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Job Description

Case Manager



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MAIN PURPOSE OF JOB



Effectively and efficiently manage the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation

REQUIRED EDUCATION



Essential: Bachelor Degree or Diploma in Nursing or Medicine Non-licensed Physician
Desired: Bachelors or Master’s Degree in Healthcare Management from a recognised institution Certificate in Clinical Coding (CCS/CCA/CPC/CPMA)

REQUIRED EXPERIENCE



Essential: At least 3 years’ experience in a clinical, insurance, medical auditing or coding role in a DRG billing environment within the UAE of which at least 1 year was in UAE Healthcare
Desired: Experience in Theatre and/or ICU, Medical Insurance/funders background; experience in private healthcare environment or experience as a paramedic

REQUIRED JOB SKILLS AND KNOWLEDGE



Application of clinical codes Computer literacy and proficiency in MS Office applications Electronic Health Records systems and related best practice Healthcare revenue cycle management and billing processes ICD-10 CM, CPT and DRG coding system Knowledge of scientific nursing processes and associated procedures Patient administration systems and related processes Understanding of and working knowledge of the typical patient journey through a hospital and the various service points of contact

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