Case Manager - Locum

Mediclinic Parkview Hospital; Dubai; On-site; AED 120,000 - 200,000; Full time

Job summary

A leading healthcare organization in Dubai is seeking a qualified professional to manage the case management process. You will coordinate patient care plans, ensure quality clinical documentation, and provide expertise for insurance claims. The ideal candidate has at least 3 years of relevant experience in a UAE healthcare setting. Competitive package offered.

Qualifications

• At least 3 years’ experience in a clinical, insurance, medical auditing or coding role.
• Experience in Theatre and/or ICU, Medical Insurance or private healthcare.

Responsibilities

• Coordinate patient care plans to minimise financial risk.
• Manage quality of clinical documentation.
• Provide expertise for managing insurance claims.
• Focus on continuous improvement of clinical documentation.

Skills

Application of clinical codes

Computer literacy and proficiency in MS Office applications

Electronic Health Records systems

Healthcare revenue cycle management

ICD-10 CM, CPT and DRG coding systems

Scientific nursing processes

Patient administration systems

Understanding patient journey through a hospital

Education

Bachelor Degree or Diploma in Nursing or Medicine

Bachelor's or Master’s Degree in Healthcare Management

Certificate in Clinical Coding (CCS / CCA / CPC / CPMA)

Job description

Overview

Effectively and efficiently manage the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation

Key Responsibilities

• Effective coordination of patient care plans to minimise financial risk for the company
• Effectively manage the quality of clinical documentation
• Provide clinical expertise for managing insurance claims with the supportive medical justifications based on good clinical practice
• Focus on continuous quality improvement of clinical documentation

Required Education

Essential: Bachelor Degree or Diploma in Nursing or Medicine Non-licensed Physician

Desired: Bachelors or Master’s Degree in Healthcare Management from a recognised institution Certificate in Clinical Coding (CCS / CCA / CPC / CPMA)

Required Experience

Essential: At least 3 years’ experience in a clinical, insurance, medical auditing or coding role in a DRG billing environment within the UAE of which at least 1 year was in UAE Healthcare

Desired: Experience in Theatre and / or ICU, Medical Insurance / funders background; experience in private healthcare environment or experience as a paramedic

Required Job Skills and Knowledge

• Application of clinical codes
• Computer literacy and proficiency in MS Office applications
• Electronic Health Records systems and related best practice
• Healthcare revenue cycle management and billing processes
• ICD-10 CM, CPT and DRG coding system
• Knowledge of scientific nursing processes and associated procedures
• Patient administration systems and related processes
• Understanding of and working knowledge of the typical patient journey through a hospital and the various service points of contact