Clinical Case Manager; Polish Speaker

Puesto: Clinical Case Manager (Polish Speaker)
Further Group  is a fast-growing and dynamic company at the forefront of innovation, leveraging cutting-edge technology and a deep understanding of the healthcare sector to deliver turnkey solutions for the treatment of serious medical conditions.

Our company works with insurers, large employers, and affinity organizations worldwide, to accelerate consumer access to the best treatment choices. As the global leader in our field, we are seeking a highly experienced and dynamic individual to join us Clinical Case Manager (Polish Speaker).

We are looking for a  Clinical   Case Manager , with an empathic, can-do attitude who is passionate about service delivery and eager to make an impact on people’s lives at the most vulnerable moment for them – through the pathway of a critical illness. This role will be constantly enhancing the quality of the Patient’s journey and delivering a 5-star Customer experience at each interaction.

The ideal candidate has experience in customer operations within the sector of health insurance or second medical opinion. The Clinical Case Manager will assess, plan, implement, monitor, and evaluate actions required to provide the best remote support to the patient prior, during and after the treatment. The successful candidate will be accountable for the full Customer Care cycle.

As our Clinical Case Manager (Polish Speaker), you'll get to:

Provide support to incoming cases and confirm policy, as well as medical eligibility according to internal process

Coordinate and provide access to the best specialists and health care providers in a timely and effective manner

Support the insured member to understand the products, process, and clinical journey

Interact directly with Customers and Families along the Customer journey for intake interviews and others, keeping track of their progress and ensuring satisfaction

Provide support to Claimants, Clients and Providers via phone, chat, email, digital platforms or other as per communication standards

Organize internally with Medical Panel and externally with Medical Providers to establish a clear pathway for treatment recommendation and consequent services

Review medical reports and treatment plans and control medical costs triggering the appropriate level of authorizations

Handle assigned cases, draft service plans, review case progress and determine case closure

Help insured members make informed decisions by acting as their advocate regarding their clinical status and treatment options

Develop effective working relations and cooperate with internal Teams and colleagues, especially the medical team throughout the entire case management process

Collaborate and coordinate with international TPA’s wherever and whenever applicable

Use the clinical background and knowledge to provide guidance and support to Claims Coordinators and other colleagues

Participate in clinical case discussions as needed and support the medical panel

Maintain all case records completed and up to date within internal systems (i.e., record case information, complete accurately all necessary forms, produce reports…)

Adhere to professional standards as outlined by protocols, rules, and regulations

We'd love to meet someone who:

A University or College Undergraduate degree (Medical or Nursing)

3-5 years of professional experience in a similar role, ideally from an international health/insurance-oriented business is a plus

Preferred with Clinical Oncology experience

Understanding of the customer operations or Patients’ Care processes

Excellent verbal and written communication skills in English and Polish, any other language will be considered an asset

Strong interpersonal skills, empathetic

High attention to detail, organized and structured mind

Strong can-do attitude

Experience in problem resolution

Ability to multi-task, organize and prioritize work

Further is a certified “Happy At Work” employer. We earned the  “We Impact Index”  certification along with a  Bronze Medal  from Ecovadis, demonstrating our dedication to a positive work environment and impactful ESG practices.

We believe passionately that employing a diverse workforce is central to our success. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital, or disability status.