Medical Case Manager

We have an opening for a Medical Case Manager position at Healix in our Esher-based office.

Reporting to the Clinical Lead, the post holder will provide a confident, knowledgeable and efficient service to Healix members, via telephone (inbound and outbound) and email, managing claims and signposting to appropriate services included in the scheme benefits.

This role is more than simply assessing member claims, the post holder will be expected to use their clinical knowledge to ensure members feel supported during treatment, guiding, supporting and signposting to ensure best outcomes and service.

We are looking for candidates who meet the following criteria:

• Registered RN, RMN or allied health professionals with an active HCPC registration.
• Broad range of acute clinical experience.
• Ability to deal calmly and professionally face to face or remotely with stakeholders at all levels.
• A resilient manner and excellent communication skills, a mature confident approach and the ability to interact with individuals who are undergoing complex treatment and may be distressed, anxious or unhappy with the outcome of a cover decision.
• Ability to use clinical and commercial skills to carefully balance member experience, treatment eligibility and cost effectiveness.
• Awareness of own limitations, recognising when it is appropriate to escalate cases to the Head of Clinical Service for review.

About The Role

Key activities/main duties:

• Registered RN, RMN or allied health professionals with an active HCPC registration.
• Broad range of acute clinical experience.
• Ability to deal calmly and professionally face to face or remotely with stakeholders at all levels.
• A resilient manner and excellent communication skills, a mature confident approach and the ability to interact with individuals who are undergoing complex treatment and may be distressed, anxious or unhappy with the outcome of a cover decision.
• Ability to use clinical and commercial skills to carefully balance member experience, treatment eligibility and cost effectiveness.
• Awareness of own limitations, recognising when it is appropriate to escalate cases to the Head of Clinical Service for review.

Required Criteria

• Registered Nurse or Paramedic

Desired Criteria

• Case Management Experience
• Private Medical Insurance

Skills Needed

Company Culture

Instead, we focus on ensuring our highly trained specialists have the space and time they need to be effective. We let them use their initiative to get the job done, because the situations they face often throw up unexpected challenges - and no protocol survives contact with the real world.

Our clients have thousands of employees and customers, at home and abroad, so they need a business big enough to handle any situation. But they chose Healix because they also need an organisation that’s personal enough to care.

Our people are driven to do things in the best way, not the way they have always been done. We work hard, and our efforts are rewarded with great development opportunities and a supportive team spirit.

We want to nurture this friendly and dynamic company culture so that we can continue to attract diverse talent with a breadth of knowledge and world-class skills. As a part of Healix, you can expect a range of excellent benefits and an environment where people really do care.

Company Benefits

Commitment to career development

We are committed to helping our people build and develop successful careers. Our employees are given direct responsibility and opportunity to develop and grow whilst working on challenging and worthwhile projects in a rewarding and supportive environment.

We invest in the continuous development of our team, offering on-going training and professional enhancement opportunities for those wishing to diversify or take additional responsibilities.

Health insurance, Vacation, Paid time off, Retirement plan and/or pension, Office perks, Employee development programs, Employee discounts, Gym membership or wellness programs, Opportunity to travel, Casual dress, Cycle to work, Free work laptop, Referral bonus, Open office, Competitive salary, Life insurance, Employee Assistance Scheme, Wellbeing Scheme, Social Opportunities, Hybrid Working

Salary

£40,000.00 - £42,000.00 per year