Global Health Case Manager — Hybrid, Complex Care

Bupa UK; Brighton; Hybride; GBP 55 000 - 85 000; Plein temps

Résumé du poste

Bupa Global is seeking a Global Case Manager to oversee complex medical cases across the member journey from Brighton. The role emphasizes clinically appropriate, cost-effective, and member-centric outcomes with collaboration across international markets.

Responsibilities include reviewing records, coordinating care and evacuations, and ensuring regulatory compliance while maintaining high-quality member experiences.

Qualifications

• Healthcare qualification or medical background.
• Experience in case management or medical insurance.
• Strong knowledge of medical terminology and clinical pathways.
• Experience with international healthcare and private medical insurance.
• Experience coordinating evacuations and repatriations.
• Familiarity with NICE, NCCN, UpToDate guidelines.
• Excellent written and verbal communication; documentation skills.

Responsabilités

• Manage complex medical cases from admission through discharge and closure.
• Coordinate care, evacuations, repatriations, and discharge planning.
• Review medical records and assess medical necessity and policy eligibility.
• Liaise with providers, members, insurers, brokers, and stakeholders.
• Lead or participate in multidisciplinary case discussions.
• Ensure regulatory and governance compliance; document thoroughly.
• Support quality improvement and service enhancements.
• Manage complaints and service recovery related to clinical cases.

Connaissances

Healthcare qualification

Case management

Clinical operations

Medical terminology

Healthcare systems

Private medical insurance

Discharge planning

High-acuity cases

Medical evacuations

Repatriations

Pre-authorisation

Clinical guidelines familiarity

Written communication

Verbal communication

Negotiation

Prioritization

Insurance knowledge

Formation

Healthcare qualification (e.g., Pharmacist, Physician)

Outils

Case management systems

Description du poste

Bupa Global is seeking a Global Case Manager to oversee complex medical cases across the member journey from Brighton. The role emphasizes clinically appropriate, cost-effective, and member-centric outcomes with collaboration across international markets.

Responsibilities include reviewing records, coordinating care and evacuations, and ensuring regulatory compliance while maintaining high-quality member experiences.