Case Manager
NMC Healthcare · Abu Dhabi, UAE
- Promote quality and cost-effective interventions and outcomes
- Record cases information, complete accurately all necessary forms and produce statistical reports
- Develop effective working relations and provide feedback to administrative, medical, and RCM team throughout the entire case management process
- Handling case assignments, draft service plans, review case progress and determine case closures
- Evaluating healthcare treatments and negotiating the most cost effective options available to manage DRG
- Assist in timely discharge
- Evaluate the rigor of documentation and code assignment (during IP stay with doctors) to ensure fair remuneration
- Evaluate and develop training sections to avoid rejections
- Rejection analysis, management and coordination with responsible departments in developing collaborative strategies.
- Audit files and alert vulnerabilities with concerned departments.
- All other duties and responsibilities assigned by hospital administrator.
- Comply with all OSH (Occupational safety and health )and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements
- Work accordance with the documented OSH procedures and instructions, specific responsibilities
- Be familiar with emergency and evacuation procedures
- Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports
- Comply with Waste management procedures and policies
- Attend applicable OSH/Infection control training programs, mock drills and awareness programs
- Use of appropriate personal protective equipment and safety systems
- Ensure as far as reasonably practicable that any workplaces they manage or control are safe and without risks to health, safety or the environment.
- Ensure implementation of applicable HAAD, NMCSH OSHMS and infection control policies and standards
- Ensure adequate budget and resources for FMS/OSH/PCI management.
- Designating a Safety facilitator who will be responsible for coordinating OSH activities within the department.
- Regularly discuss OSH issues or matters in departmental/ management meetings
- Ensure provision of OSH information, training and Supervision
- Implement and monitor effectiveness of risk management program.
- Promote quality and cost-effective interventions and outcomes.
- Record case information, complete all necessary forms accurately and prepare statistical reports.
- Develop effective working relationships and provide feedback to administrative, medical and RCM teams throughout the entire case management process.
- Handle case assignments, draft service plans, review case progress and determine case closures.
- Evaluate healthcare treatments and negotiate the most cost-effective options available to manage DRG.
- Assist in timely patient discharge.
- Evaluate the accuracy and completeness of documentation and code assignment during inpatient stays, in coordination with doctors, to ensure fair remuneration.
- Evaluate and develop training sessions to avoid rejections.
- Analyse and manage rejections and coordinate with responsible departments to develop collaborative strategies.
- Audit files and highlight vulnerabilities to the concerned departments.
- Perform all other duties and responsibilities assigned by the Hospital Administrator.
- Comply with all OSH (Occupational Safety and Health) and infection control policies, standards and procedures, and cooperate with hospital management to meet these requirements.
- Work in accordance with documented OSH procedures, instructions and specific responsibilities.
- Be familiar with emergency and evacuation procedures.
- Notify OSH of hazards, incidents, near misses and issues, and assist with the preparation of risk assessments and incident reports.
- Comply with waste management procedures and policies.
- Attend applicable OSH/infection control training programmes, mock drills and awareness programmes.
- Use appropriate personal protective equipment and safety systems.
- Ensure, as far as reasonably practicable, that workplaces under their management or control are safe and free from risks to health, safety and the environment.
- Ensure implementation of applicable HAAD, NMCSH OSHMS and infection control policies and standards.
- Ensure adequate budget and resources for FMS/OSH/PCI management.
- Designate a Safety Facilitator responsible for coordinating OSH activities within the department.
- Regularly discuss OSH issues and matters in departmental/management meetings.
- Ensure the provision of OSH information, training and supervision.
- Implement and monitor the effectiveness of the risk management programme.
- Sound clinical training and background.
- Medical/Allied Health graduate.
- Sound knowledge of coding, billing, auditing, approvals and clinical practices.
- Relevant coding certification.
- Auditing certification/training is preferred.
- Minimum 5 years of clinical experience in a hospital.
- 1–2 years of supervisory experience.