Join MSH as a Clinical Case Manager, where your medical expertise enhances patient care. Thrive in a hybrid role that supports global medical needs and offers a collaborative team environment.
As a Clinical Case Manager at MSH, you will leverage your medical background to perform critical oversight and validation of services across a diverse global caseload. If you have the ability to solve problems independently and are a proactive communicator, we want you on our team. This position includes hybrid work options and requires rotational shifts to ensure timely support for our global members.
Key Responsibilities:
• Conduct medical reviews for eligibility and necessity of services
• Facilitate complex repatriations for patients in need
• Liaise with Case Managers and Claims Examiners
• Monitor high-cost pharmacy expenses for cost-containment
• Prepare concise medical reports for client notifications
Requirements:
• RN, RPN, or unlicensed MD with 3+ years of Ca...