Case Manager

7 days ago


Abu Dhabi, Abu Dhabi, United Arab Emirates NMC Royal Khalifa City Full time

Job Description

Rejection analysis, management and coordination with responsible departments in developing collaborative strategies and promote quality and cost-effective interventions and outcomes.

Responsibilities

  1. Promote quality and cost-effective interventions and outcomes.
  2. Record cases information, complete accurately all necessary forms and produce statistical reports.
  3. Develop effective working relations and provide feedback to administrative, medical, and RCM team throughout the entire case management process.
  4. Handle case assignments, draft service plans, review case progress and determine case closures.
  5. Evaluate healthcare treatments and negotiate the most cost-effective options available to manage DRG.
  6. Assist in timely discharge.
  7. Evaluate the rigor of documentation and code assignment (during IP stay with doctors) to ensure fair remuneration.
  8. Evaluate and develop training sections to avoid rejections.
  9. Audit files and alert vulnerabilities with concerned departments.
  10. All other duties and responsibilities assigned by hospital administrator.
  11. Comply with all OSH (Occupational Safety and Health) and infection control policies, standards and procedures and cooperate with hospital management to comply with those requirements.
  12. Work in accordance with the documented OSH procedures and instructions, specific responsibilities.
  13. Be familiar with emergency and evacuation procedures.
  14. Notify OSH Hazards, incidents, near misses and issues and assist with the preparation of risk assessments and incident reports.
  15. Comply with waste management procedures and policies.
  16. Attend applicable OSH/Infection control training programs, mock drills and awareness programs.
  17. Use appropriate personal protective equipment and safety systems.
  18. Ensure, as far as reasonably practicable, that any workplaces they manage or control are safe and without risks to health, safety or the environment.
  19. Ensure implementation of applicable HAAD, NMCSH OSHMS and infection control policies and standards.
  20. Ensure adequate budget and resources for FMS/OSH/PCI management.
  21. Designate a Safety facilitator who will be responsible for coordinating OSH activities within the department.
  22. Regularly discuss OSH issues or matters in departmental/management meetings.
  23. Ensure provision of OSH information, training and supervision.
  24. Implement and monitor effectiveness of risk management program.

Qualifications

  1. Sound clinical training and background.
  2. Medical/Allied Graduate.
  3. Sound coding, billing, auditing approval and clinical knowledge.
  4. Certification in coding.
  5. Preferred auditing certification/training.
  6. Clinical experience of 5 years in a hospital.
  7. 1-2 years supervisory experience.
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