Open to opportunities

Kassem Moghnieh

@kassemmoghnieh

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Registered Nurse and Case Manager optimizing insurance approvals, ER admissions, and remote patient care.

Lebanon

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What I'm looking for

I’m looking for a RN case management role where I can drive utilization review and insurance approvals, coordinate admissions/discharges, and support patients through clear communication—preferably with a mix of on-site care and remote case handling.

I’m a Registered Nurse (RN) and Case Manager with experience in insurance coordination, emergency care, and remote case handling. In my current role at Best Assistance SAL (AUBMC) in Beirut, I perform medical case review and insurance approval processing using clinical data, while managing high-volume cases with accurate documentation and timely turnaround.

Earlier, I strengthened acute decision-making in the Emergency Department at Saint Charles Hospital and provided patient-centered care in Pediatrics at Sacré Coeur Hospital. I also support organized workflows in remote settings with the Maadi Law Firm, coordinating medical records, claims, and follow-ups across time zones. Alongside my clinical background, my Lebanese Red Cross volunteer work (Cholera and COVID-19 projects) reinforced my commitment to compliance, confidentiality, and community impact.

Experience

Work history, roles, and key accomplishments

Current

Remote Case Manager

Current

Maadi Law Firm

Jan 2026 - Present (3 months)

Conduct client intake and medical case screening for personal injury matters. Coordinate medical records and insurance claims while tracking case progress and maintaining organized digital documentation across time zones.

Case Management Claims Processing Client intake Documentation Remote Work Data Entry

Current

Claims Case Manager

Current

Best Assistance SAL (AUBMC)

Apr 2024 - Present (2 years)

Perform medical case review and insurance approval processing using clinical data. Coordinate ER and admission/discharge workflows, ensuring compliance, timely approvals, and accurate documentation.

Case Management Utilization Review Insurance Coordination Claims Processing Discharge Planning Documentation Quality Assurance

Registered Nurse - Pediatrics

Sacré Coeur Hospital

Sep 2023 - Mar 2024 (6 months)

Provided patient-centered pediatric care and supported families with education on treatment plans and follow-up. Ensured accurate documentation and safe medication administration while coordinating care with the care team.

Pediatric Nursing Patient Education Clinical Documentation Care Coordination Quality Assurance

Registered Nurse - ER

Saint Charles Hospital

Jan 2023 - Mar 2024 (1 year 2 months)

Delivered acute emergency care with rapid assessment in high-pressure ER settings. Assisted with insurance approvals and admission coordination while collaborating with multidisciplinary teams for efficient case handling and documentation.

Insurance Coordination

Community Health Nurse

Lebanese Red Cross

Jan 2022 - Jan 2023 (1 year)

Delivered public health education and supported vaccination campaigns through community outreach. Coordinated with Ministry of Health, UNICEF, and NGOs to support program delivery.

Public Health Education Community Outreach MoH Coordination NGO Coordination Confidentiality & Compliance

Community Health Nurse

Lebanese Red Cross

Jan 2021 - Jan 2022 (1 year)

Administered vaccines and handled data entry and audit processes for COVID-19 program activities. Ensured data accuracy, compliance, and confidentiality throughout documentation workflows.

Vaccination Support Data Entry Audit Support & Compliance Confidentiality Documentation Quality Assurance