Case Coordinator / Nurse-Case Management

Abu Dhabi, United Arab EmiratesJob DescriptionThis position will coordinate with 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 case coordinator will coordinate appropriate providers and access appropriate services to progress the patient’s episode of care in a timely manner.ResponsibilitiesMaintains 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 necessaryDetermines Correct Level of care placement- utilization managementProvides accurate medical documentation and health insurance documentationFacilitates resource utilization- ensuring the available funding meets the clinical needsActs as a liaison between clinician and revenue departmentIdentifies 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 careMonitors and intervening as necessary to achieve desired goals and outcomes for both the patient and the hospitalAssesses and intervenes to address psychosocial needs including patient, family and community and collaborates with social workers as appropriateSupports physicians in relation to Clinical Documentation impacting Medical Necessity, Case Mix Index, and Severity of IllnessMonitors length of stay and resource use on an ongoing basis and discusses trends with Senior Case ManagerAssists 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 appropriatelyAccountabilities:Monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient-focused, quality efficient, and cost-effective.Plans utilization of resources and ensures the available funding meets the clinical needsFacilitates along the Continuum of Care, monitoring against Clinical Pathway, and facilitation of transition plansQualificationsEducational Qualification:Required:Bachelor’s Degree in NursingDegree in Nursing (minimum two (2) years course duration) and Registration as a Registered Nurse from Canada, USA, UK, Ireland, South Africa, New Zealand, and AustraliaValid/Current national license.BLSSpecialist Certifications:Required:Case Management CertificationDesired:N.A.Experience:Required:6 years’ experience in SSMC as staff nurseOR6 years of experience of which not less than 2 years in Case Management in a similar health care facilityDesired:Experience in Large Healthcare facilityJob InfoJob Identification 1470Job Category NursingPosting Date 02/24/2026, 05:21 PMDegree Level Bachelor's DegreeJob Schedule Full timeWorking Type ShiftLocations Abu Dhabi, United Arab EmiratesBusiness Unit SSMC BULegal Employer Sheikh Shakhbout Medical City LLC#J-18808-Ljbffr