Case Coordinator – Nurse Case Management
Sheikh Shakhbout Medical City - SSMC · Abu Dhabi
وصف الوظيفة
About the role
The Case Coordinator will work within a multidisciplinary team at Sheikh Shakhbout Medical City to ensure timely, high‑quality patient care. Reporting to the Senior Case Coordinator, you will coordinate providers, manage utilization, and act as a liaison between clinical and revenue departments.
Key responsibilities
- Maintain active communication with physicians, nurses and other team members to manage patient care.
- Coordinate appropriate providers and services to progress each patient’s episode of care.
- Apply evidence‑based medical necessity criteria for admissions, continued stay reviews and payer communications.
- Determine correct level of care placement and manage utilization of resources.
- Provide accurate medical and health‑insurance documentation.
- Identify and resolve variances to clinical pathways and discharge obstacles.
- Monitor length of stay, resource use and report key indicators such as LOS, excess days and readmission rates.
- Advise and educate patients and families based on identified learning needs.
Required profile
- Registered Nurse or equivalent clinical qualification.
- Experience in case management or utilization management within a hospital setting.
- Strong communication skills and ability to work collaboratively with multidisciplinary teams.
- Knowledge of health‑insurance processes and medical documentation requirements.
- Ability to assess psychosocial needs and coordinate with social workers.
Required skills
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Sheikh Shakhbout Medical City - SSMC
Abu Dhabi
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