Clinical Case Manager

About the role

This role is based fully on site. Full time, 37.5 hours per week, Monday to Friday, with a choice of 8am–4pm or 9am–5pm. Permanent contract. Salary: Competitive.

Responsibilities

• Assess, plan, coordinate and review patient care and discharge planning across adult and paediatric services, starting from admission.
• Act as a key liaison between patients, families, clinicians and third-party payers to support safe, effective and timely care.
• Complete utilisation reviews and obtain authorisation for treatment and ongoing care.
• Contribute to multidisciplinary discussions and coordinated care and discharge decisions.
• Promote patient advocacy, effective resource use and high standards of documentation and communication.

Requirements

• Registered with the NMC as an Adult Nurse, with substantial post-registration experience and demonstrable exposure to paediatric care.
• Extensive inpatient bedside nursing experience across both adult and paediatric services is essential—candidates must have hands-on clinical experience in both settings, not one or the other.
• Strong background in inpatient nursing or, alternatively, significant experience within the healthcare insurance sector in a clinical or case management role.
• Proven expertise in utilisation review and managing complex discharge planning pathways.
• Senior-level clinical experience, typically at Band 6 or above (or equivalent), with demonstrable clinical leadership, service coordination, team supervision and/or management responsibilities.
• Proven ability to lead complex clinical decision-making, influence multidisciplinary teams and coordinate care across multiple stakeholders.

Qualifications

NMC registration as an Adult Nurse, with substantial post-registration experience and exposure to paediatric care.

Skills

• Leadership skills and professional judgement.
• Autonomous decision-making.
• Managing complex care pathways.
• Advocacy for patients.
• Evidence of successful project management.

Benefits

25 days holiday each year (plus bank holidays) increasing with service, with the option to buy or sell leave.

Private Healthcare Insurance for treatment at our leading hospitals.

Private pension contribution which increases with length of service.

Season Ticket Loan and Cycle to Work scheme.

Group Life Assurance from day one.

Critical illness cover.

Enhanced Maternity and Paternity pay.

Corporate staff discount for all facilities including Maternity packages at The Portland.

Comprehensive range of flexible health, protection and lifestyle benefits.

Discounts with over 800 major retailers.

Pay

Competitive.

Schedule

Full time, 37.5 hours per week, Monday to Friday, with a choice of 8am–4pm or 9am–5pm.