CASE COORDINATION SPECIALIST.

Johns Hopkins Aramco Healthcare

Job Description Summary

The Case Coordination Specialist oversees complex patient cases, advises on issues with internal and external stakeholders and evaluates appropriateness of advanced levels of care utilizing evidence-based tools to enhance the patient experience, ensure patient access and optimize cost-effective outcomes.

Strategic Roles & Responsibilities %

10

Strategic Roles & Responsibilities

• Participate in regular team meetings to discuss Case progress share updates and identify areas for Process Improvement
• Coordinate with internal and external stakeholders to ensure seamless communication and efficient Case resolution

Operational Roles & Responsibilities %

90

Operational Roles & Responsibilities

• Evaluate standard to complex requests from the various stakeholders based on patient benefits coverage agreements and medical necessity utilizing evidencebased tools to ensure patients receive quality costeffective care
• Coordinate patient care to meet the individuals and their familys needs and ensure patient safety quality of care and costeffective outcomes
• Coordinate processing of standard case review and documentation including logging tracking and resolution following established protocols and within defined service level agreements SLAs or provider contracts
• Assist in maintaining uptodate patient documentation and periodic reporting ensuring information completed efficiently and accurately and is readily accessible for review and audits
• Support the continuous patient care access and identifying and escalating anomalies to avoid patient care interruptions

Minimum Education Required

Bachelor s Degree in Nursing or Medicine.

Functional Competencies

• Due Diligence
• Audit Reporting
• Data Collection

Core Competencies

• Excellence
• Integrity
• Accountability
• Cybersecurity
• Person-Centered Care