Case Manager

• Promote quality and cost-effective interventions and outcomes. • Record case information, complete all necessary forms accurately and prepare statistical reports. • Develop effective working relationships and provide feedback to administrative, medical and RCM teams throughout the entire case management process. • Handle case assignments, draft service plans, review case progress and determine case closures. • Evaluate healthcare treatments and negotiate the most cost-effective options available to manage DRG. • Assist in timely patient discharge. • Evaluate the accuracy and completeness of documentation and code assignment during inpatient stays, in coordination with doctors, to ensure fair remuneration. • Evaluate and develop training sessions to avoid rejections. • Analyse and manage rejections and coordinate with responsible departments to develop collaborative strategies. • Audit files and highlight vulnerabilities to the concerned departments. • Perform all other duties and responsibilities assigned by the Hospital Administrator. • Comply with all OSH (Occupational Safety and Health) and infection control policies, standards and procedures, and cooperate with hospital management to meet these requirements. • Work in accordance with documented OSH procedures, instructions and specific responsibilities. • Be familiar with emergency and evacuation procedures. • Notify OSH of hazards, incidents, near misses and issues, and assist with the preparation of risk assessments and incident reports. • Comply with waste management procedures and policies. • Attend applicable OSH/infection control training programmes, mock drills and awareness programmes. • Use appropriate personal protective equipment and safety systems. • Ensure, as far as reasonably practicable, that workplaces under their management or control are safe and free from risks to health, safety and the environment. • Ensure implementation of applicable HAAD, NMCSH OSHMS and infection control policies and standards. • Ensure adequate budget and resources for FMS/OSH/PCI management. • Designate a Safety Facilitator responsible for coordinating OSH activities within the department. • Regularly discuss OSH issues and matters in departmental/management meetings. • Ensure the provision of OSH information, training and supervision. • Implement and monitor the effectiveness of the risk management programme. • Sound clinical training and background. • Medical/Allied Health graduate. • Sound knowledge of coding, billing, auditing, approvals and clinical practices. • Relevant coding certification. • Auditing certification/training is preferred. • Minimum 5 years of clinical experience in a hospital. • 1–2 years of supervisory experience.