Case Coordinator-Nurse

Website Sheikh Shakhbout Medical City - SSMC

Job Description:

This position will coordinate with the multidisciplinary team and any other appropriate and accredited healthcare provider in the provision of quality patient care, under the guidance and supervision of the Senior Case Coordinator. The case coordinator will coordinate appropriate providers and access appropriate services to progress the patient’s episode of care in a timely manner.

Job Responsibilities:

  • Assesses and intervenes to address psychosocial needs including patient, family and community and collaborates with social workers as appropriate
  • Supports physicians in relation to Clinical Documentation impacting Medical Necessity, Case Mix Index, and Severity of Illness
  • Monitors length of stay and resource use on an ongoing basis and discusses trends with Senior Case Manager
  • Assists in the collection and reporting of indicators including LOS, excess days, resource utilization, and readmission rates.
  • Provides accurate medical documentation and health insurance documentation
  • Facilitates resource utilization- ensuring the available funding meets the clinical needs
  • Acts as a liaison between clinician and revenue department
  • Identifies and resolves variances to clinical pathways and obstacles to discharge.
  • Consults from appropriate disciplines/departments as required expediting care and facilitating discharge.
  • Ensures patient care is rendered to the maximum stipulation based on the patient’s benefits under the Insurance contract without exceeding the providers’ provision for the cost of care
  • Monitors and intervening as necessary to achieve desired goals and outcomes for both the patient and the hospital
  • Maintains active communication with physicians, nursing, and other appropriate members of the multidisciplinary team for the appropriate patient care management.
  • Participates in regular communication and feedback with Senior Case Coordinator.
  • Manages evidence-Based Medical Necessary screening criteria in support of admission and continued stay reviews and communicates with payers as necessary

Job Requirements:

  • 6 years’ experience in SSMC as staff nurse
  • OR
  • 6 years of experience of which not less than 2 years in Case Management in a similar health care facility
  • Degree in Nursing (minimum two (2) years course duration) and Registration as a Registered Nurse from Canada, USA, UK, Ireland, South Africa, New Zealand, and Australia
  • Valid/Current national license.
  • BLS
  • Bachelor’s Degree in Nursing

Job Details:

Company: Sheikh Shakhbout Medical City - SSMC

Vacancy Type: Full Time

Job Location: Abu Dhabi, UAE

Application Deadline: N/A

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