Major?responsibilities?and?desired?results:?Uses?clinical?knowledge?to?assess?diagnosis?????and?treatment?plans?and?goals,?and?identifies?gaps?in?care?or?risks?for?????readmission?or?complications.?Manages/coordinates?an?active?volume?of?cases?????by?providing?information,?navigation?and?coordination?to?customers?worldwide.??????Works?with?a?multicultural?population?and?????is?constantly?aware?of?the?cultural?differences?among?that?population.??Establishes?patient?centric?goals?and?????interventions?to?meet?the?member’s?needs?Interfaces?with?the?member,?family?????members/caregivers,?and?the?healthcare?team,?as?well?as?internal?matrix?????partners.??Balances?business?needs?with?patient?????advocacy?Assesses?member’s?health?status?and?????treatment?plan?and?identifies?any?gaps?or?barriers?to?healthcare.?Manage?????and?coordinate?care?for?customers?by?reviewing?medical?and?claim?????information,?ensure?compliance?with?approved?services?and?fees?and?discuss?????cases?with?hospital?staff?and?physicians.?Establishes?a?documented?patient?centric?????case?management?plan?involving?all?appropriate?parties?(client,?physician,?????providers,?employers,?etc),?identifies?anticipated?case?results/outcomes,?????criteria?for?case?closure,?and?promotes?communication?within?all?parties?????involved.?Responsible?for?delivering?to?customers?clinical?????programs?including?case?management,?chronic?condition?management,?????lifestyle?coaching,?pre?assignment?assessment,?health?Mom,?Pharmacy?????delivery,?Steerage?program,?and?any?other?program?delivered?by?global?/?????local?clinical?operations.??Coordinate?care?with?other?nurses?from?????other?regions?around?the?world?when?a?need?for?local?or?regional?expertise?????is?important?for?better?care?or?to?comply?with?regulations?Maintains?accurate?workflow?and?process?????documents?Adheres?to?professional?practice?within?????scope?of?licensure?and?certification?quality?assurance?standards?and?all?????case?management?policy?and?procedures?Participates?in?unit?and?corporate?????training?initiatives?and?demonstrates?evidence?of?continuing?education?to?????maintain?clinical?expertise?and?certification?as?appropriate.??Work?closely?with?Medical?Consultant?team?????to?achieve?the?cost?containment?goal.?Other?duties?as?assignedRequirements:·Bachelor?inNursing,?1-3?years?of?experience?in?international?clinical?management?·Demonstrated?organizationaland?leadership?skills·Strong?interpersonal?andcommunication?skills·Demonstrates?problem-solvingand?analytical?skills.·Ability?to?actas?an?“advocate”?for?the?customer?while?complying?with?internal?policies?andprocedures?and?contractual/legal?compliance?requirements·???Ability?to?operate?????personal?computer,?proficient?with?Microsoft?office?products,?call?center?????software,?and?a?variety?of?software.·???Ability?to?build?????solid?working?relationships?with?staff,?matrix?partners,?customers?and?????providers·?????????·??Stressresistant?and?efficient,?finding?a?good?balance?between?quality?and?quantity·?????????·??Fluency?in?Mandarin?andEnglish,?Cantonese?or?other?foreign?language?would?be?the?advantage