We provide Medical Assistance and Claims Management services for insurers and brokers around the world. Our expertise in Claims Management, pioneering processes, in-house professionals and worldwide network of associates, are what make stand out to our partners and their customers. Our Medical Assistance service which the Medical Team are part of won Medical Assistance Company of the Year award 2024.
Purpose of the job
The role of the Nurse Case Manager is to provide medical assistance and advice to customers/partners of Collinson, provide medical support to the operational department, and deliver effective medical assistance and guidance to policyholders whilst supporting the cost containment of assistance cases.
The role is also involved in providing recommendations for medical repatriation and delivering medical guidance to ensure safe transfer of policyholders back to their country of residence.
Key responsibilities
Medical Case management including communicating and liaising with medical professionals and customers/policyholders worldwide
Reporting to the Chief Nursing Officer, Chief Medical Officer/Duty Doctor as per guidelines where escalation is needed.
Reviewing of medical reports with accurate and timely completion of case notes and advising next steps
Assess each individual medical case and monitor accordingly to ensure services remain safe, efficient and effective
Process cases in accordance with department procedures, agreed authority levels and professional bodies
Advising on all aspects of repatriation requirements (Transport and Medical).
Assist the repatriation team in selecting the correct escort
Arranging UK NHS client admissions when appropriate.
Assist with the maintenance of medical equipment and medical disposables
Check and maintain medical repatriation equipment to agreed standards
Maintain professional awareness with medical and nursing current practice and clinical techniques to ensure safe practice for client.
Manage personal development, clinical skills and qualifications in line with all necessary professional body recommendations
Assistance with maintaining clinical governance
Assess workload and nature of case, prioritise accordingly and take responsibility for your own list of cases
Understand and use the necessary programmes, applications and IT software systems
Gather and provide suitable information on a wide variety of health related queries using research based, factual and up to date medical
Must abide by, promote and adhere to the Collinson Group culture and standards
Knowledge, skills and experience required
Registered General Nurse
Minimum 5 years post registration experience with exposure to acute setting either A&E / ICU / CCU
Evidence of current registration with appropriate professional body e.g NMC
Evidence of meeting PREP requirements
PC literate, with accurate keyboard and computer skills.
Current membership with Royal College of Nursing or equivalent which offers professional indemnity.
CCAT qualification preferable
Person Specification
Decision maker
Excellent communication skills - both verbal and written
Can do will do attitude
Ability to take ownership of problems and resolve them
Effective time manager and a person who can prioritise
Effective medical scenarios and condition interpretation skills
Flexibility regarding shift allocation
Ability to work autonomously as well as part of a team
Core Competencies
Collaboration
Commercial Awareness
Delivery
Customer Service
Innovation
* Leadership
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