Case Coordinator Sheikh Shakhbout Medical City UAE

Sheikh Shakhbout Medical City is currently seeking qualified candidates for the role of a Case Coordinator, Nurse Case Management. This position will coordinate with the multidisciplinary team and any other appropriate and accredited healthcare provider in the provision of quality patient care, under the guidance and supervision of the senior case coordinator. If you’re interested in this role submit your applications now.

Responsibilities of A Case Coordinator

• Maintains active communication with physicians, nurses, and other appropriate members of the multidisciplinary team for the appropriate patient care management.
• Participates in regular communication and feedback with the senior case coordinator.
• Manages evidence based medical necessary screening criteria in support of admission and continued stay reviews and communicates with payers as necessary.
• Determines correct level of care placement utilization management.
• Provides accurate medical documentation and health insurance documentation.
• Facilitates resource utilization- ensuring the available funding meets the clinical needs.
• Acts as a liaison between clinician and revenue department.
• Identifies and resolves variances to clinical pathways and obstacles to discharge.
• Consults from appropriate disciplines/departments as required expediting care and facilitating discharge.
• Ensures patient care is rendered to the maximum stipulation based on the patient’s benefits under the Insurance contract without exceeding the providers’ provision for the cost of care.
• Monitors and intervenes as necessary to achieve desired goals and outcomes for both the patient and the hospital.
• Assesses and intervenes to address psychosocial needs including patient, family, and community, and collaborates with social workers as appropriate.
• Supports physicians in relation to Clinical Documentation impacting Medical Necessity, Case Mix Index, and Severity of illness.
• Monitors length of stay and resource use on an ongoing basis and discusses trends with the senior case manager.
• Assists in the collection and reporting of indicators including LOS, excess days, resource utilization, and readmission rates.
• Acts as a patient advocate in facilitating education based on identified learning needs of the patient and/or those providing care and documents appropriately.

Eligibility Requirements for Case Coordinator

Qualification  

• Bachelor’s Degree in Nursing. 
• Degree in Nursing (minimum 2 years course duration) and registration as a Registered Nurse from Canada, USA, UK, Ireland, South Africa, New Zealand, and Australia.

Experience

• Required: 6 years of experience of which not less than 2 years in case management in a similar healthcare facility.
• Desired: Experience in large healthcare facility.

Certification & Licensure 

• Required: BLS provider. 
• Desired: Case management skills.
• Valid/Current national license.

Desired Skills

• Excellent communication skills.
• Arabic Language is desirable.
• Good problem solving skills.

Job ID

• 90

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