Medical Approval Doctor FSR # 349 # 352

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Job Title: Medical Approval Doctor FSR# 349 # 352

Location: Amman

This position is under Limited 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.

Job Summary:

The Medical Approval Doctor at International Medical Corps is responsible for reviewing and approving medical request and treatments for patients in field operations. This includes evaluating patients records, consulting their medical professionals, and making decisions on the appropriate course of care. The Medical Approval Doctor also plays a key role in ensuring the quality of care provided in the field, and may be involved in the development and implementation of medical protocols and guidelines. Additionally, this role may involve working closely with other organizations and government agencies to coordinate medical services and respond to emergencies. Overall, the Medical Approval Doctor plays a vital role in ensuring that patients receive the best possible care in difficult and challenging environments.

Main Tasks and Responsibilities:

Medical Approval Doctor is a roaster-based job within a team, in which they are responsible for:

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

Other preferable skills are:

• Experience in medical insurance is preferable.
• Excellent verbal communication skills.
• Excellent listening skills.
• Must be computer literate.
• Excellent command of English language.
• Decision maker and high problem-solving skills.

Minimum Requirements:

• Bachelor's Degree in Medicine from a Jordanian university.
• MOH License of practice medicine from Jordan
• At least 2 years of experience.
• Registered in HIS (Health Informatics System) is a plus.
• Previous NGO or UN experiences at least 3 months is an advance.
• Ability to work independently and as part of a team.

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.”

This job description is subject to periodic review and adjustment in order to achieve IMC’s goals in Jordan, and any changes to JD will be discussed and agreed between signed below.

"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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