Medical Advisor/ Case Manager

NAS Neuron Health Services (NNHS), A certified Great Place to work; Operates primarily in the UAE and across the GCC region, focusing on simplifying healthcare and making it more accessible through innovative technology and seamless service delivery.

1. JOB PURPOSE

The Case Manager plays a critical role in evaluating, coordinating, and facilitating appropriate treatment plans in collaboration with healthcare providers, payers, and internal teams, while ensuring compliance with policy terms and clinical guidelines. To ensure the delivery of high-quality, cost-effective inpatient care by managing complex and high-cost medical cases.

2. RESPONSIBILITIES AND DUTIES

• Conduct thorough clinical, policy, and coding assessments of complex inpatient cases.
• Identify and manage eligible cases such as high-cost admissions, prolonged hospital stays, complications, and disputed claims.
• Liaise with treating physicians,...