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Updated 2020-11-27
Activated 2020-11-27

【TRICARE】Near Patient Nurse

  • ★★ Staff Level
Company Name
Employer

International SOS Japan LTD

Job Type
International SOS Japan LTD
Health/Nursing - Nurse
Health/Nursing - Other
Industry Medical/Healthcare Services
Location Asia Japan Tokyo
Asia Japan Kanagawa
Asia Japan Okinawa
Job Description 【Overall Purpose Of The Job】
General: The Near Patient Nurse will be considered the main executor of the Near Patient Program in country medical services as per the TRICARE contract.

Clinical: The role of the Near Patient Nurse is to provide medical case management and communication when a Prime or Prime Remote beneficiary is sought in the overseas Purchased Care Sector Provider (PCSP). The Near Patient team will work collaboratively with the PCSP, in country US Military Facility/s and the Near Patient Team to manage the episode of care keeping the beneficiary at the center of all considerations. Escalations to senior Near Patient Team members as determined by the medical situation will be required based on the clinical situation.

Governance: In addition the Near Patient Medical Nurse will work in close association with the Clinical Quality Team and the organization underneath it on the quality and safety of providers up to and including auditing and credentialing TRICARE providers in a given area. The Near Patient Nurse may assist in gathering information to include those contained within the CQMP. The Near Patient Nurse may be the main point of contact for clinical quality assessment and feedback for individual care episodes, ongoing quality assurance of providers and formal provider assessments.

【Key Responsibilities】
Medical Responsibilities:

• Provide comprehensive In-patient clinical case management for a Beneficiary. Completing status reports upon admission and according to contractual requirements or acuity whilst the patient remains admitted to the provider. These reports must be reported in American-English, clinically detailed and accurate according to International SOS standards.
• In the pursuit of medical updates, the Near Patient Nurse may visit the provider, or assist with calling providers or treating doctors for medical information for geographically remote cases as required.
• Additionally, be prepared to liaise with PCSPs and beneficiaries, to obtain detailed clinical information including past medical history to allow for accurate on-going case management.
• Where the Near Patient Nurse feels care is suboptimal, not necessary, or potentially harmful to the beneficiary the Near Patient Nurse must escalate such matters to the Near Patient Physician Lead, Near Patient Regional Medical Director for discussion.
• Upon discharge, support when required with the Near Patient Medical Collection Team to obtain the discharge summary and hospital records from the provider, ensuring that the medical information correlates with the information obtained during admission and update the medical records accordingly.
• Provide when feasible on-site beneficiary support services such as ad hoc language support and chaperone services when visiting health care providers.
• Establish and maintain the relationships with providers; leveraging these relationships for clinical quality assurance and oversight
• Assist with translation and triage of medical reports where necessary.
• Support Near Patient Quality Assurance Leads as requested such as obtaining medical records as required
• Attend and participate in International SOS staff meetings, internal and external educational offerings, in order to maintain professional development requirements.


Medical Network Liaison and Quality Assurance Responsibilities:

• Build positive and effective relationships with local network providers (medical and administrative representatives), and with local TRICARE Point of Contacts and members of US Health Units.
• Working with the in country Near Patient Physician Lead as a point of integration/coordination and continuity for the rotationally aligned forces with host nation providers
• When require plan, execute and write up site audits, obtaining provider credentials in order to assess and document provider scope, safety and quality of service.
• Support the planning of trips with relevant internal and external stakeholders, to support on site provider visits and evaluations.
• Undertake evidenced accurate assessments and review of providers including the scope of medical capabilities, the safety and quality of care provided by these providers.


Customer Care and Networking

• Be accessible and responsive to TRICARE beneficiaries , clients and colleagues questions, concerns and requests for information.
• Build positive and effective relationships with local network providers (medical and administrative representatives), with local TRICARE Point of Contacts and members of US Health Units, with other internal and external customers and suppliers and ensure continuity of service delivery by providing general customer services to the Organization’s client.
• Deal positively with complaints, resolving these wherever possible on a timely basis, and/or referring them to the appropriate department or Quality Manager.
• Identify areas where training can improve overall productivity of International SOS.

Additional Responsibilities:

• Maintain confidentiality of all patient and/or client information.
• Maintain accurate records including statistical information and client reports using the computer system made available by the organization.
• Available to assist or participate in other projects or tasks where necessary
• Be able to attend a regional TOP Center for training, including promoting communication with operations/medical/GAN staff to support the delivery of a seamless service and to ensure embedding of the International SOS values and ethos.
Company Info ーOur missionー
To pioneer the international health & security risk services sector.

ー Our visionー
To be the world's leading health and security risk services company.

ー Our valuesー
PASSION
We work with passion, entrepreneurial spirit and teamwork to serve our clients.

EXPERTISE
We are committed to apply our professional expertise to deliver great quality services to our clients.

RESPECT
We treat all our stakeholders with respect and integrity in order to earn their trust.

CARE
We care about the interest of all our stakeholders and aim to make a real difference to their lives.
Working Hours 9:00-17:30(1 hour lunch break)
on the occasion night shift, on-call if necessary
Job
Requirements
【Key Requirements】
• Near Patient Nurse to be located in close proximity to key locations / MTF
• Working under a centralized duty roster system and where applicable, participate in on-call duties which can include weekends plus after hours
• Near Patient Nurse to remotely support other TRICARE regions as required such as project work and medical support as required
• Mobility requirement with less emphasis on home office duties
• Participate in routine MTF meeting/event attendance, regular contact with MTF personnel to discuss medical cases
• Perform regular provider visits and inspections, contact with providers to obtain medical updates
• Ability to comfortably provide direct face to face plus telephonic beneficiary support
• Ability to work proficiently with TRICARE CRM system and provide SOAPe updates within the contractual/internal KPI’s
• Ability to manage calls from providers, MTF’s and beneficiaries
• Manage case load independently within the International SOS TRICARE policies and procedures for both prime and prime remote cases
• Escalate as required to senior in country Near Patient team members including team leads, physicians and or medical director to discuss/highlight case complexities/challenges
• Work together with Quality Assurance Teams to support Quality Assurance initiatives and case specific potential quality incident investigations and events. This will include compliments and complaints plus service recoveries


【Knowledge/Skills】
• Effective communication and interpersonal skills
• Computer literate
• Writes medical English clearly, succinctly, and correctly
• Knowledge and understanding of trends in health care quality assurance
• Assess and develop risk management protocols
• Implement quality assurance and quality audit
• Able to travel at short notice nationally and internationally

Desirable:
• Experience of working with new technologies in health care practice and of clinical coding ICD 10 and when required procedure codes
• Active and unrestricted driver’s license

【Experience】
• Experience of working in accordance with a Code of Professional Conduct (knowledge of confidentiality etc.)
• Experience of Microsoft Office software
• Broad professional Experience of dealing with the public/patients/other health professionals
• Experience of multidisciplinary team working in the approach to care Management
• Understands the medical culture and organization in Host Nation Country.

Desirable:
• Experience of working in a complex organization
• Experience across a range of in-hospital clinical experience
• Clinical experience and ability to audit healthcare providers in different environments and countries


【Academic/Vocational Qualifications】
• Registered General Nurse or equivalent with minimum 3 years of experience with registration to practice in country of work
• Recognized qualification to minimum diploma level or equivalence in practice demonstrated through portfolio/CV
• A demonstrable commitment to professional development
• Able to communicate in own language and proficiently in English

【Qualities/Attributes】
• An understanding, acceptance, and adherence to the need for strict confidentiality
• Ability to use own judgment, resourcefulness, and common sense and to use own initiative
• Ability to work without direct supervision and determine own workload priorities within a context of a governed system
• Ability to work as part of an integrated multi-skilled team
• Pleasant and articulate
• Able to work under pressure
• Able to work in a changing environment
• Understands and adheres to Customer expectations and results

【Travel / Rotation Requirements】
• Travel as required regionally for interactions with the beneficiaries and PCSPs

English Level Fluent (TOEIC 865-)
Japanese Level Native Level
Salary Depends on experience   
Other Salary
Description
Social insurance
Labor insurance
Commutation Allowance
Retirement allowance
Membership accommodation system
Sports club discount system
Holidays Saturdays, Sundays, Paid holidays(3 days for the first 6 months, 15 days for the first year)
Job Contract
Period
Fulltime
Nearest Station Okinawa/Misawa/Kanto(Yokota, Atsugi, Zama, Yokosuka)/Sasebo
Work from home based, visiting the medical facilities when required
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【TRICARE】Near Patient Nurse

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