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Case Manager

AMAD Hospital
Riyadh Region, KSA
Full-time
Entry
Onsite
Discovered 1 months ago
Case managementCare coordinationRehabilitation and long-term careMedical documentationElectronic health recordsInsurance pre-authorizations and reimbursement

Full Job Posting

Key Responsibilities

  • Lead implementation and improvement of case management protocols for rehabilitation and long-term care.
  • Develop policies and procedures for case management and care coordination in line with hospital and regulatory standards.
  • Coordinate cost control, insurance pre-authorizations, billing, and reimbursement processes.
  • Maintain accurate patient care plans, discharge summaries, and case management records.
  • Plan budgets and allocate resources for rehabilitation and long-term care services.
  • Oversee individualized care plans addressing medical, psychological, and social needs.
  • Liaise with patients, families, physicians, nurses, allied health professionals, and external care agencies.
  • Supervise case coordinators, social workers, and administrative support personnel.
  • Assess patient needs throughout admission, stay, and discharge and manage lengths of stay.
  • Participate in clinical audits, risk management, compliance checks, and quality improvement.
  • Monitor and report patient safety incidents, adverse events, and service outcomes.
  • Educate patients and families about care plans, safety practices, and rehabilitation goals.

Qualifications, Certifications and Experience

  • A bachelor’s degree in Case Management, Nursing, Social Work, Healthcare Administration, or a related health sciences field is required.
  • Strong knowledge of rehabilitation and long-term care principles is required.
  • Excellent communication, negotiation, and interpersonal skills are required.
  • The role requires effective multidisciplinary teamwork and proficient medical documentation and electronic health record use.
  • Familiarity with Saudi healthcare regulations and cultural considerations is required.
  • The role requires sound decision-making, problem-solving, and the ability to manage multiple cases and priorities.

Care Context

  • The role supports rehabilitation and long-term care services within a hospital setting.
  • The role requires adherence to hospital policies, Saudi health regulations, international best practices, and culturally sensitive patient care.

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