Senior Clinical Case Manager: Complex Care Navigator

WPA Health Insurance; Taunton; On-site; GBP 32,000 - 36,000; Full time

Benefits offered by this job

Private medical insurance

WPA cash plan

Private remote GP services

Additional annual leave

Pension scheme

Length of service awards

Free onsite parking

Team social events

Contemporary working environment

Professional development support

Ongoing development opportunities

Job summary

WPA Health Insurance is seeking an experienced Senior Clinical Case Manager to support customers with complex medical needs at pivotal moments in their healthcare journey. The role is office-based in Taunton, offering a salary rising on probation and a 37-hour week with flexible patterns where possible.

You will join a clinical team that provides specialist support, working with NHS and private sector input to guide claims decisions and care options, while developing your clinical expertise and

Qualifications

• Registered healthcare professional with relevant qualification.
• Experience managing patients with complex healthcare needs.
• Ability to assess clinical information and make evidence-based decisions.
• Strong communication and customer service skills.

Responsibilities

• Be part of the customer pathway, proactively reviewing customers' eligibility to use their health policy in line with policy cover.
• Signpost customers to enable access to other eligible services.
• Use clinical skills to make informed decisions on complex treatment eligibility and levels of care.
• Work with providers to ensure care is appropriate to need and policy.
• Stay informed of current clinical best practice and emerging developments.
• Support front-line business areas where clinically complex cases require management.
• Maintain up-to-date knowledge of WPA products, policies and initiatives.
• Carry out medical research to support claims decisions and ensure evidence informs advice.

Skills

Healthcare qualification

Clinical case management

Evidence-based decision making

Excellent communication

Organised

Education

Nursing degree

Job description

WPA Health Insurance is seeking an experienced Senior Clinical Case Manager to support customers with complex medical needs at pivotal moments in their healthcare journey. The role is office-based in Taunton, offering a salary rising on probation and a 37-hour week with flexible patterns where possible.

You will join a clinical team that provides specialist support, working with NHS and private sector input to guide claims decisions and care options, while developing your clinical expertise and