CASE COORDINATOR.

Al Khobar, Saudi Arabia

Job Title

CASE COORDINATOR.

Job Family

Function

CORP (SME: CFO-CPHO)

Job Code

30009338

Reports to Job

Business Unit Lead

Job 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 %

Strategic Roles & Responsibilities

Operational Roles & Responsibilities %

100

Operational 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 Addendum

Years of Experience

3.-5 years of of experience in relevant field

Languages

English:Fully Proficient ; Arabic:Not Required

Functional 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.