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 adecuado 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 processCoordinate and provide access to the best specialists and health care providers in a timely and effective mannerSupport the insured member to understand the products, process, and clinical journeyInteract directly with Customers and Families along the Customer journey for intake interviews and others, keeping track of their progress and ensuring satisfactionProvide support to Claimants, Clients and Providers via phone, chat, email, digital platforms or other as per communication standardsOrganize internally with Medical Panel and externally with Medical Providers to establish a clear pathway for treatment recommendation and consequent servicesReview medical reports and treatment plans and control medical costs triggering the appropriate level of authorizationsHandle assigned cases, draft service plans, review case progress and determine case closureHelp insured members make informed decisions by acting as their advocate regarding their clinical status and treatment optionsDevelop effective working relations and cooperate with internal Teams and colleagues,



especially the medical team throughout the entire case management processCollaborate and coordinate with international TPA’s wherever and whenever applicableUse the clinical background and knowledge to provide guidance and support to Claims Coordinators and other colleaguesParticipate in clinical case discussions as needed and support the medical panelMaintain 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 regulationsWe'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 plusPreferred with Clinical Oncology experienceUnderstanding of the customer operations or Patients’ Care processesExcellent verbal and written communication skills in English and Polish, any other language will be considered an assetStrong interpersonal skills, empatheticHigh attention to detail, organized and structured mindStrong can-do attitudeExperience in problem resolutionAbility to multi-task, organize and prioritize workFurther 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.#J-18808-Ljbffr

📌 Clinical Case Manager (Polish Speaker) (Madrid)
🏢 Further Group
📍 Madrid