at post, age of patient, cost of care along with Health and Welfare/NHS guidelines.
• Review of all medical reports received to ensure recommendations are access and a management care plan put in place, aligned with NHS guidelines.
• Arranging medical referrals, appointments and reviews, as necessary.

Key responsibilities:

• Demonstrate knowledge, skill and competency in the assessment and management of individual cases.
• Upload all new cases onto the CMS and formulate a plan of management.
• Monitor on-going cases prioritising according to: medical need, local facilities, age of patient and re-assesses at appropriate intervals.
• Liaise with the medical team, and assist with, obtaining medical reports where possible, providing translation services if necessary.
• Act promptly when critical issues are identified, ensuring such cases are escalated to the duty Operations Manager as appropriate.
• To always be aware of the need to control costs and to ensure that any action taken is done so within the guidelines set and NHS guidelines.
• Act with autonomy within Healix guidelines, recognising own limitations, seeking advice and assistance where necessary
• Seek support and assistance from colleagues, fellow nurses and managers on medical matters where required.

Group Compliance Requirements:

There are various compliance requirements that all Healix group employees are required  to  abide by, given this role overlaps with regulated parts of the business the job holder will be required to:

• Ensure compliance in relation to the Financial Conduct Authority (FCA) regulations.
• Abide by the Company’s Treating Customers Fairly policy and guidelines.
• Adhere to all internal policies and processes relating to regulatory or compliance requirements.
• Understand the legal requirements of the UK Access To Medical Records Act 1988 and DPA 1998 and ensure that such requirements are adhered to at all times

As well as

• Comply with the Company’s IT and data security policy and ISO27001 requirements.
• Comply with Data Protection requirements to ensure confidentiality of affairs. 

The job holder may be required to attend further training/seminars/workshops and or gain accreditations in relation to the above compliance requirements, all of which will form part of the Key Performance Indicator’s (KPI’s) and Continuing Professional Development Plan (CPD) for the role and the job holder. 

This job description is not exhaustive and may be updated as required to meet changing service demands.

Requirements, background, skills (hours, travel etc.):

The Medical Case Manager will be required to work 4 shifts per week, worked between Monday and Sunday, between 8am and 6pm, 10.30am to 8.30pm or 12noon and 10pm.  The service Healix international provides is 24 hours, 7 days per week.  Between the hours of 10pm and 8am the service is provided by the Healix office in New Zealand.

The role is office based.  Job holders are not required to travel routinely, however there may be an occasional requirement to travel in order to attend external meetings or training updates.

Other requirements/Responsibilities:

Medical Case Managers (RGNs) are required to hold a current NMC Pin and have been working at (band 5 or above) with a minimum of 3 years recent clinical experience.

We require basic IT skills along with excellent written and verbal communication skills the ability to work within a team environment as well as directly with clients, and be able to work independently in order to plan and manage their caseload. 

Experience of working within a government, military or overseas environment or medical insurance, assistance sector, or repatriation experience would be an advantage.

Communication

• Act in a professional, polite and courteous manner towards others at all times
• Maintain an accurate record of all communications
• Ensure written communication is legible, relevant, objective and accurate
• Act in a collaborative manner, yet demonstrate clear decision making skills in consultation with other members of the team

Training/Induction

All newly appointed Medical Case Managers go through a comprehensive induction training programme to ensure they are fully training and able to provide the level of service required and expected by our clients.  Training includes; our in-house case management system (CMS), levels of cover, authorisation for treatment, costing and planning care plans and repatriation or evacuation procedures.

Career Development:

The Medical Case Manager post is a diverse and interesting post, offering plenty of scope for career development, if desired.

Interested?  Please send your CV and a covering letter to hr@healix.com, quoting’ FCO MCM’ in your application title.