Medical Case Manager

Company Description

International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS Government Medical Services (GMS), headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips: internationalsos.com

Job Description

This position is in support of the Influx Care Facility located in Carrizo Springs, TX.  The purpose of the facility is to provide comprehensive care for migrant youths ages 13 to 17 in the Care of the Office of Refugee Resettlement (ORR) who are awaiting reunification or repatriation.  This care will begin as soon as the youths arrive at the facility and last until their arranged departure with family or sponsors. The comprehensive care includes but is not limited to initial screening and exams, identifications of prior conditions and allergies, day to day care of routine, urgent and emergency medical conditions. 

The Medical Case Manager (MCM) will coordinate all onsite medical cases to ensure that appropriate and timely medical services are provided. This task will be achieved through liaising with local healthcare providers to identify the appropriate care, service, and location to manage the healthcare needs of patients and families.  

The MCM will assure a comprehensive and effective Case Management process in support of patients to ensure functional care pathways are created. Case Pathways must promote effective communication with the medical care team in the identification of individuals requiring Case Management and the utilization of opportunities within the local healthcare system. The Lead MCM will utilize and maintain an approved data collection system in support of the program to demonstrate an effective end-to-end case management process.   

Key Responsibilities

• Establish and operate a new case management program that bridges the gap between the complex healthcare needs of the patients.  
• Ensure appropriate oversight and direction for cases allocated to their respective teams. 
• Facilitate the capacity and capabilities within the Onsite Medical Teams and the requirement for care within the local health care system.   
• Responsible for the tracking, trending, and reporting of managed cases to support the defined reporting requirements of the client. 
• Coordinate patient care throughout the healthcare continuum.  
• Collaborate with social services to define patient’s needs and assist in plans for social service care.  
• Reassess patient needs based on current evaluation of patient care.  
• Serve as an advocate for the patient within the internal and external healthcare system.   
• Serve as 24/7 POC for local hospitals to provide clinical instructions/discharge instructions.  
• Communicate with clinicians' regarding treatment requirements, such as medications, etc.  
• Coordinate with evacuation services for patient pick-up from local hospital.  
• Coordinate and verify insurance eligibility and coverage for specified care with receiving facilities.  
• Provide patient education on benefits, services, and other resources.  
• Facilitate communication with patients, providers, and payers to secure successful outcomes.  
• Ensure a comprehensive system to evaluate the healthcare needs of the individual and/ or family to facilitate their overall wellness and one that addresses health issues to enhance the short and long-term outcomes.  
• Ensure input from the Quality Assurance and Medical Team/s is collated for reviews and revisions.    
• Participate in Interdisciplinary Team Meetings as required with the onsite medical leadership.  
• Maintain ac