Case Manager

NMC; Abu Dhabi; On-site; AED 120,000 - 180,000; Full time

Job summary

NMC is seeking an experienced hospital administrator with strong OSH and clinical governance skills to oversee case management, documentation accuracy, and cost-effective care decisions. The role emphasizes collaboration with clinical teams, administration, and RCM to optimize patient outcomes and reimbursement.

The ideal candidate has at least 5 years in a hospital setting, supervisory experience, and relevant coding/auditing credentials, ensuring adherence to safety, infection control, and

Qualifications

• Minimum 5 years of clinical experience in a hospital.
• 1-2 years of supervisory experience.
• Sound knowledge of coding, billing, auditing, approvals and clinical practices.
• Auditing certification/training is preferred.

Responsibilities

• 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.

Skills

Coding knowledge

Education

Medical/Allied Health graduate

Coding certification

Auditing certification

Job description

Job description

Responsibilities

• 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.

Qualifications

• 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.