غيّر الى العربية

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Case Manager at Capital Health Specialized Rehabilitation Hospital in Abu Dhabi , Al Ain , Dubai - United Arab Emirates

Experience: 2 - 8 yrs. | Opening: 1
Education:Basic - Bachelor of Science(Nursing)
Nationality: Any Arabic National, Any GCC National, Any European National, Emirati (UAE)
Industry Type: Medical / Healthcare / Diagnostics / Medical Devices
Functional Area:Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research Nov 28, 2018


Job Description

ESSENTIAL FUNCTION:
• Coordinates with all appropriate providers and access appropriate services to progress the patient’s episode of care in a timely manner.
• Apply appropriate evidence based medical necessary screening criteria in support of admission and continued stay reviews and communicates with payers as necessary
• Coordination/ delegation to multidisciplinary team members, to ensure patient care progress patient care progression throughout the continuum, to ensure that necessary services are provided at the most appropriate level of care and there is a smooth progression of the patient throughout the healthcare system.
• Directs and supervise staff to seek consultation from appropriate disciplines / departments as required to expedite care and facilitate discharge.
• Possesses working knowledge of patient’s benefits under Insurance contract to ensure patient care is rendered to the maximum stipulation but does not exceed the providers’ provision for cost of care and collaborations with team to obtain documentation to support medical necessity.
• Facilitates, directs and delegates the following in a timely manner:
o advocacy & education of the patient, family and relevant others
o transition management to ensure the patient is transitioned to the appropriate level of care
o monitoring and intervening as necessary to achieve desired goals and outcomes for both the patient and the hospital
• Early assessment and intervention to address psychosocial needs including patient, family and community.
• Communicate closely with Utilization & financial managers regarding insurance and other financial issues to ensure appropriate reimbursement for services
• Completion of all required documentation in patient medical file.
• Obtains and maintains appropriate releases of information
• Completes Case management and quality screening for assigned patients
• Applies approved utilization acuity criteria to monitor appropriateness of admissions and continued stay and documents findings based on department standards.
• Monitors length of stay and resource use on an ongoing basis.
• Uses quality screens to identify potential issues and facilitates appropriate planning and interventions


Keyword: Case Manager , Hospital , patient, patient care , medical file, Maintaining, Patient care , Health care, Case management
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