Case Management Coordinator

3 weeks ago

กรงเทพมหานคร, Thailand April Asia Pacific Full time

For over 30 years, APRIL International Care has been specializing in international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses. With teams across Asia, Europe, and the Americas, we look after our members wherever they are to ensure they have access to the best care.

We are part of the APRIL Group, an insurance specialist with 2,300 staff in 16 countries.

**Your mission**: Coordinate complex clinical cases within the APAC region with the double objective of improving the patient’s journey and enhancing cost-effectiveness of appropriate treatment plans.

**Case Management Coordination**:

- Manage and coordinate case management processes to ensure timely progress and resolution of cases.
- Close cases efficiently within reasonable timeframes, taking into consideration the urgency and complexity of each situation.
- Leverage creative and innovative approaches to develop action plans for complex cases, relying on intuition, reflex and experience to guide decision-making.
- Adapt action plans proactively to align with evolving circumstances and patient needs.
- Identify and assign appropriate team members to tasks based on their skills and expertise, fostering collaboration and accountability.
- Implement agreed-upon strategies to achieve cost savings while enhancing the overall customer experience.

**Medical Appropriateness & Cost Control**:

- Ensure the medical appropriateness of treatment plans through adherence to evidence based
- medicine.
- Recognize situations where this is necessary to collaboratively challenge a provider and articulate effective communication strategies.
- Define innovative cost containment actions for each case to tackle the medical inflation and fight against abuse and over prescription.

**Team Collaboration**:

- Motivate and animate team members from different teams to achieve collective objectives, providing guidance and support to enhance performance.
- Escalate cases as needed, offering detailed information and actionable suggestions for effective handling.
- Collaborate closely with the Regional Head of Medical to execute strategies and objectives.

**Skills and experience**
- Medical degree in any specialty
- Previous experience in insurance or assistance sector would be a plus
- Strong organizational and detail-oriented skills to manage multiples cases effectively.
- Excellent problem-solving abilities to navigate complex clinical scenarios.
- Creative thinking to develop innovative solutions for case management challenges.
- Proven ability to work collaboratively in a team-oriented environment and lead by example.
- Capacity to work independently and take the initiative with mínimal supervision.
- Excellent written and verbal communication skills.
- Fluency in English is required.

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