Further Group is a fast-growing and dynamic company at the forefront of innovation, leveraging cutting-edge technology and a deep understanding of the healthcare sector to deliver turnkey solutions for the treatment of serious medical conditions.
Our company works with insurers, large employers, and affinity organizations worldwide, to accelerate consumer access to the best treatment choices. As the global leader in our field, we are seeking a highly experienced and dynamic individual to join us Clinical Case Manager (Danish Speaker)
Position
We are looking for a
Clinical
Case Manager
, with an empathic, can-do attitude who is passionate about service delivery and eager to make an impact on people's lives at the most vulnerable moment for them - through the pathway of a critical illness. This role will be constantly enhancing the quality of the Patient's journey and delivering a 5-star Customer experience at each interaction.
The ideal candidate has experience in customer operations within the sector of health insurance or second medical opinion. The Clinical Case Manager will assess, plan, implement, monitor, and evaluate actions required to provide the best remote support to the patient prior, during and after the treatment. The successful candidate will be accountable for the full Customer Care cycle.
As our Clinical Case Manager (Danish Speaker), you'll get to:
Provide support to incoming cases and confirm policy, as well as medical eligibility according to internal process
Coordinate and provide access to the best specialists and health care providers in a timely and effective manner
Support the insured member to understand the products, process, and clinical journey
Interact directly with Customers and Families along the Customer journey for intake interviews and others, keeping track of their progress and ensuring satisfaction
Provide support to Claimants, Clients and Providers via phone, chat, email, digital platforms or other as per communication standards
Organize internally with Medical Panel and externally with Medical Providers to establish a clear pathway for treatment recommendation and consequent services
Review medical reports and treatment plans and control medical costs triggering the appropriate level of authorizations
Handle assigned cases, draft service plans, review case progress and determine case closure
Help insured members make informed decisions by acting as their advocate regarding their clinical status and treatment options
Develop effective working relations and cooperate with internal Teams and colleagues, especially the medical team throughout the entire case management process
Collaborate and coordinate with international TPA's wherever and whenever applicable.
Use the clinical background and knowledge to provide guidance and support to Claims Coordinators and other colleagues
Participate in clinical case discussions as needed and support the medical panel
Maintain all case records completed and up to date within internal systems (i.e., record case information, complete accurately all necessary forms, produce reports...)
Adhere to professional standards as outlined by protocols, rules, and regulations
We'd love to meet someone who:
A University or College Undergraduate degree (Medical or Nursing)
3-5 years of professional experience in a similar role, ideally from an international health/insurance-oriented business is a plus
Understanding of the customer operations or Patients' Care processes
Excellent verbal and written communication skills in English and Danish, any other language will be considered an asset
Strong interpersonal skills, empathetic
High attention to detail, organized and structured mind
Strong can-do attitude
Experience in problem resolution
Ability to multi-task, organize and prioritize work
Why us?
We believe passionately that employing a diverse workforce is central to our success. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital, or disability status.
Job Type: Full-time
Pay: From 33,000.00 per year
Benefits:
Company events
Company pension
Private medical insurance
Work from home
Work Location: Remote
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