Case Manager - Locum

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

Job summary

A leading healthcare provider in Dubai seeks a professional to manage hospital case management processes. The candidate will be responsible for coordinating patient care plans, ensuring quality clinical documentation, and managing insurance claims. Essential requirements include a Bachelor Degree or Diploma in Nursing or Medicine and at least 3 years of relevant experience in UAE healthcare. Join the hospital's mission to deliver high-quality care while minimizing financial risks.

Qualifications

• Minimum of 3 years experience in a clinical insurance or medical auditing role.
• Experience in UAE Healthcare is essential.

Responsibilities

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

Skills

Application of clinical codes

Computer literacy and proficiency in MS Office applications

Electronic Health Records systems

Healthcare revenue cycle management and billing processes

ICD-10 CM CPT and DRG coding system

Knowledge of scientific nursing processes

Patient administration systems

Understanding of patient journey in a hospital

Education

Bachelor Degree or Diploma in Nursing or Medicine

Bachelors or Masters Degree in Healthcare Management

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

Job description

Closing date:
Number of positions: 1
Recruiter name:Fatma Alharthi
Reference number: 63468
Workplace Type:

Mediclinic Parkview Hospital Dubai United Arab Emirates

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 RESPONSIBILITY AREAS

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 Masters 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