Case Manager

1 week 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 and comprehensive assessment of the member's needs. Care Managers apply detailed knowledge of established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case. Responsibilities:

  • Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs.
  • Applies detailed knowledge of FEP PPO established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case.
  • Works with complex cases, promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits.
  • Provides guidance to the provider network via telephone triage.
  • Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care via phone/ computer work.
  • Makes referrals to Quality Management, Catastrophic Case Management and Appeals and Grievance Department via computer and virtual meetings.

Skills:

Acute care, acute, nurse, clinical, healthcare, Case management, Utilization management, Utilization review, Insurance

Top Skills Details:

Acute care, acute, nurse, clinical, healthcare,Case management

Additional Skills & Qualifications:

  • Bachelor' s of Science in Nursing or advanced degree preferred.
  • Active Oklahoma RN license required.
  • Must have specialty training in one of the following specialized areas: case management, .
  • 5 years experience in case management, utilization Review

Experience Level:

Intermediate Level

About Actalent

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

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

  • Hiring diverse talent
  • Maintaining an inclusive environment through persistent self-reflection
  • Building a culture of care, engagement, and recognition with clear outcomes
  • Ensuring growth opportunities for our people

  • Case Manager

    1 week 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 week 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

    1 week 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...

  • Case Manager

    1 week 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...

  • Case Manager

    1 week ago


    Dubai, 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 experienceYou 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, conducting...


  • Dubai, 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...

  • Case Manager

    1 week ago


    Dubai, 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 experienceYou 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, conducting...


  • Dubai, Dubai, United Arab Emirates Illimite M Full time

    Reputable Immigration Company is looking for Case Processing Manager to handle Canadian Immigration Applications.Two (2) years of experience in Canadian Immigration Case Processing is a MUSTYou need to know:1-Intire process of Express Entry, Provincial Nominee Programs, Visit Visas Applications, Student Visas Applications2- Processing knowledge of all six...


  • Dubai, Dubai, United Arab Emirates Dubai Government Full time

    Responsible for overall internal client management in terms of end to end implementation of policies of services defined Design & conduct regular meetings with clients on a need basis to ensure execution of case plan Liaise with the Housing Manager to ensure discipline and compliance with defined norms Singly responsible to liaise with call centre after...


  • Dubai, Dubai, United Arab Emirates Health eCareers Full time

    Essential Responsibilities Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use....


  • Dubai, Dubai, United Arab Emirates Brightway Visas Servicess Full time

    We are looking for a Case Processing Manager who can join us immediately.You must oversee the completion of all relevant visa and immigration documents and ensure that they are received within the time limit set.Ensure that all of the information provided by the client is accurate and correct, preparing and checking all legal documents.Prepare and file all...


  • Dubai, 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, Dubai, United Arab Emirates Borderless Migration Full time

    An immigration case manager provides advocacy and case management services for immigrants.Are you looking for the kind of opportunity that challenges you to use the skills you've worked hard to build? We can helpWe are looking for an experienced case manager with vast experience in the immigration field in UAE. 1) Provide detailed consultation regarding...


  • Dubai, Dubai, United Arab Emirates VAS Immigrations Full time

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

  • Case Manager

    1 week ago


    Dubai, Dubai, United Arab Emirates Mediclinic Middle East Management Services FZ LLC Full time

    Choose how often (in days) you want to receive a notification:Closing date: Number of positions: 1Recruiter name: Fatma Alharthi Reference number: 50869 Workplace Type: Mediclinic Al Ain Hospital | Al Ain | United Arab EmiratesMAIN PURPOSE OF JOBEffectively and efficiently manage the hospital case management process and facilitate the communication process...


  • Dubai, Dubai, United Arab Emirates SIAS GROUP Full time

    Specialized Immigration Advisory Services (SIAS Group)is one of the leading Immigration Consultancy based in Dubai. We are currently recruiting enthusiastic Immigration Case Processing Officer.- **You should have knowledge about Immigration Programs, specifically European countries and Canada. Handling Case files of Europe and Canada Client retention and...


  • Dubai, Dubai, United Arab Emirates DIFC Courts Full time

    GradeDivisionReporting Line P2 DIFC Courts RegistrarJob PurposeResponsible for day-to-day management of Claims and Applications in the Court of First (CFI), Court of Appeal, Small Claims Tribunal (SCT), Probate, and Enforcement (ENF). The CPO will work closely with the Registrars in the management of the cases coming through the Registry.Areas of...

  • Case Manager

    1 week ago


    Dubai, Dubai, United Arab Emirates VALTRANS TRANSPORTATION SYSTEMS & SERVICES Full time

    Responsibilities: Pro actively monitoring changes in various immigration regulations. Meeting clients with submission of documents, explanation of immigration process procedures and documentation assistance. Handling complaints in a proper manner and escalating issues if appropriate to the management for further investigation and reviews. Preparing clients...


  • Dubai, Dubai, United Arab Emirates west avenue visa services Full time

    Responsibilities:Give clear and accurate information based on the current immigration & visa laws & policies.Achieve excellent customer service by proactively responding to client queries and advising customers on their overseas immigration and visa needs.High level of product knowledge in the relevant and works experienced fields.Ability to co-ordinate in a...


  • Dubai, Dubai, United Arab Emirates Medical Services outsourced Full time

    > Manages an active caseload of case management cases and provides one on one case management to customers to improve health status, reduce health risks and improve quality of life. Uses clinical knowledge and approved guidelines and tools to assess diagnosis and treatment plans and goals and identifies gaps in care or risks for readmission or complications....