Case Manager

NMC

Sharjah, United Arab Emirates
Patient care coordination
Insurance approvals management
Resource utilization monitoring
The Case Manager is responsible for coordinating patient care, managing insurance approvals, monitoring resource utilization, and ensuring efficient discharge planning while supporting the Revenue Cycle Department

Job Summary

  • The Case Manager is responsible for coordinating patient care, managing insurance approvals, monitoring resource utilization, and ensuring efficient discharge planning while supporting the Revenue Cycle Department.
  • The role focuses on optimizing insurance approvals, reducing claim denials, ensuring medical necessity documentation, and improving hospital revenue through effective case and utilization management in compliance with UAE healthcare regulations.
  • Responsibilities include case management, care coordination, insurance and revenue cycle coordination, real-time visibility and escalation of inpatient pending approvals, utilization management, discharge planning, documentation and compliance, and revenue and quality support.

Matching Summary

The Case Manager is responsible for coordinating patient care, managing insurance approvals, monitoring resource utilization, and ensuring efficient discharge planning while supporting the Revenue Cycle Department.

Skills & Requirements

Must-have

  • patient care coordination
  • insurance approvals management
  • resource utilization monitoring
  • discharge planning
  • medical necessity documentation
  • revenue cycle support

Nice-to-have

  • collaboration with clinical teams
  • payer guidelines compliance
  • cost-effective treatment planning
  • patient throughput improvement

Key Requirements

  • MBBS / MD / BSN degree
  • Certified Professional Coder
  • Minimum 3 years UAE Hospital experience
  • Experience in case management
  • Experience in utilization review
  • Experience in discharge planning
  • Experience working with insurance and TPAs

Work Rights

Not specified

Tailored Resume

Cover Letter