On behalf of our client, an Operational Travel Assistance Firm in Malta, GRS Recruitment are seeking a Nurse Advisor to provide medical management services on emergency assistance cases, adhering to best practices within the Medical Panel. The ideal candidate will review medical cases based on information received and by following established procedures, ensure that clear and accurate advice is provided to the Operations team and to external providers of medical escort services. If you meet the criteria, please apply for this Malta based role.
MAIN DUTIES AND RESPONSIBILITIES
- Review initial diagnosis and determine patient requirements (urgency, critical care, location etc.)
- Authorise medical tests, surgery and hospitalisation, such as MRI and CAT scans in simple cases
- Working closely with the Operations team
- Offer advice and opinion on best course of treatment of the condition suffered in simple cases, taking into account the insurance policy coverage, pre-existing conditions etc.
- Refer cases to external clinical advisers where appropriate
- Review medical information from providers (medical report and medical contact)
- Follow up patients’ progress throughout the course of treatment/hospitalisation to ensure
- Appropriate care and quality services are provided, taking decisions in simple cases and referring to doctors where necessary
- Assist in the organisation of medical evacuation and medical repatriations
- Advise on potential breaches of policy terms by requesting and reviewing PMH and medical declarations as appropriate
- Review potential fraudulent invoices (medical necessity and cost) to ensure the Company has not been overcharged or that the patient has not been overtreated.
- Ensure medical information is entered into the case management system
- Ensure that all regulatory guidelines are adhered to, for example Patient Confidentiality
- Support Managers to manage the key risks within your department
- Ensure that you conduct your role in accordance with policy (to act honestly and with integrity) and to report any suspected incidents of fraud and corruption
- Adherence with all Company Policies and Procedures, including Health & Safety, Equal Opportunities, Data Protection, Code of Conduct, Security, IT and Internal Control Financial Regulations
- Undertake any other duty or responsibility that may reasonably be allocated by your Manager/Company’s Senior Management Team
CANDIDATE PROFILE
- Must have a nursing qualification such as RGN or SRN
- 3 years’ experience in a nursing role with interaction with medical doctors
- Excellent customer service skills (good listener, clarity, assertiveness and calm down the customer)
- Power to persuade in communication
- Ability to work as part of a team or on own initiative
- Good judgement, decision making and problem solving are key for this role
- Ability to handle critical situations and provide simple solutions
- Good numerical skills and computer literate
- Excellent written communication skills
- Good planning and organisation skills in order to meet timescales
- Ability to identify problem issues and determine the appropriate course of action/redirection within department guidelines required to resolve issues
- A good understanding of Local and International regulations and TCF (treating customers fairly)
- Ability to meet quality and service level standards
- Previous experience in field of travel insurance and aviation medicine
- Strong primary care medical knowledge and medical procedures
Due to the high volume of applications, we receive at GRS Recruitment, only shortlisted candidates will be responded to.