Medical Review Nurse

Medical Review Nurse

At International SOS, we are the world’s leading medical and security services company, operating in 90 countries with more than 12,000 employees. Our patient‑centric approach is at the heart of everything we do. We invite you to join our diverse and dynamic team as we continue to make a positive impact on the lives of beneficiaries worldwide.

As a Medical Review Nurse, you will work closely with our Prague Program Administration Team and our global medical network. You will play a key role in the TRICARE Overseas Program (TOP), supporting U.S. Military service members, their families, retirees, and other eligible beneficiaries living abroad.

Your role will focus on reviewing medical documentation and helping ensure beneficiaries receive the appropriate care. Your key responsibilities will include:

Reviewing & Processing Medical Reports

• Review incoming medical reports to ensure accuracy and completeness; flag quality concerns when needed.

• Close cases where care has been completed.

• When follow‑up care is needed, assess whether the requested services are medically appropriate and issue authorization letters.

• Forward cases to regional clinical teams when specialized local expertise is required.

• Provide beneficiaries with non‑urgent follow‑up recommendations via email.

Assessing Eligibility for Further Care

Evaluate requests for additional treatment or specialist referrals to ensure they meet program guidelines.

Work daily with our administrative teams on cases that require clinical input.

Escalate complex clinical situations or concerns to the Medical Review Nurse Team Leader.

Communication & Compliance

• Maintain strict confidentiality and ensure all medical information is handled appropriately.

• Keep accurate, compliant case files.

• Respond promptly and professionally to questions from beneficiaries and colleagues.

• Participate in internal meetings as needed.

What We’re Looking For

• Registered Nurse in your country of origin/residence.

• Broad clinical nursing experience (acute care preferred) with at least 2 years of bedside nursing preferred.

• Experience with case review, utilization review, or medical documentation is a plus, but not required.

• Very good knowledge of written and spoken English and medical terminology

• Strong computer skills (MS Office), ability to learn and work with new systems

• Ability to follow procedures, work systematically, and keep high standards of quality.

• Strong attention to detail and excellent communication skills.

• A team‑oriented mindset and a strong focus on beneficiary care.

What we offer

• A diverse and international environment

• Flexible working hours

• 5 weeks of holiday + 5 personal time off days

• Meal allowance, pension contribution, benefit card, Multisport, and more

• Modern offices in Prague -  Anděl

• Permanent contract with competitive compensation

Please submit your CV in English.
You must have a valid work and residence permit for the Czech Republic.