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TRICARE Medical Review Nurse

Date: Sep 7, 2022

Location: CZ

Company: International SOS

International SOS is the world’s leading medical and security services company with over 12,000 employees working in 1,000 locations in 90 countries. We were founded on the principle of putting the patient first and this is still true today. Led by 5,200 medical professionals and 3,000 security specialists our teams work night and day to find solutions to protect our clients in whatever situation they may be facing; we assess, advise and assist from a medical, security and logistical perspective to help safeguard travellers internationally through providing invaluable local knowledge and expertise on a global scale.
International SOS Government Services administers the TRICARE Overseas Program (TOP) providing high-quality, accessible health care services for U.S. Military service members, family members, retirees, and other eligible beneficiaries overseas.

Description:

Medical reports received from healthcare providers are currently processed by the medical teams in our three TRICARE regional contact centers in London, Philadelphia and Singapore. As we further develop and refine the way in which we support our beneficiaries, we are establishing a specialised Medical Review Nurse Team in Prague to accurately review and process incoming medical reports from across the globe and distribute tasks appropriately to medical teams when further action is needed. 

Essential Job Duties and Responsibilities:

 

Main Responsibilities:

  • Review medical reports to check for accuracy and completeness, raising any quality issues identified as needed.
  • Process medical reports as follows:
    • Closing cases where no further action is required
    • Distributing tasks to the relevant medical team’s tasking queue if further immediate action is required in the care of the beneficiary
    • Contacting beneficiaries to inform them of non-urgent advice for follow-up care in the future
  • Escalate complex cases and any concerns or complaints to the Medical Review Nurse Team Leader

 

 

What We Require:

  • Registered Nursing qualification in country of origin/residence
  • Broad and up to date Clinical Knowledge
  • Excellent written and oral English Language
  • Must be computer literate
  • Prior experience in utilization and/or case management preferred but not required


 

What We Offer:

  • Compensation: Competitive salary
  • Benefits/Perks: Annual Leave (paid vacation days + recuperation of working hours), Health benefits... Level up your skills with our very own platform. Initiatives to meet with team members from around the world.
  • Balance: We offer annual leave. 
  • Culture: Be a part of a global team. We are powered through our culture of collaboration (ask us about it)! Make an impact in a high autonomous, low authority and highly dynamic environment.

 

At International SOS, we offer a great working environment, thanks to our commitment to flexible working, diversity, and development.  We encourage every person to be their personal best by creating an environment of inclusion, equality and support.

International SOS has been recognised as a Top Employer in the UK by the Top Employer’s Institute (TEI) for 2021.