Nursing Case Coordinator-SKMC-Case Management

Abu Dhabi Health Services; Abu Dhabi; On-site; AED 120,000 - 200,000; Full time

Job summary

Abu Dhabi Health Services is seeking a Case Coordinator to oversee patient care coordination within a multidisciplinary team. This role involves managing patient transitions, advocating for quality care, and participating in performance improvement projects. Ideal candidates will possess a nursing degree, relevant experience in case management, and applicable certifications.

Qualifications

• Bachelor's or Associate's degree in Nursing required.
• 2+ years experience as Charge Nurse or 4 years as Staff Nurse in Case Management.
• International Case Management Certification required for external candidates.

Responsibilities

• Coordinate multidisciplinary teams for patient care management.
• Facilitate patient discharge planning and resource utilization.
• Participate in quality improvement activities and data analysis.

Skills

Patient advocacy

Communication

Coordination

Data analysis

Resource utilization

Education

Bachelor degree in Nursing

Associate degree in Nursing

Diploma in Nursing and Midwifery

Diploma in Nursing

Tools

Evidence-Based Medical screening criteria

Quality assurance programs

Job description

Description

The role of the new entrant Case Coordinator is to coordinate the multidisciplinary team and any other appropriate and accredited healthcare provider in the provision of quality patient care under the guidance and supervision of the Senior Case Coordinator.

Responsibilities

Managerial

The role includes advocacy & education, facilitation, transition & financial management, outcomes & psychosocial management to promote quality, safe, and timely transition through the healthcare system.

Under supervision and guidance from the Senior Case Coordinator, the case coordinator will coordinate appropriate providers and access services to progress the patient's episode of care in a timely manner.

Until competency is achieved as per evaluation, the Case Manager will develop patient care plans including:

• Correct Level of care placement - Utilization Management
• Care Facilitation along the Continuum of Care, monitoring against Clinical Pathway, and transition plans
• Proactive Discharge Planning
• Facilitation of accurate medical and insurance documentation
• Resource Utilization, ensuring funding meets clinical needs
• Linking physicians with finance

Technical

Participate in communication and feedback with Senior Case Coordinator. Apply appropriate Evidence-Based Medical Necessary screening criteria for admission and stay reviews, communicating with payers as needed.

Coordinate/delegate to multidisciplinary team to ensure patient care progression, working collaboratively with physicians, nursing, and other team members to ensure timely and appropriate management.

Understand patient benefits under insurance contracts to maximize care within cost constraints and collaborate to obtain necessary documentation.

Monitor patient progress, consult with Senior Case Coordinators, and intervene as necessary to ensure quality, efficient, and patient-focused care.

Facilitate advocacy, transition management, psychosocial needs assessment, and communication with financial managers. Complete documentation, obtain releases, and perform case management and quality screening.

Quality & Safety

Participate in performance improvement activities, collect and report indicators, analyze data, and support quality assurance programs. Assist in developing CQI processes and participate in projects related to clinical pathways, quality tools, and data analysis.

Support physicians regarding clinical documentation, medical necessity, case mix, and severity of illness. Educate and counsel patients and families, staying updated on professional practice developments.

Qualifications

Criteria for submission

Qualifications:

• Bachelor degree in Nursing OR
• Associate degree in Nursing from Canada or USA (minimum 2 years) AND
• Successful completion of the National exam (NCLEX - RN for USA, Provincial Licensing Exam for Canada) OR
• Diploma in Nursing and Midwifery (minimum 3.5 years) OR
• Diploma in Nursing (minimum 3 years)

Experience:

• Charge Nurse experience (2 years) in Case Management OR
• Staff Nurse experience (4 years) in Case Management OR
• Current SEHA Senior Charge Nurse, Charge Nurse, or Staff Nurse with completed SEHA Case Management Training Program (for current SEHA employees only)

Desired:

• Experience in large healthcare facilities

Specialist Certifications:

• Required: Case Management Certification from an international accreditation body (e.g., ANCC, ACMA, CMSA, AACM) for external hiring
• Desired: Same certification for existing staff and internal hiring

If you meet the requirements, please email your Employee ID and updated CV to Mariam Ali Al Jaberi at the Recruitment Section.