Case Manager - Locum

Medi Clinic; Dubai; On-site; AED 120,000 - 200,000; Full time

Job summary

A healthcare organization in Dubai is seeking a Case Manager to effectively manage the hospital case management process. Responsibilities include coordinating patient care plans, managing clinical documentation, and providing expertise in insurance claims. The ideal candidate holds a degree in Nursing or Medicine and has at least 3 years of relevant experience in the UAE's healthcare sector. Growth opportunities are available within the organization.

Qualifications

• At least 3 years’ experience in a clinical, insurance, medical auditing or coding role.
• Experience in Theatre and/or ICU and understanding of the patient journey.

Responsibilities

• Effective coordination of patient care plans to minimise financial risk.
• Manage quality of clinical documentation.
• Provide clinical expertise for managing insurance claims.

Skills

Application of clinical codes

Computer literacy and proficiency in MS Office applications

Healthcare revenue cycle management and billing processes

ICD-10 CM, CPT and DRG coding system

Education

Bachelor Degree or Diploma in Nursing or Medicine

Bachelors or Master’s Degree in Healthcare Management

Certificate in Clinical Coding

Job description

Overview

MAIN PURPOSE OF JOB: 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

1. Effective coordination of patient care plans to minimise financial risk for the company
2. Effectively manage the quality of clinical documentation
3. Provide clinical expertise for managing insurance claims with the supportive medical justifications based on good clinical practice
4. 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

All applicants will be considered, with the understanding that preference will be given to the designated groups in accordance with the United Arab Emirates Emiratization Program. If you wish to grow with us, apply now and become a part of the Mediclinic Middle East Family