Case Manager

6 days 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 make sure they have access to the best care.

We are part of the APRIL Group, an insurance specialist with 2,300 staff in 16 countries.
- Are you passionate about improving patient journeys and optimizing treatment plans? We are seeking a skilled and dedicated _**_Case Manager - patient relations_**_ to join our team in the APAC region._

April’s philosophy is to manage complex medical cases with utmost care and ensure the best possible medical outcome at reasonable and customary costs while providing to the patient with a concierge-like service experience. The position holder will
- Coordinate and oversee the patient journey for complex cases from issuing Letters of Guarantee, discharge, and rehabilitation to full recovery
- Challenge provider when necessary to discuss a treatment plan or length of stay
- Explain the benefit plan to members and their dependents, keep members up to date on remaining benefits, and discuss, if appropriate, alternative treatment plans.
- Explore third-party recovery to control medical costs, negotiate cost sharing with other payers,
- Proactively negotiate medical costs with providers to achieve reduced costs to the business,
- Coordinate steerage and second medical opinion for relevant cases and coordinate to ensure a smooth process for the customer
- Ensure excellent customer experience along patient journey,
- Collaborate with different team members including claims, network, medical team, sales and customer service.

**Requirements**:

- A degree in a relevant healthcare field, such as Medicine, or Nursing, Healthcare Management.
- Excellent communication and interpersonal skills, with the ability to engage effectively with members and medical professionals.
- Knowledge of healthcare systems and clinical procedures, with the ability to understand and interpret medical information accurately.
- Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

**Benefits**

By joining the team as a Case Manager, you will
- Collaborate with a motivated team and witness the direct and positive impact of your actions on our clients.
- Contribute to the effective management of healthcare costs, ensuring the affordability of health insurance premiums.
- Thrive in an international work environment, collaborating with colleagues from diverse cultural backgrounds

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