Job Title
CASE COORDINATOR.Job Family
Function
CORP (SME: CFO-CPHO)Job Code
30009338Reports to Job
Business Unit LeadJob Description Summary
The Case Coordinator independently handles daily operations for a designated patient caseload by assessing, planning, and facilitating the coordination of patient care and evaluates appropriateness of care utilizing evidence.-based tools to ensure smooth patient access and cost.-effective outcomes.Strategic Roles & Responsibilities %
00Strategic Roles & Responsibilities
Operational Roles & Responsibilities %
100Operational Roles & Responsibilities
- Evaluate standard and routine 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.Professional Certifications Required
Refer to applicable JD AddendumYears of Experience
3.-5 years of of experience in relevant fieldLanguages
English:Fully Proficient ; Arabic:Not RequiredFunctional Competencies
- Due Diligence
- Audit Reporting
- Data Collection
Core Competencies
- Excellence
- Integrity
- Accountability
- Cybersecurity
- Person-Centered Care
Acknowledgement
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.Addendum Title
NoSupplemental Work/Experience/Education Information
N/AAddendum Description
N/A