Type : Permanent Location : Bristol/Somerset Pension scheme Access to the company's healthcare scheme Discounts with brand retailers Invitations to social events Key Responsibilities of a Medical Case Manager: Supporting members throughout their treatment pathway to ensure clinically appropriate and cost-effective outcomes Providing clinical support where required for the review of eligibility requests including treatment authorisation and declines in cover Working closely with the Nurse Consultant to accurately project likely treatment costs per scheme year Using clinical skills to make decisions on highly complex treatment in relation to high-cost and complex claims Working proactively with providers to support timely hospital discharge and cost-appropriate treatment Key Skills and Experience of a Medical Case Manager: Registered RN, RMN, or allied health professionals with an active HCPC registration is essential Broad range of acute clinical experience Ability to deal calmly and professionally face-to-face or remotely with stakeholders at all levels Ability to use clinical and commercial skills to carefully balance member experience, treatment eligibility, and cost-effectiveness A resilient manner and excellent communication skills If you are a registered RN, RMN, or allied health professional with an active HCPC registration and are interested in this position, please apply now! Red Recruitment (Agency)
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