Manager - RCM Case Management

The Corporate Case Manager is responsible for supervising, guiding, and auditing Case Management activities across all inpatient facilities. This includes establishing standardized CM workflows, monitoring facility KPIs, reviewing DRG variances, analysing utilization metrics, and ensuring best practices in documentation and care coordination. The role collaborates with facility CM Leads, coding teams, physicians, revenue cycle units, and clinical leadership to ensure compliance, reduce financial leakage, and enhance DRG performance.

Responsibilities

Corporate Oversight & Governance

Oversee Case Management practices across all NMC inpatient facilities.

Ensure consistent execution of case management workflows aligned with corporate RCM expectations.

Conduct regular performance reviews and issue directives to maintain standardization across all facilities.

Standardize Case Management Policies and Tools

Develop...