Qureos Mentor

Fakeeh Care Group

<div>
 
 Description
 
 
 
 Key Responsibilities and Duties:
 
 
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 The primary duty of a Cardiovascular Perfusionist - Senior Cardiovascular Perfusionist is the operations of the
 
 
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 Heart-Lung machine and provides cardiovascular perfusion for a patient cardiac or non-cardiac surgery.
 
 
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 Reviews patient&rsquo;s medical history such as pathological stage and infections, type of surgery planned for
 
 
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 conditions and diagnosis.
 
 
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 Follows priming protocols for adults, pediatrics and infants. Priming the circuit with fluids as per protocol or
 
 
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 in consultation with surgeon/anesthetist for any special care.
 
 
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 Uses of drugs in priming solutions as per protocol for adults pediatric and infants. Addition of other drugs
 
 
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 and their doses only on the advice of the anesthetist.
 
 
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 Assembles and prepares additional equipment as per the requirement of the surgery or patient care, before,
 
 
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 after, during or after bypasses namely IABP etc.
 
 
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 Ensures what disposables to be used depending on adult, pediatric, or infant patients, keeping in mind cost
 
 
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 containment without compromising on performance and safety of perfusion circuit.
 
 
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 Checks the dates of sterilizations, date of expiry of disposables, fluids and drugs before using them.
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 Checks the integrity of the disposable materials to be used for damage and checks.
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 Assembles the cardiopulmonary bypass circuit under strict sterile conditions care and precautions.
 
 
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 Cardiovascular Perfusionist - Senior Cardiovascular Perfusionist is further responsible for protection against
 
 
 any damage during perfusion procedure.
 
 
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 Disposes the waste and disposables after every use in a proper manner and following color coding disposable
 
 
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 bags for life threatening diseases like HIV, hepatitis etc.
 
 
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 Ensures the safety of the patient undergoing procedure by following safety steps avoiding entry of micro and
 
 
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 macro emboli in the circuit and not allowing the oxygenating device to be empty.
 
 
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 Maintains adequate blood flow for the patent undergoing perfusion procedure. Calculating proper blood flow
 
 
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 according to the protocol and maintaining throughout bypass.
 
 
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 Maintains adequate blood pressure for the patient undergoing CPB within limitations of CPB circuit and
 
 
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 surgical procedure and physiological limitations of the patient, with extra care for the patients with cerebral
 
 
 and renal diseases.
 
 
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 Maintains adequate oxygenation of blood during CPB by assessing patients&rsquo; pre-existing condition and type of
 
 
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 surgery schedule to choose proper and suitable oxygenating device keeping in mind the age of the patient
 
 
 whether adult, pediatric or infant.
 
 
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 Operates suction pumps and devices that remove blood from the operating field or venting and
 
 
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 decompressing various chambers of the heart. Having knowledge and understanding the significance of
 
 
 blood trauma by these devices.
 
 
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 Maintains and regulates blood temperatures and thereby patient&rsquo;s body temperature. Safe use of adequate
 
 
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 temperature gradients when cooling or re-warming and using the proper devices to accomplish the
 
 
 procedure safely.
 
 
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 Monitors various parameters and in-line devices for the patient's absolute safety:
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 Electrocardiogram.
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 Arterial Blood pressure.
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 Central venous and LA pressures.
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 Aortic cannula pressure.
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 Patient temperatures rectal and skin.
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 Venous blood and arterial blood temperatures.
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 Oxygen flow.
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 Blood flow rate.
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 Cardiac Index.
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 Myocardial protection temperature.
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 Aortic cross clamp time.
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 Bypass time.
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 Heparin time.
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 ACT Laboratory (Pre-bypass).
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 Intra-Aortic balloon pump and cell saver. Kidney perfusion for renal transplants etc.
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 Educates patients and their families about health conditions, treatments and preventative measures if
 
 
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 applicable.
 
 
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 Duties related to Senior Cardiovascular Perfusionist: - Monitors inventory and open-heart supplies on daily basis and control the supplying process of consumables
 
 
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 needed for surgery procedures. - Prepares the daily staff work assignment, on call schedule for perfusionist, vacation plan and training
 
 
 workshop. - Prepares the inventory items equipment needs to perform open heart surgical procedures. Communicates
 
 
 with companies for any delivery or any technical support. - Database management for department statistic for procedure, research and any required data/ information
 
 
 related to department
 
 
 
 Requirements
 
 
 
 Job Requirements
 
 
 Skills and Abilities: -
 
 
 
 Experience
 
 
 
 Minimum of 5 years. Be able to perform individually, do perfusion to adult, pediatric
 
 
 and infant patients during Open Heart Surgery with accuracy and efficiency Excellent
 
 
 background knowledge of medical terminology and general knowledge of anatomy of
 
 
 heart, lungs and great vessels and also general human physiology
 
 
 Education: University Science Graduate, Post Graduate or Basic Medical Doctor or a Diploma or
 
 
 Post Graduate Diploma in Perfusion Technology from reputable University or Hospital
 
 
 Language: English &amp; Arabic Preferable
 
 
 Licenses / Certifications: License for practice as per the regional health regulatory authority e.g. (SCFHS /
 
 
 DHA), BLS and ACLS
</div>

Cardiovascular Perfusionist

<div>
 
 Description
 
 
 
 
 Job Purpose:
 
 
 
 The Charge Nurse plays a key role in balancing the demands of patient care with the management of the nursing team and unit operations, ensuring that both patient needs and staff performance are addressed effectively during the shift and performing all the duties of staff nurse when required.
 
 
 
 Key Responsibilities And Duties
 
 
 
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 Clinical Oversight:
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 Ensures patient care is delivered effectively and efficiently, including overseeing patient assessments, care plans, and treatment interventions.
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 Supervises and supports nursing staff and students, including scheduling shifts, managing workloads, and providing guidance and preceptorship.
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 Monitors and evaluates the nursing team's quality of care, addressing issues related to patient safety and care standards.
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 Conducts purposeful rounding on the unit, visiting and interacting with patients and staff to ensure their needs are met, prevent complications, and improve overall care quality.
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 Administrative Responsibilities:
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 Coordinates patient care with other healthcare professionals, including physicians, therapists, and social workers, to ensure comprehensive and continuous care.
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 Oversees accurate and timely patient care and nursing documentation, ensuring compliance with legal and regulatory requirements.
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 Organize and oversee the unit's daily activities, completing all tasks promptly, including patient monitoring, Procedures, admissions, transfers, and discharges.
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 Conduct unit rounds every shift to ensure all rooms were ready to use and all required maintenance requests were in place.
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 Ensure the completion of daily unit assignments and countercheck the compliance of all unit staff.
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 Ensure compliance with the infection control practice by all disciplines.
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 Monitor and countercheck the compliance of all bundles.
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 Emergency and Crisis Management:
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 Leads the response to emergencies, including coordinating with emergency services and ensuring appropriate actions are taken.
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 Addresses and resolves unexpected issues or complications during patient care or within the unit.
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 Staff Development and Training:
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 Supports staff training and continuing education to ensure that nursing staff remain current with best practices and new developments in healthcare. Supports and participates in continuous educational activities.
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 Conducts performance evaluations for nursing staff during the shift, providing feedback and identifying areas for improvement.
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 Resource Management:
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 Manages and oversees medical supplies and equipment, ensuring that necessary resources are available and in good condition.
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 Monitors and manages the unit&rsquo;s budget, including controlling costs and ensuring efficient use of resources.
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 Leadership and Decision-Making:
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 Provides leadership and support to the nursing team, fostering a positive work environment and promoting teamwork and collaboration.
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 Makes critical decisions regarding patient care, staff management, and operational issues, often under pressure and with limited information.
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 Communication and Collaboration:
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 Conducts safety huddles at the beginning of the shift or as needed to enhance patient safety and improve communication among the healthcare team.
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 Facilitates effective communication within the nursing team and between different departments, ensuring that information is shared promptly and accurately. Escalate concerns to the unit manager, nursing supervisor, and multidisciplinary team.
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 Addresses patient and family concerns, updating patient status and ensuring their needs and preferences are considered.
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 Manages and resolves conflicts or issues among staff, patients, or families professionally and constructively.
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 Demonstrates compassionate communication skills while providing support and care to the patients and staff.
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 Maintain a positive and proactive approach to challenges.
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 Educates patients and their families about health conditions, treatments, and preventive measures.
 
 
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 All Fakeeh Care employees are responsible for continuous improvement, including:
 
 
 
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 Performing all duties and tasks in a manner that supports Fakeeh&rsquo;s Person-Centered care values.
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 Actively contributing to continuous improvement initiatives, within the scope of the role.
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 Adherence to safety protocols and proactively seeking to address any job-related safety concerns.
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 Maintaining strict confidentiality of all sensitive information accessed or encountered during work.
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 Complying with cybersecurity policies and standards to protect Fakeeh&rsquo;s systems and participating in awareness training and initiatives to prevent cyber threats.
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 Adhering to and upholding Fakeeh Care&rsquo;s code of conduct, policies and ethical standards.
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 Completion of mandatory education as per the requirement, at least one month prior to expiration.
 
 
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 Requirements
 
 
 
 
 Skills And Abilities
 
 
 
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 Service-oriented, professional with open communication.
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 Must possess excellent interpersonal skills and have demonstrated in leadership and management.
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 Excellent organizational and leadership skills.
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 Computer skills (Word, excel, power point, etc.) And Clerical Skills (phone, scanning, scanning, preparing agenda and taking Minutes of Meetings, etc.) competencies, technical skills and personal attributes as required.
 
 
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 Experience
 
 
 
 Minimum of 2 years full time registration nursing experience with one year as a charge nurse in the same specialty.
 
 
 
 Education
 
 
 
 Bachelor Degree in Nursing or Equivalent.
 
 
 
 Language
 
 
 
 Excellent command of English language ,Arabic is a plus.
 
 
 
 Licenses / Certifications
 
 
 
 License from the country of origin, License for practice as per the regional health regulatory authority e.g. (SCFHS / DHA), BLS, ACLS and other LSTC courses as applicable.
</div>

Charge Nurse

<div>
 
 Description
 
 
 
 Key Responsibilities and Duties:
 
 
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 Ensure full adherence to the Council of Health Insurance (CHI) Preauthorization Policy, NPHIES standards, and
 
 
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 individual payer coverage protocols.
 
 
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 Prevent unauthorized, uncovered, or non-contracted services from being initiated.
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 Support the implementation and compliance of NPHIES downtime contingency procedures.
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 Verify the completeness of clinical documentation and utilization of the Minimum Data Set (MDS) for every
 
 
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 request.
 
 
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 Review the treating physician&rsquo;s progress notes, diagnostics, prescriptions, and clinical justifications for
 
 
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 accuracy and adequacy.
 
 
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 Validate medical necessity in alignment with evidence-based guidelines, CHI standards, and payer criteria.
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 Ensure accurate clinical coding and scheme linkage to prevent claim denials.
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 Escalate incomplete or inaccurate documentation for correction prior to submission.
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 Liaise with treating physicians, nurses, and roving doctors to secure approvals and clarify case details.
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 Communicate approvals, denials, and payer queries within CHI-mandated timelines.
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 Respond to payer or insurer queries within 30 minutes of receipt.
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 Escalate urgent or high-priority cases (ER, ICU, Oncology, or high-cost procedures) immediately to the
 
 
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 Preauthorization Manager.
 
 
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 Monitor HIS/NPHIES queues to follow up on pending or queried cases in real time.
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 Maintain updated approval status in both HIS and the patient&rsquo;s record.
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 Ensure 100% completion of approvals for all discharges within the same day.
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 Confirm that same-day discharge and high-cost cases are fully approved prior to billing.
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 Document all approvals, denials, and payer communications in the patient&rsquo;s medical record.
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 Participate in the daily discharge reconciliation process and report pending approvals to the Preauthorization
 
 
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 Manager.
 
 
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 Review all preauthorization rejections received through NPHIES, payer portals, or HIS at least twice per shift.
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 Categorize rejections based on cause (missing justification, duplication, non-covered service, exceeded limit,
 
 
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 coding error, or late submission).
 
 
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 Record all rejections in the Rejection Tracker Log with patient MRN, preauthorization number, payer,
 
 
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 rejection reason, and physician name.
 
 
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 Coordinate with the Preauthorization Supervisor to ensure each rejection is reviewed and analyzed within the
 
 
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 assigned TAT.
 
 
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 Engage directly with the treating physician for clarification or missing documentation related to rejected
 
 
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 cases.
 
 
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 Provide constructive feedback and guidance to physicians to avoid recurrence, referencing insurer
 
 
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 preauthorization protocols, CHI guidelines and NPHIES dataset requirements.
 
 
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 Conduct same-day briefings for rejections involving high-cost services.
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 Resubmit corrected documentation within the payer&rsquo;s appeal window as per the regulations.
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 Liaise with the insurance representative or roving doctor for urgent or high-priority resubmissions.
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 Confirm acknowledgment of resubmitted cases in both HIS and payer portals.
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 Identify root causes for all rejections and document corrective recommendations.
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 Distinguish between avoidable and non-avoidable rejections during end-of-day analysis.
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 Submit a daily rejection summary to the Preauthorization Manager, covering:
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 Total rejections received
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 Avoidable vs non-avoidable ratio
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 High-value or repetitive rejection patterns
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 Breakdown by payer, physician, and service category
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 Recommend corrective actions such as MDS checklist updates, justification templates, or focused physician
 
 
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 sessions.
 
 
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 Collaborate with Fakeeh Tech to improve HIS alerts (e.g., auto-flagging incomplete documentation or
 
 
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 incorrect scheme linkage).
 
 
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 Participate in weekly Preauthorization Group performance meetings to present rejection trends and lessons
 
 
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 learned.
 
 
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 Ensure complete transparency of all rejection cases to the Preauthorization Manager and Group
 
 
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 Preauthorization leadership.
 
 
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 Support the preparation of a Weekly Rejection Dashboard, including:
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 Total rejection count
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 Avoidable vs non-avoidable percentage
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 Average approval turnaround time
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 Top 10 contributing services, physicians, or payers
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 Highlight immediate corrective actions taken and propose follow-up actions for recurring issues.
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 Uphold professional communication standards and maintain formal documentation of all internal and
 
 
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 external correspondences.
 
 
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 Ensure continuous compliance with CHI, NPHIES, and contractual payer regulations in every stage of
 
 
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 preauthorization and rejection management.
 
 
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 Report any non-compliance or process deviation to the Preauthorization Manager for immediate rectification
 
 
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 and inclusion in preauthorization Group review.
 
 
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 Other duties as assigned within the scope of responsibility and requirements of the job.
 
 
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 Requirements
 
 
 
 Experience: 3&ndash;5 years clinical practice, with at least 2 years in preauthorization/insurance or
 
 
 utilization management
 
 
 Education: Bachelor&rsquo;s degree in medicine and surgery, Pharmacy, Dental or related field.
 
 
 Language: Excellent command of oral and written English and Arabic.
 
 
 
 Licenses / Certifications
 
 
 
 Preferred license for practice as per the regional health regulatory authority e.g.
 
 
 (SCFHS / DHA).
</div>

Approval Specialist

Join Fakeeh Care Group and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Fakeeh Care Group

About Company

Cardiovascular Perfusionist

Charge Nurse

Approval Specialist