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Clinical Case Manager

1 week ago


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

Job Overview

NMC Royal Khalifa City seeks a skilled Clinical Case Manager to play a vital role in our healthcare team.

As a Clinical Case Manager, you will be responsible for promoting quality and cost-effective interventions and outcomes. You will work closely with various departments to develop collaborative strategies and ensure seamless patient care.

Responsibilities

  1. Promote quality and cost-effective interventions and outcomes by coordinating with cross-functional teams.
  2. Record cases information accurately, complete necessary forms, and produce statistical reports to support data-driven decision-making.
  3. Foster effective working relationships with administrative, medical, and RCM teams throughout the case management process.
  4. Handle case assignments, draft service plans, review case progress, and determine case closures to ensure timely resolution.
  5. Evaluate healthcare treatments and negotiate cost-effective options to manage DRG effectively.
  6. Assist in timely discharge planning to optimize patient outcomes.
  7. Evaluate documentation rigor and code assignment to ensure fair remuneration.
  8. Develop training sections to prevent rejections and improve overall quality.
  9. Audit files to identify vulnerabilities and alert concerned departments.
  10. Perform all other duties assigned by hospital administrators while maintaining compliance with OSH policies and procedures.