Case Manager

3 weeks ago


Dubai, United Arab Emirates Actalent Full time

Description:

CareManagers perform integrated case management (CM) and diseasemanagement (UM) activities demonstrating clinical judgment andindependent analysis, collaborating with members and those involvedwith members’ care including clinical nurses and treatingphysicians. Care Managers determine, develop and implement a planof care based on accurate and comprehensive assessment of themember’s needs. Care Managers apply detailed knowledge ofestablished medical/departmental policies, clinical practiceguidelines, community resources, contracting and community carestandards to each case. Responsibilities:

  • Determines, develops and implements aplan of care based on accurate and comprehensive assessment of themember’s needs.
  • Applies detailedknowledge of FEP PPO established medical/departmental policies,clinical practice guidelines, community resources, contracting andcommunity care standards to each case.
  • Workswith complex cases, promotes the delivery of quality;cost-effective health care services based on medical necessity andcontractual benefits.
  • Provides guidance to theprovider network via telephone triage.
  • Performseffective discharge planning and collaborates with member supportsystem and health care professionals involved in the continuum ofcare via phone/ computer work.
  • Makes referralsto Quality Management, Catastrophic Case Management and Appeals andGrievance Department via computer and virtual meetings.

Skills:

Acutecare, acute, nurse, clinical, healthcare, Case management,Utilization management, Utilization review,Insurance

Top SkillsDetails:

Acute care, acute,nurse, clinical, healthcare,Casemanagement

Additional Skills& Qualifications:

  • Bachelor’ s of Science inNursing or advanced degree preferred.
  • ActiveOklahoma RN license required.
  • Must havespecialty training in one of the following specialized areas: casemanagement, .
  • 5 years experience in casemanagement, utilization Review

ExperienceLevel:

IntermediateLevel

AboutActalent

Actalent is a globalleader in engineering and sciences services and talent solutions.We help visionary companies advance their engineering and scienceinitiatives through access to specialized experts who drive scale,innovation and speed to market. With a network of almost 30,000consultants and more than 4,500 clients across the U.S., Canada,Asia and Europe, Actalent serves many of the Fortune500.

Diversity, Equity &Inclusion

At Actalent,diversity and inclusion are a bridge towards the equity and successof our people. DE&I are embedded into our culturethrough:

  • Hiring diversetalent
  • Maintaining an inclusive environmentthrough persistent self-reflection
  • Building aculture of care, engagement, and recognition with clearoutcomes
  • Ensuring growth opportunities for ourpeople


  • dubai, United Arab Emirates Case in Point Consulting Full time

    Risk Management Specialist Case in Point Consulting · DubaiCase In Point’s mission is to help organizations boost performance fast using the latest methodologies and technologies for organizational development. We combine our expertise in consulting in addition to technology drivers to make sure we give our clients bottom-line results to help implement...


  • dubai, United Arab Emirates Case in Point Consulting Full time

    Risk Management Specialist Case in Point Consulting · DubaiCase In Point’s mission is to help organizations boost performance fast using the latest methodologies and technologies for organizational development. We combine our expertise in consulting in addition to technology drivers to make sure we give our clients bottom-line results to help implement...

  • Project Manager

    4 weeks ago


    Dubai, United Arab Emirates CaSE International Full time

    **The CaSE International Group** is a globally experienced team of specialists who provide civil and structural engineering expertise highly sought after by government and infrastructure industry clients. We work in partnership with a variety of delivery agencies to provide technical support across all project stages and work closely with our clients to...

  • Case Manager

    6 days ago


    Dubai, Dubai, United Arab Emirates Actalent Full time

    Description:Care Managers perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians. Care Managers determine, develop and implement a plan of care based on accurate...

  • Case Manager

    4 weeks ago


    Dubai, United Arab Emirates 10-Pro Consulting Full time

    As a case manager for the operation department in an immigration company, your role would involve handling various aspects of immigration cases and ensuring smooth and efficient processes for clients. Your responsibilities would generally include the following: - Client Intake: Receiving and reviewing clients' immigration-related inquiries and assessing...

  • Case Manager

    4 hours ago


    Dubai, United Arab Emirates 10-Pro Consulting Full time

    As a case manager for the operation department in an immigration company, your role would involve handling various aspects of immigration cases and ensuring smooth and efficient processes for clients. Your responsibilities would generally include the following: - Client Intake: Receiving and reviewing clients' immigration-related inquiries and assessing...

  • Case Manager

    2 months ago


    Dubai, United Arab Emirates Actalent Full time

    Description:Care Managers perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. Care Managers determine, develop and implement a plan of care based on...

  • Case Manager

    3 weeks ago


    Dubai, United Arab Emirates Actalent Full time

    Description:Care Managers perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. Care Managers determine, develop and implement a plan of care based on...

  • Case Manager

    2 weeks ago


    Dubai, United Arab Emirates COSMOS IMMIGRATION Full time

    Are you passionate about helping individuals navigate the complex immigration process? Do you have excellent communication and organizational skills? We are seeking a dedicated and compassionate Case Manager to join our team at Cosmos Immigration, an established and reputable Immigration Consultancy. **Responsibilities**: - Serve as a primary point of...

  • Case Manager

    1 week ago


    Dubai, United Arab Emirates Dubai Limited Investment Full time

    We are immediately hiring Case Managers for Almadallah Healthcare TPA experience is mandatory Must have 5 years of minimum experience in IP Preautorization department Must have experience in case mangement, field visit and live audit experience Salary-16-18k Pay: AED16,000.00 - AED18,000.00 per month Ability to commute/relocate: - Dubai: Reliably...

  • Case Manager

    6 days ago


    Dubai, Dubai, United Arab Emirates 10-Pro Consulting Full time

    As a case manager for the operation department in an immigration company, your role would involve handling various aspects of immigration cases and ensuring smooth and efficient processes for clients.Your responsibilities would generally include the following: Client Intake: Receiving and reviewing clients' immigrationrelated inquiries and assessing their...

  • Case Manager

    1 month ago


    Dubai, United Arab Emirates Dubai Government Full time

    Organize for client related appointments (legal, medical etc.) and necessary paperwork - Conduct external client visits with in coordination with the relevant departments and the line manager - Enter all client related data in the Case Management System - Forward all new updates on cases to the line manager - Prepare weekly/monthly/quarterly and annual...

  • Case Manager

    6 days ago


    Dubai, Dubai, United Arab Emirates Actalent Full time

    Description:CareManagers perform integrated case management (CM) and diseasemanagement (UM) activities demonstrating clinical judgment andindependent analysis, collaborating with members and those involvedwith members' care including clinical nurses and treatingphysicians. Care Managers determine, develop and implement a planof care based on accurate and...

  • Case Manager

    6 days ago


    Dubai, Dubai, United Arab Emirates Dubai Government Full time

    Organize for client related appointments (legal, medical etc.) and necessary paperwork Conduct external client visits with in coordination with the relevant departments and the line manager Enter all client related data in the Case Management System Forward all new updates on cases to the line manager Prepare weekly/monthly/quarterly and annual reports...


  • Dubai, United Arab Emirates VAS Immigrations Full time

    **Immigration Case Manager | Service Manager** We are looking for an Immigration Case Manager | Service Manager for our Dubai office. **Requirements**: - Must be confident & fluent in speaking English. - Co-ordinate with the client & update them on the progress in timely manner. - Able to work independently and have a professional attitude. - Must be able...


  • Dubai, United Arab Emirates VAS Immigrations Full time

    **Immigration Case Manager | Service Manager** We are looking for an Immigration Case Manager | Service Manager for our Dubai office. **Requirements**: - Must be confident & fluent in speaking English. - Co-ordinate with the client & update them on the progress in timely manner. - Able to work independently and have a professional attitude. - Must be able...

  • Case Manager

    6 days ago


    Dubai, Dubai, United Arab Emirates SAE Dubai Full time

    The job posting is outdated and position may be filled Meeting with clients on a regular basis.Establishing and maintaining effective relationships with key stakeholders.Proactively managing providers.Working in accordance with relevant legislation, health care best practices, and internal policy and procedure.Accurately updating and maintain...

  • Marketing/case Manager

    2 months ago


    Dubai, United Arab Emirates Winson Partners and Legal Consultants Full time

    Job Description: administration - Interviewing clients to assess their needs and develop plans to meet those needs. - Coordinating client meetings with attorneys or other legal professionals as needed. - Coordinating case progress with attorneys, clients, agencies, and other parties involved in the case. - Record cases information, complete accurately all...

  • Visa Case Manager

    4 weeks ago


    Dubai, United Arab Emirates The Visa Services Full time

    The Visa is rapidly growing company providing visa and migration services worldwide. As an accredited migration consultancy, We pride ourselves on our ethics and transparency and collaborate with professionals as well as expert authorities in some of the world’s most appealing destinations to develop immigration services tailored to your...

  • Case Manager

    4 weeks ago


    Dubai, United Arab Emirates Universal Chambers Full time

    The Visa Documentation Advisor must be able to help the client for documentation required. Minimum 1-2 years experience You must take full responsibility of all operations, remaining up to date with any changes to legislation. Visa Documentation Advisor must offer information pertaining to immigration rules, helping clients to obtain visa approvals,...