International SOS is the world’s leading medical and security services company with over 12,000 employees working in 1,000 locations in 90 countries. We were founded on the principle of putting the patient first and this is still true today. Led by 5,200 medical professionals and 3,000 security specialists our teams work night and day to find solutions to protect our clients in whatever situation they may be facing; we assess, advise and assist from a medical, security and logistical perspective to help safeguard travelers internationally through providing invaluable local knowledge and expertise on a global scale.

International SOS Government Services administers the TRICARE Overseas Program (TOP) providing high-quality, accessible health care services for U.S. Military service members, family members, retirees, and other eligible beneficiaries overseas.

Medical Review Nurse

The Medical Review Nurse will work closely with the TRICARE Program Administration Team in Prague to accurately review and process incoming medical reports and distribute tasks appropriately to medical teams.

Main Responsibilities:

• Review medical reports to check for accuracy and completeness, raising any quality issues identified as needed.

• Process medical reports as follows:

• Closing cases where no further action is required

• Distributing tasks to the relevant medical team’s CRM queue if further immediate action is required in the care of the beneficiary

• Contacting the beneficiary to forward the MR and inform them of non-urgent advice for follow up care in the future

• Liaise with the Authorisation Executive/Customer Service Executive team to work on a daily caseload requiring medical input, and conducting benefit reviews for requested care

• Escalate complex cases to the Medical Review Nurse Team Leader

• Ensure consent and confidentiality is maintained for all medical information released from the Contact Center

• Escalate any concerns/complaints to the Medical Review Nurse Team Leader

• Be accessible and responsive to beneficiaries’ and colleagues’ questions and requests for information

We require:

• Broad and up to date Clinical/ Medical Knowledge

• Registered Nurse preferable

• Excellent written and oral English Language

• Must be computer literate

• Prior experience in utilization and/or case management preferred but not required

• Registered Nursing qualification in country of origin/residence

We offer:

* Valuable work in an international environment of a prestigious company
* Starting date: January 2023
* Contract type: unlimited
* Flexible working hours - according to specific work
* Company benefits (5 weeks of holiday, 3 sick days, occasional home office, Meal vouchers, Pension contribution, Benefit card, Multisport card…)
* Working in modern offices in the center of Prague (Prague 5, Andel - very good accessibility)

How does it sound to you? Don't wait and apply now.
Send us your CV in the English language through the system.

--> IMPORTANT NOTE: Before you apply please make sure that you have working and living permit in the Czech Republic.


Information about position

Employer
International SOS
Address
Radlická 3201/14, Praha – Smíchov
Required education: Secondary education or professional training with a school-leaving exam
Required languages: English (Advanced)
Benefits: Bonuses, Notebook, Meal tickets / catering allowance, Holidays 5 weeks, Educational courses, training, Refreshments on workplace, Sick days, Corporate events
Listed in: Services, Customer service, Health and social care, Call Centre Operator, Nurse, Help Desk Technician, Front office worker
Employment form
Employment form: Full-time work
Contract duration
Contract duration: Permanent
Employment contract
Employment contract: employment contract
Employer type: Employer

International SOS, Eliska Janouskova