Referral Approval Doctor (SRF # 273)

International Medical Corps never asks job applicants for a fee, payment, or other monetary transaction. If you are asked for money in connection with this recruitment, please report to International Medical Corps at the website for reporting misconduct: www.InternationalMedicalCorps.ethicspoint.com. Please do not submit your CV or application to this website, it will not be considered for review.

Title: Referral Approval Doctor (SRF # 273)

Location: Amman

Contract Type: Consultancy Agreement

Background

International Medical Corps is a global, humanitarian, nonprofit organization dedicated to saving lives and relieving suffering through health care training and relief and development programs. Established in 1984 by volunteer doctors and nurses, International Medical Corps is a private, voluntary, nonpolitical, nonsectarian organization. Its mission is to improve the quality of life through health interventions and related activities that build local capacity in underserved communities worldwide. By offering training and health care to local populations and medical assistance to people at highest risk, and with the flexibility to respond rapidly to emergency situations, International Medical Corps rehabilitates devastated health care systems and helps bring them back to self-reliance.

Essential Duties and Responsibilities:

1. Answer inbound calls as well as assist parties who have specific inquiries.
2. Queries may range between coverage questions, network location and medical questions.
3. Receive, evaluate, and assess approval requests from healthcare providers (Hospitals, Laboratories, pharmacies…)
4. Ensure that all needed required documentation (referral form, completed medical reports, related investigation results) are in order.
5. Review all referred cases to determine completeness of documentation, accuracy of the differential diagnosis and take most appropriate and timely recommendation and action
6. Participate in committees, work groups, and/or process improvement teams that improve patient satisfaction.
7. Review all medical approvals & claims.
8. Issuance of necessary medicines and medical approvals – surgeries – X-rays – tests that require it
9. Medical solving customer problems.
10. For all non-urgent cases review the need for referral and admission if requested
11. Be the lead and responsible key person to communicate and negotiate with the external hospital, medical facility or treating doctor
12. Allocate the necessary approvals for outpatient services including but not limited to radiology, lab tests, day case diagnostic or therapeutic procedures and chronic medications.
13. Ensure follow up of referred cases in the outside facility as well as on medication, appointment and further required follow up
14. Daily follow up for all admitted and inpatient cases and ask for daily progress note from treating doctor and make the necessary extended length of stay if needed, till the patient is discharged.
15. Follow up on the feedback of referred cases and ensure that the feedback is communicated properly with the patient or attending physician as appropriate
16. Guide and supervise the referral officer on priority setting, management of resources including the ambulances
17. Provide on job training to medical and referral staff

Minimum Requirements

1. Bachelor Degree in Medicine from a national Institute.
2. Minimum of 2 years of general experience after completing the internship program.

Compliance & Ethics

Promotes and encourages a culture of compliance and ethics throughout International Medical Corps. As applicable to the position, maintains a clear understanding of International Medical Corps’ and donor compliance and ethics standards and adheres to those standards. Conducts work with the highest level of integrity. Communicates these values to staff and to partners and requires them to adhere to these values.

The duties and responsibilities listed are representative of the nature and level of work assigned and are not necessarily all-inclusive.

International Medical Corps is proud to provide equal employment opportunities to all employees and qualified applicants without regard to race, color, religion, sex, sexual orientation, national or ethnic origin, age, disability or status as a veteran.”

I hereby certify that all the information provided through the application and CV are accurate and the supportive documents are available upon request, any false information provided will cause cancelation of the application and applicant will be subject to legal action”.

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