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Case Manager

NMC Health plc
Abu Dhabi, UAE
Full-time
Onsite
Discovered Yesterday

Full Job Posting

  • Promote quality and cost-effective interventions and outcomes

  • Record cases information, complete accurately all necessary forms and produce statistical reports

  • Develop effective working relations and provide feedback to administrative, medical, and RCM team throughout the entire case management process

  • Handling case assignments, draft service plans, review case progress and determine case closures

  • Evaluating healthcare treatments and negotiating the most cost effective options available to manage DRG

  • Assist in timely discharge

  • Evaluate the rigor of documentation and code assignment (during IP stay with doctors) to ensure fair remuneration

  • Evaluate and develop training sections to avoid rejections

  • Rejection analysis, management and coordination with responsible departments in developing collaborative strategies.

  • Audit files and alert vulnerabilities with concerned departments.

  • All other duties and responsibilities assigned by hospital administrator.

  • Comply with all OSH (Occupational safety and health )and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements

  • Work accordance with the documented OSH procedures and instructions, specific responsibilities

  • Be familiar with emergency and evacuation procedures

  • Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports

  • Comply with Waste management procedures and policies

  • Attend applicable OSH/Infection control training programs, mock drills and awareness programs

  • Use of appropriate personal protective equipment and safety systems

  • Ensure as far as reasonably practicable that any workplaces they manage or control are safe and without risks to health, safety or the environment.

  • Ensure implementation of applicable HAAD, NMCSH OSHMS and infection control policies and standards

  • Ensure adequate budget and resources for FMS/OSH/PCI management.

  • Designating a Safety facilitator who will be responsible for coordinating OSH activities within the department.

  • Regularly discuss OSH issues or matters in departmental/ management meetings

  • Ensure provision of OSH information, training and Supervision

  • Implement and monitor effectiveness of risk management program.

  • Promote quality and cost-effective interventions and outcomes.
  • Record case information, complete all necessary forms accurately and prepare statistical reports.
  • Develop effective working relationships and provide feedback to administrative, medical and RCM teams throughout the entire case management process.
  • Handle case assignments, draft service plans, review case progress and determine case closures.
  • Evaluate healthcare treatments and negotiate the most cost-effective options available to manage DRG.
  • Assist in timely patient discharge.
  • Evaluate the accuracy and completeness of documentation and code assignment during inpatient stays, in coordination with doctors, to ensure fair remuneration.
  • Evaluate and develop training sessions to avoid rejections.
  • Analyse and manage rejections and coordinate with responsible departments to develop collaborative strategies.
  • Audit files and highlight vulnerabilities to the concerned departments.
  • Perform all other duties and responsibilities assigned by the Hospital Administrator.
  • Comply with all OSH (Occupational Safety and Health) and infection control policies, standards and procedures, and cooperate with hospital management to meet these requirements.
  • Work in accordance with documented OSH procedures, instructions and specific responsibilities.
  • Be familiar with emergency and evacuation procedures.
  • Notify OSH of hazards, incidents, near misses and issues, and assist with the preparation of risk assessments and incident reports.
  • Comply with waste management procedures and policies.
  • Attend applicable OSH/infection control training programmes, mock drills and awareness programmes.
  • Use appropriate personal protective equipment and safety systems.
  • Ensure, as far as reasonably practicable, that workplaces under their management or control are safe and free from risks to health, safety and the environment.
  • Ensure implementation of applicable HAAD, NMCSH OSHMS and infection control policies and standards.
  • Ensure adequate budget and resources for FMS/OSH/PCI management.
  • Designate a Safety Facilitator responsible for coordinating OSH activities within the department.
  • Regularly discuss OSH issues and matters in departmental/management meetings.
  • Ensure the provision of OSH information, training and supervision.
  • Implement and monitor the effectiveness of the risk management programme.
  • Sound clinical training and background.
  • Medical/Allied Health graduate.
  • Sound knowledge of coding, billing, auditing, approvals and clinical practices.
  • Relevant coding certification.
  • Auditing certification/training is preferred.
  • Minimum 5 years of clinical experience in a hospital.
  • 1–2 years of supervisory experience.

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