Clinical Case Manager (Romanian / Bulgarian Speaker) (Madrid)

Clinical Case Manager (Romanian / Bulgarian Speaker) (Madrid)

04 ago
|
Further Group
|
Madrid

04 ago

Further Group

Madrid

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 (Romanian / Bulgarian 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 ( Romanian / Bulgarian 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 Understanding of the
customer operations or Patients’ Care processes Excellent verbal
and written communication skills in English and Romanian and/or
Bulgarian,



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 What we're offering: Are you looking for a new challenge in
your career? Do you want to join a growing, dynamic and engaged
international company with perspective for significant growth? If
so, we have the perfect opportunity for you! We are looking for
talented professionals who want to work in a hybrid working model,
where you can enjoy the best of both worlds: three days in the
office and two days at home . You will also benefit from a
competitive compensation package that rewards your performance and
skills. As part of our team, you will collaborate with colleagues
from different countries and backgrounds , sharing your expertise
and learning from theirs. You will work in a modern, open plan
office in a beautiful building in central Madrid , close to
transport hubs. And you will have access to complementary fruit,
tea and coffee to keep you energized throughout the day. In
addition, we offer attractive employee benefits, including Cobee
for social benefits and adaptable compensation, as well as Wellhub ,
a platform designed to support your well-being and promote an
active, healthy lifestyle. If this sounds like the ideal job for
you, don't hesitate to apply now! We are looking forward to hearing
from you! 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.

📌 Clinical Case Manager (Romanian / Bulgarian Speaker) (Madrid)
🏢 Further Group
📍 Madrid

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