Medical Advisor
Global Excel
- Windsor, ON
- Permanent
- Full-time
- Oversee and consult on cases to promptly identify clinical risk, including inability to access medical care and inappropriate treatment;
- Contact Treating Medical teams to discuss patient care and readiness for travel home.
- Share knowledge, coach, and lead the case managers, case coordinators, & coverage assessment teams to ensure the use of Insurance Medicine;
- Pro-actively assess and provide guidance in medical and case management decisions for in-patient and out-patient cases;
- Prepare medical summaries for active inpatients or complex outpatients and updates to corporate clients. Maintain effective communication between both as well as medical providers;
- Facilitate and lead internal rounds, when required;
- Facilitate and lead active case review meetings with underwriters when required;
- Identify opportunities to strengthen the medical team’s knowledge of case management best practices in the US and contribute to the process of enhancing service delivery of case management services outside the US.
- Medical degree, (MD or DO) or Nursing degree (BScN or NP), Physician's assistant, or equivalent clinical training/experience;
- Understanding of Milliman Care Guidelines;
- License to practice anywhere in the world is an asset;
- Knowledge of the US health care system and processes;
- Knowledge of best practices in Clinical Medicine with validation using tools such as UpToDate;
- Knowledge and understanding of insurance Medicine and Case Management best practices;
- Underwriter product knowledge and understanding of their culture and expectations;
- Strong communication skills with the ability to present & communicate information in small and large group settings, while being able to deliver business results and deliver customer value.
- Global Excel offers more than a position;
- We offer a competitive compensation package that includes a base salary, performance bonus and an extensive benefits package;
- A professional future with opportunities for development, growth, and advancement;
- Licensing fee reimbursement and bilingual bonus (when applicable);
- RRSP Match program;
- Financial assistance to employees who wish to continue their education;
- Work/life balance, health and wellness initiatives including an excellent EAP program;
- Employee engagement programs that focus on fitness, food, and fun.