Clinical Case Manager at MSH

MSH is seeking a Clinical Case Manager to provide medical oversight and ensure global coordination for patient care. If you're an RN or RPN with clinical expertise, apply now.
As a Clinical Case Manager at MSH, you will leverage your medical skills in a high-stakes environment. With a minimum of three years of case management experience, you’ll perform medical reviews, guide on eligibility, and manage high-value claims. The role involves working collaboratively with multiple stakeholders and participating in global projects to enhance medical processes.
Key Responsibilities:
• Perform medical reviews for diverse global cases
• Provide expertise on medical necessity and claims
• Facilitate medevac and commercial repatriations
• Summarize medical data for reports and notifications
• Monitor high-cost pharmacy expenses for cost-containment
Requirements:
• RN, RPN, or unlicensed MD with 3 years case management
• Strong critical thinking and problem-solving ski...