Clinical Case Manager - Insurance & Documentation Expert

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

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.