Case Manager (CM)

We are seeking a Case Manager (CM) to join our team in Madrid, Spain. As a Case Manager, you will be a nurse-led professional who supports members with complex medical, psychosocial, or care-coordination needs.

With the member at the centre of everything we do, you will help individuals navigate their healthcare journey with confidence, ensuring they receive the right care, at the right time, and in the most appropriate setting.

Key Responsibilities:

• Build trusted relationships with members and serve as their primary point of contact throughout the care journey
• Coordinate healthcare providers, hospitals, specialists, caregivers, and support services to ensure a seamless and member-centred experience
• Assess medical, psychosocial, and functional needs, identifying barriers to care, gaps in treatment, and potential risks
• Develop, implement, review, and adapt personalised care plans that support members' goals and clinical needs
• Monitor members' progress, support safe transitions of care, and proactively identify emerging needs or risks
• Collaborate with physicians, providers, and internal clinical experts to ensure appropriate and effective care management
• Help members understand their medical conditions, treatment options, available resources, and self-management strategies, enabling informed decision-making and greater engagement in their health
• Work closely with internal teams, external partners, and global healthcare professionals to deliver specialised clinical programmes
• Maintain accurate and timely case records, promote continuity and quality of care, and ensure compliance with professional standards, regulatory requirements, and organisational policies
• Promote clinically appropriate, sustainable, and cost-effective healthcare solutions that balance member needs, outcomes, patient advocacy, and responsible use of healthcare resources

Skills and Qualifications:

• Bachelor's Degree in Nursing
• Minimum 3-5 years of experience in Case Management, Clinical Management, or a related healthcare setting, preferably within an international environment
• Fluent in English; proficiency in additional languages, particularly French, Portuguese, or German, is considered a strong asset
• Strong clinical assessment and care coordination skills
• Demonstrated organisational, leadership, and prioritisation capabilities
• Excellent interpersonal, communication, and relationship-building skills
• Strong analytical and problem-solving abilities
• Ability to advocate for members while maintaining compliance with clinical, contractual, legal, and organisational requirements
• Ability to work independently and effectively in a dynamic, multicultural environment
• Proficiency with Microsoft Office applications and healthcare management systems
• Ability to collaborate effectively with healthcare providers, clients, internal stakeholders, and global teams