6 Shelter Operations jobs in the United Arab Emirates

• Maintains active communication with physicians, nursing, and other appropriate members of the multidisciplinary team for the appropriate patient care management.
• Participates in regular communication and feedback with Senior Case Coordinator.
• Manages evidence-Based Medical Necessary screening criteria in support of admission and continued stay reviews and communicates with payers as necessary
• Determines Correct Level of care placement- utilization management
• Provides accurate medical documentation and health insurance documentation
• Facilitates resource utilization- ensuring the available funding meets the clinical needs
• Acts as a liaison between clinician and revenue department
• Identifies and resolves variances to clinical pathways and obstacles to discharge.
• Consults from appropriate disciplines/departments as required expediting care and facilitating discharge.
• Ensures patient care is rendered to the maximum stipulation based on the patient’s benefits under the Insurance contract without exceeding the providers’ provision for the cost of care
• Monitors and intervening as necessary to achieve desired goals and outcomes for both the patient and the hospital
• Assesses and intervenes to address psychosocial needs including patient, family and community and collaborates with social workers as appropriate
• Supports physicians in relation to Clinical Documentation impacting Medical Necessity, Case Mix Index, and Severity of Illness
• Monitors length of stay and resource use on an ongoing basis and discusses trends with Senior Case Manager
• Assists in the collection and reporting of indicators including LOS, excess days, resource utilization, and readmission rates.
• Acts as a patient advocate in facilitating education based on identified learning needs of the patient and/or those providing care and documents appropriately
  

The role of the new entrant Case Coordinator is to coordinate the multidisciplinary team and any other appropriate and accredited healthcare provider in the provision of quality patient care under the guidance and supervision of the Senior Case Coordinator.

The role includes advocacy & education, facilitation, transition & financial management, outcomes & psychosocial management to promote quality, safe, and timely transition through the healthcare system.

Under supervision and guidance from the Senior Case Coordinator, the case coordinator will coordinate appropriate providers and access services to progress the patient's episode of care in a timely manner.

Until competency is achieved as per evaluation, the Case Manager will develop patient care plans including:

• Correct Level of care placement - Utilization Management
• Care Facilitation along the Continuum of Care, monitoring against Clinical Pathway, and transition plans
• Proactive Discharge Planning
• Facilitation of accurate medical and insurance documentation
• Resource Utilization, ensuring funding meets clinical needs
• Linking physicians with finance

Participate in communication and feedback with Senior Case Coordinator. Apply appropriate Evidence-Based Medical Necessary screening criteria for admission and stay reviews, communicating with payers as needed.

Coordinate/delegate to multidisciplinary team to ensure patient care progression, working collaboratively with physicians, nursing, and other team members to ensure timely and appropriate management.

Understand patient benefits under insurance contracts to maximize care within cost constraints and collaborate to obtain necessary documentation.

Monitor patient progress, consult with Senior Case Coordinators, and intervene as necessary to ensure quality, efficient, and patient-focused care.

Facilitate advocacy, transition management, psychosocial needs assessment, and communication with financial managers. Complete documentation, obtain releases, and perform case management and quality screening.

Participate in performance improvement activities, collect and report indicators, analyze data, and support quality assurance programs. Assist in developing CQI processes and participate in projects related to clinical pathways, quality tools, and data analysis.

Support physicians regarding clinical documentation, medical necessity, case mix, and severity of illness. Educate and counsel patients and families, staying updated on professional practice developments.

Criteria for submission

Qualifications:

• Bachelor degree in Nursing OR
• Associate degree in Nursing from Canada or USA (minimum 2 years) AND
• Successful completion of the National exam (NCLEX - RN for USA, Provincial Licensing Exam for Canada) OR
• Diploma in Nursing and Midwifery (minimum 3.5 years) OR
• Diploma in Nursing (minimum 3 years)

Experience:

• Charge Nurse experience (2 years) in Case Management OR
• Staff Nurse experience (4 years) in Case Management OR
• Current SEHA Senior Charge Nurse, Charge Nurse, or Staff Nurse with completed SEHA Case Management Training Program (for current SEHA employees only)

Desired:

• Experience in large healthcare facilities

Specialist Certifications:

• Required: Case Management Certification from an international accreditation body (e.g., ANCC, ACMA, CMSA, AACM) for external hiring
• Desired: Same certification for existing staff and internal hiring

If you meet the requirements, please email your Employee ID and updated CV to Mariam Ali Al Jaberi at the Recruitment Section.

The role of the new entrant Case Coordinator is to coordinate the multidisciplinary team and any other appropriate and accredited healthcare provider in the provision of quality patient care under the guidance and supervision of the Senior Case Coordinator.

The role includes advocacy & education, facilitation, transition & financial management, outcomes & psychosocial management to promote quality, safe, and timely transition through the healthcare system.

Under supervision and guidance from the Senior Case Coordinator, the case coordinator will coordinate appropriate providers and access services to progress the patient's episode of care in a timely manner.

Until competency is achieved as per evaluation, the Case Manager will develop patient care plans including:

• Correct Level of care placement - Utilization Management
• Care Facilitation along the Continuum of Care, monitoring against Clinical Pathway, and transition plans
• Proactive Discharge Planning
• Facilitation of accurate medical and insurance documentation
• Resource Utilization, ensuring funding meets clinical needs
• Linking physicians with finance

Participate in communication and feedback with Senior Case Coordinator. Apply appropriate Evidence-Based Medical Necessary screening criteria for admission and stay reviews, communicating with payers as needed.

Coordinate/delegate to multidisciplinary team to ensure patient care progression, working collaboratively with physicians, nursing, and other team members to ensure timely and appropriate management.

Understand patient benefits under insurance contracts to maximize care within cost constraints and collaborate to obtain necessary documentation.

Monitor patient progress, consult with Senior Case Coordinators, and intervene as necessary to ensure quality, efficient, and patient-focused care.

Facilitate advocacy, transition management, psychosocial needs assessment, and communication with financial managers. Complete documentation, obtain releases, and perform case management and quality screening.

Participate in performance improvement activities, collect and report indicators, analyze data, and support quality assurance programs. Assist in developing CQI processes and participate in projects related to clinical pathways, quality tools, and data analysis.

Support physicians regarding clinical documentation, medical necessity, case mix, and severity of illness. Educate and counsel patients and families, staying updated on professional practice developments.

Criteria for submission

Qualifications:

• Bachelor degree in Nursing OR
• Associate degree in Nursing from Canada or USA (minimum 2 years) AND
• Successful completion of the National exam (NCLEX - RN for USA, Provincial Licensing Exam for Canada) OR
• Diploma in Nursing and Midwifery (minimum 3.5 years) OR
• Diploma in Nursing (minimum 3 years)

Experience:

• Charge Nurse experience (2 years) in Case Management OR
• Staff Nurse experience (4 years) in Case Management OR
• Current SEHA Senior Charge Nurse, Charge Nurse, or Staff Nurse with completed SEHA Case Management Training Program (for current SEHA employees only)

Desired:

• Experience in large healthcare facilities

Specialist Certifications:

• Required: Case Management Certification from an international accreditation body (e.g., ANCC, ACMA, CMSA, AACM) for external hiring
• Desired: Same certification for existing staff and internal hiring

If you meet the requirements, please email your Employee ID and updated CV to Mariam Ali Al Jaberi at the Recruitment Section.

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Job Description
The role of the new entrant Case Coordinator is to coordinate the multidisciplinary team, and any other appropriate and accredited healthcare provider in the provision of quality patient care, under the guidance and supervision of the Senior Case Coordinator
Responsibilities
Managerial The role includes advocacy & education, facilitation, transition & financial management, outcomes & psychosocial management in order to promote quality, safe and timely transition through the healthcare system.
Under supervision and guidance from the Senior Case Coordinator, the case coordinator will coordinate appropriate providers and access appropriate services to progress the patient’s episode of care in a timely manner.
Until competency level has been achieved as per competency evaluation, the Case Manager will develop patient care plans to include:

• Correct Level of care placement- Utilization Management
• Care Facilitation along the Continuum of Care, monitoring against Clinical Pathway, and facilitation of transition plans
• Proactive Discharge Planning
• Facilitation of accurate medical documentation and health insurance documentation
• Facilitation of Resource Utilization- ensuring the available funding meets the clinical needs
• Links the physician staff with finance.
  

• Actively participate in regular communication and feedback with Senior Case Coordinator.
• Under guidance, apply appropriate Evidence Based Medical Necessary screening criteria in support of admission and continued stay reviews and communicates with payers as necessary.
• Under supervision, coordinate/ delegate to multidisciplinary team members, to ensure 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 by:
• Working collaboratively and maintaining active communication with physicians, nursing and other appropriate members of the multidisciplinary team to effect timely, appropriate patient management.
• Proactively identifies and resolves variances to clinical pathway and obstacles to discharge.
• Seek consultation from appropriate disciplines / departments as required to expedite care and facilitate discharge.
• Learns and comprehends, 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.
• Monitors the patient’s progress, consulting with Senior Case Coordinators on appropriate intervention as necessary to ensure that the plan of care and services provided are patient focused, quality, efficient and cost effective.
• Seeks consultation with the Senior Case Coordinator to facilitate and coordinate the following in a timely manner:
• advocacy & education of the patient, family and relevant others by appropriate care team members
• transition management to ensure the patient is transitioned to the appropriate level of care
• monitoring and intervening as necessary to achieve desired goals and outcomes for both the patient and the hospital
• early assessment and intervention (once deemed competent) to address psychosocial needs including patient, family and community and collaborates with Social Workers as appropriate
• communicate closely with Utilization & financial managers regarding insurance and other financial issues to ensure appropriate reimbursement for services (once deemed competent)
• 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 (once deemed competent)
• Under supervision of Senior Case Coordinator, 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 and discusses trends with Senior Case Manager.
• Uses quality screens to identify potential issues, discuss with Senior Case Manager appropriate planning and interventions.
  

• Participates in clinical performance improvement activities
• Assists in the collection and reporting of indicators including LOS, excess days, resource utilization, and readmission rates.
• Gather, interpret, and use data to identify problems and trends and to demonstrate outcomes and cost-effectiveness
• Participates in Quality Assurance programs within the clinical care setting
• Assists in development of CQI processes for Case Management
• Actively participates in the development and implementation of Case Management projects including Clinical Pathways, Quality Improvement tools, data analysis and variance reporting
• Supports physicians in relation to Clinical Documentation impacting Medical Necessity, Case Mix Index, and Severity of Illness
  

• Planning, teaching, supervising and counseling (as required) regarding physical care measures to promote improvement/recover, symptom/complication management, expected disease progression, social/emotional care and community resources
• Keeping abreast of Professional Case Management Practice development and updating requirements.
• Facilitating patient education based on identified learning needs of the patient and/or those providing care and documents appropriately
  

• Charge Nurse experience as per DOH PQR /+ 2 years experience Case Management
  

• Staff Nurse experience as per DOH PQR / + 4 years experience Case Management
  

• Being current SEHA Senior Charge Nurse or Charge Nurse or Staff Nurse with no experience in Case Management but Completed SEHA Case Management Training Program in lieu of Experience required (this condcition is applicable only for current SEHA employees not new joiners)
  

• Seniority levelEntry level

• Employment typeFull-time

• Job functionOther
• IndustriesHospitals and Health Care

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