Case Manager

About the Role

AMAD Hospital is seeking a Case Manager to join its team in Riyadh, Saudi Arabia. This full-time position involves leading and improving case management protocols within the Rehabilitation and Long-Term Care department. The role requires 0-1 years of experience and focuses on ensuring high standards of patient care and operational efficiency.

Key Responsibilities

• Lead the implementation and improvement of case management protocols within the Rehabilitation and Long-Term Care department.
• Develop and implement policies and procedures related to case management and care coordination, aligning with hospital standards and regulatory requirements.
• Collaborate with the finance department on cost control, insurance pre-authorizations, and reimbursement processes.
• Ensure accurate documentation of patient care plans, discharge summaries, and case management records.
• Participate in budget planning and resource allocation for rehabilitation and long-term care services.
• Oversee the development of individualized care plans that align with the medical, psychological, and social needs of long-term and rehabilitative patients.
• Act as a liaison between patients, families, physicians, nursing, allied health professionals, and external care agencies.
• Supervise a multidisciplinary team of case coordinators, social workers, and administrative support personnel.
• Assess and evaluate patient needs upon admission, during stay, and at discharge to develop individualized care plans in collaboration with physicians, therapists, nurses, and social workers.
• Manage lengths of stay and resource allocation to optimize bed occupancy and operational efficiency.
• Coordinate with insurance providers and billing departments for authorization and reimbursement processes.
• Participate in clinical audits, risk management, and continuous quality improvement initiatives related to rehabilitation and long-term care services.
• Perform other applicable tasks and duties within the realm of knowledge, skills, and abilities.

Quality and Compliance

• Ensure adherence to hospital policies, Saudi health regulations, and international best practices for quality and safety in rehabilitation and long-term care.
• Participate in the development, implementation, and evaluation of quality improvement initiatives and safety protocols.
• Monitor and report on patient safety incidents, adverse events, and outcomes related to rehabilitation and long-term care services.
• Conduct regular audits and compliance checks related to case management and care standards.

Patient Advocacy and Education

• Advocate for patient rights and ensure culturally sensitive care aligned with Saudi Arabian norms and patient preferences.
• Educate patients and families on care plans, safety practices, and rehabilitation goals to empower informed decision-making.

Qualifications and Experience

• 0-1 years of experience in a relevant field.
• Ability to develop and implement case management protocols and policies.
• Strong understanding of healthcare regulations and quality standards.

Work Environment

This is a full-time position based in Riyadh, Saudi Arabia, within the Rehabilitation and Long-Term Care department of AMAD Hospital. The role involves working collaboratively with multidisciplinary teams and external agencies to ensure comprehensive patient care.