[Hiring] Clinical Case Management - SME @Sagility

Role Description

The role is to ensure the highest level of service for our customers by coaching and developing our Customer Service Representatives (CSRs) to consistently meet and exceed client goals. Also provide guidelines on policies & procedures to CSRs by coaching, tracking, and reporting.

Qualifications

• Bachelor’s Degree in Nursing
• 2 years post-education clinical experience (Premium PA, EHE Coaching, CPAN, PNA, TCM, IPCM, PC, & PCM only)
• 2 years post-education clinical experience (CHIL)

Requirements

• Moderate Competency Level in the following:
• US Healthcare Delivery System
• Philippine Healthcare Delivery System
• Communication Skills (Spoken)
• Communication Skills (Written)
• Customer Service Orientation
• Computer Literacy
• Job Knowledge
• Sense of Urgency
• Passion for Excellence
• Working in Team/Interpersonal Skills
• Work Organization
• People Management/Team Orientation
• Drive for Results/Execution
• Thriving in Change
• Expertise/Analytical Skills
• Product Knowledge
• Problem Solving
• Presentation Skills
• Facilitation Skills
• Coaching
• Process Improvement
• Performance Management
• Discipline Management

Benefits

• Flexibility on work setup changes based on business needs or requirements.
• Work from home responsibilities include adhering to security policies and maintaining the security of the home work environment.
• Ensure compliance with relevant business, local, and international regulatory and legislative requirements.

Duties & Responsibilities

• Provide expert clinical knowledge and support to various internal and external stakeholders.
• Answer clinical inquiries and provide educational materials.
• Assist with the development and implementation of clinical guidelines.
• Provide expert guidance and information to internal teams regarding products, procedures, and clinical guidelines.
• Create, review, and deliver educational materials to improve clinical knowledge and understanding.
• Support clinical activities, including data collection, analysis, and reporting.
• Work with cross-functional teams to ensure alignment and effective communication of clinical information.
• Establish and maintain strong relationships with healthcare partners.
• Address clinical issues/concerns and provide solutions.
• Continuously learn about the latest developments in clinical practice and healthcare technology.
• Assist with refresher sessions to calibrate and align on process updates.
• Report system performance problems or downtime to the manager and local IT-SPOC.
• Participate in training, orientation, and awareness programs pertaining to QISMS.

Location

Quezon City, Bridgetowne Zeta, Philippines