Clinical Case Manager

Overview

Job Title: Clinical Case Manager

Location: Birmingham - Onsite 5 days per week (Monday to Friday)

Hours: Full time / 37.5 hours per week

Contract: Permanent

Salary: Up to £55,000 (Dependent on experience) plus a range of exceptional benefits.

We’re looking for a Clinical Case Manager to join our Case Management team
, supporting safe, effective and timely patient care across HCA Healthcare UK. Based at the Harborne Hospital in Birmingham.

The Harborne Hospital provides comprehensive medical and surgical care across major specialties — including orthopaedics, cardiology, gastroenterology, cancer care and urgent care — all within a modern, purpose-built facility designed for seamless patient pathways. Located on the Queen Elizabeth Hospital Birmingham campus, The Harborne Hospital is part of a joint venture with University Hospitals Birmingham, combining private care with clinical infrastructure and specialist expertise.

Our Case Management team plays a vital role in shaping the patient journey, coordinating clinical pathways, reducing delays, and ensuring patients receive high-quality care with full visibility of their financial coverage.

Role impact: As a Clinical Case Manager
, you’ll work closely with patients, consultants, multidisciplinary teams, insurers, embassies and internal departments. You’ll assess clinical needs, coordinate discharge planning, optimise resource utilisation, and help ensure treatment is appropriately authorised and reimbursed. This role directly impacts the patient experience by reducing anxiety, enabling smoother transitions, and supporting improved outcomes.

Our commitment: Above all else, we’re dedicated to the care and improvement of human life. This guiding vision influences everything we do at HCA UK. You’ll be part of a larger team with a unique sense of purpose, helping improve lives daily.

• Complete utilisation reviews for patients, ensuring the right level of care and identifying needs early in the pathway.
• Coordinate, participate in and facilitate MDT meetings to align discharge planning and patient care plan requirements.
• Act as a key liaison between patients, consultants, insurers, embassies and external agencies.
• Support complete discharge planning from admission through to safe, timely discharge, including equipment needs and community referrals.
• Track and trend denials to identify root causes and support resolution.
• Maintain thorough, accurate documentation in line with internal and external standards.
• Promote effective resource utilisation and act as an advocate for patient needs.
• Uphold safe and compliant practice in accordance with the UK Data Protection Act and HCA policies.
• Contribute to departmental KPIs, quality measures and service improvements.

• NM registered Adult Nurse (RGN) with a minimum of five years’ experience in an acute hospital setting OR extensive experience within healthcare insurance.
• Experience as a Senior Nurse/ Band 6 with extensive bedside patient experience (Essential). Ideally some paediatric nursing experience (Desirable).
• Knowledge of inpatient case management processes, discharge planning and community resources essential.
• Strong experience interacting with senior clinical and operational teams.
• A proactive, dynamic problem-solving approach with the ability to manage multiple priorities.
• Excellent communication, documentation and interpersonal skills.
• Confidence in challenging undesirable outcomes and escalating appropriately.
• Ability to work under pressure and manage emotionally sensitive situations.
• Strong teamwork ethos with flexibility to support across sites where required and the ability to take initiative to work independently and within teams.
• Possess excellent communication, organisation and computer skills with a dynamic approach to problem solving.
• Strong stakeholder engagement skills at operational and leadership level.

Originally founded over 50 years ago by Dr Thomas Frist, HCA has become a leading healthcare provider. In the UK, we’re one of the largest providers of privately funded healthcare and have invested in the latest treatments, technology, techniques, medication and…