Clinical Case Manager - banff

At MSH, passion meets profession. We're a team of dedicated enthusiasts who find genuine fulfilment in what we do, and we're looking for someone who feels the same way.

Are you a medical professional who thrives in high-stakes environments?

What You’ll Be Doing

Clinical Expertise & Validation

• Medical Oversight: Perform medical reviews to validate the necessity and eligibility of services for a diverse global caseload.
• Expert Opinion: Provide guidance on medical necessity, length of stay, and reasonable and customary charges for international medical services.
• High-Value Claims: Review and release high-dollar claims, establishing reserves and ensuring appropriate follow-up.

Global Coordination

• Repatriation: Facilitate complex commercial or medevac repatriations, ensuring patients get home safely.
• Stakeholder Liaison: Act as the primary clinical contact for Case Managers, Intake Specialists,...