Job Duties and Responsibilities:
- Responsible for medical due diligence and case direction with respect to designated medical assistance cases
- Responsibility for designated medically related tasks on all medical assistance cases
- Assessment of each designated case with respect to its medical elements and provide direction in order to facilitate medical due diligence and render the appropriate assistance.
- Provide medically driven case direction during the daily morning handover (Transmission) process.
- Determine the frequency/intensity of medical contacts and communication with Treating Doctors, patients, family members and associated TRICARE personnel
- Provide medical input toward the planning and progress of operational issues relating to medical case management.
- Liaise with medical and operational staff to facilitate the efficient management and direction of case work.
- Receive and assess all medically related calls received from clients and beneficiaries and collect logistical, medical and collateral histories pertaining to the medical event/incident.
- Provide telephonic medical assessment of beneficiaries in our region, refer to appropriate care and monitor the appropriateness of the treatment being received.
- Ensure that all medical information released upholds all consent and confidentiality rules as per HIPPA requirements.
- Support medical management and TRICARE learning and development teams with the training of TRICARE staff as a buddy or mentor.
- Recognise limitations and areas of self-development through reflection.
Location: East
Requirement:
- Minimally with 5 years’ of full time experience in the clinical settings excluding clinics.
- Candidates with at least 1 year of ICU/ ER background will be preferred. i.e. Worked in general ward for 4 years and in ICU/ER for 1.5 years.
Company information
Registration No.201622755N
EA No.19C9859
