Clinical Case Manager (Polish Speaker)

Further Group; Madrid; On-site; EUR 45,000 - 65,000; Full time

Job summary

Further Group is seeking a Clinical Case Manager who speaks Polish to deliver expert remote support for patients through treatment pathways. You will assess, plan, implement, monitor, and evaluate actions to ensure best care, coordinating with specialists, providers, and internal teams to maintain a high standard of customer care.

The role requires a medical or nursing degree, 3–5 years of experience, and strong English and Polish communication, with a focus on empathy, organization, and

Qualifications

• 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.

Responsibilities

• Provide support for incoming cases and confirm policy and medical eligibility.
• Coordinate access to specialists and health care providers in a timely manner.
• Support insured members to understand products, process, and clinical journey.
• Interact with Customers and Families along the journey for intake interviews and progress tracking.
• Provide support to Claimants, Clients and Providers via phone, chat, email or other platforms.
• Organize with Medical Panel and Medical Providers to establish treatment pathways.
• Review medical reports and treatment plans and manage medical costs and authorizations.
• Draft service plans, track progress, and determine case closure.
• Advise insured members and advocate for their status and options.
• Collaborate with internal teams and the medical panel throughout the process.
• Coordinate with international TPA’s as applicable.
• Guide Claims Coordinators with clinical context.
• Participate in clinical case discussions and support the medical panel.
• Maintain case records in internal systems and generate reports.
• Adhere to professional standards per protocols and regulations.

Skills

Customer operations

English

Polish

Empathy

Attention to detail

Communication skills

Education

University degree in Medicine or Nursing

Job description

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.