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Medical Associate in Salem, NH at On Call International

Date Posted: 5/25/2018

Job Snapshot

Job Description

Position Summary:

 Responsible for detailed review and assessment of medical cases. The Medical Associate works collaboratively with the medical and operations department to coordinate and provide medical assistance and evacuations on behalf of clients, members and patients. This position requires detailed case-by-case analysis of essential services requested and required to coordinate safe and efficient evacuations and repatriation.


Relying on advanced knowledge and strong leadership skills, the Medical Associate is accountable for the following responsibilities: This position requires close collaboration with the Operations Department and other members of the medical team; together with the treating physicians, health care facilities, health care providers and transport providers.

 The Medical Associate will apply clinical medical expertise, knowledge of flight physiology, and On Call International guidelines, procedures and protocols to provide medical direction. The goal is to provide high quality, timely, cost-effective support to travelers experiencing medical difficulty.

  • Medical report review: Summarize information and document plan or request additional information, Nurse Case Manager consultation, physician consultation, etc.
  • Provide assessment of appropriateness of care and whether the patient should be evacuated.
  • Fitness-to-fly documentation review followed by decision-making whether to approve or modify fitness to fly/travel.
  • Telephone consultations with the treating physician.
  • Telephone consultations with treating physicians prior to air ambulance approval.
  • Telephone consultations with patients and family as required.
  • Telephone consultations with client representatives.
  • Telephone consultations with direct clients.
  • Provide medical facility/provider recommendations based on On Call International’s data bases.
  • Provide fitness-to-fly orders including: independent travel, nonmedical escort, medical escort, seat upgrade, ground transport, Oxygen, commercial stretcher, and air ambulance.
  • Provide rescue nurse orders.
  • Review and authorize/co-sign rescue nurse orders that have been prepared by nurse case managers.
  • Provide medical direction to Rescue Nurses when requested.
  • Provide medical case management clarification; respond to queries regarding transport recommendations, appropriateness of care, etc.
  • Assist the Medical and Operations Team in the management of medical cases
  • Utilize clinical expertise, standardized quality guidelines and expert consultation as needed to determine clinical necessity of services needed, under the direction of the Medical Director.
  • Utilize data provided on medical and fitness-to-fly forms as well as information collected from treating physicians, facilities, and family members to facilitate decision making.
  • Document all care management notes in accordance with professional standards in a thorough, and timely manner.
  • Utilize database resources to recommend appropriate medical facilities/providers.
  • Assist in problem solving with clients, customers, providers or service issues.
  • Assist with the development of evacuation management policies and procedures.
  • Collaborate with the On Call management team to continuously improve services provided to our existing clients.
  • Perform other related duties and special projects as assigned.

Job Requirements

Position Knowledge, Skills, and Requirements:


  • Bachelor’s degree in a related field or the equivalent education and/or experience
  • Graduate of Physician Assistant Program accredited by the American Academy of Physician Assistants
  • Physician Assistant Certification
  • Licensure in the United States (any state)


  • Minimum of five years of relevant and progressive experience of clinical experience in emergency medicine, hospitalist, and/or intensive care
  • Emergency Medical Transport experience/knowledge
  • Knowledge of health/travel insurance and air medical transport preferred
  • International travel experience is beneficial
  • Travel Medicine experience/knowledge is advantageous


  • Ability to work independently
  • Demonstrate effective troubleshooting and critical thinking skills
  • Demonstrate commitment to continuous quality improvement ; CQM principles
  • Lead by example to promote a positive and ethical work environment which values: patient advocacy, respectful listening, diverse expression of opinion, &constructive conflict resolution
  • Possess and have ability to apply advanced knowledge of principles, practices, and procedures
  • Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy
  • Superior organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
  • Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company’s business to proactively respond to changing business environment
  • Advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)

Tokio Marine HCC Group of companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer.

Please visit for more information about our companies.


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