Case Management Representative

E-Teleconnect, Inc.; Parañaque; On-site; PHP 420,000 - 640,000; Full time

Job summary

E-Teleconnect, Inc. is seeking a Case Management Coordinator to support the Clinical Operations team in Parañaque City. You will handle non-clinical case management workflows, coordinate referrals, track patient cases, and ensure proper documentation in EMR/EHR systems.

Work with RN Case Managers, physicians, facilities, and insurance representatives to maintain timely workflows and accurate records. On-site, full-time role with collaboration across Scheduling, Intake, Billing, and QA teams.

Qualifications

• Minimum 2 years combined experience in case management, care coordination or related healthcare operations.

Responsibilities

• Coordinate assigned patient cases throughout the care continuum and track progression.
• Review and ensure completeness of patient documentation and ensure timely RN clinical review.
• Support RN Case Managers by coordinating administrative aspects of patient care and referrals.

Skills

Case Management

Care Coordination

Utilization Management

Intake / Referral Coordination

Prior Authorization

Denials & Appeals

Healthcare Operations

US Healthcare BPO

EMR/EHR navigation

Tools

Axxess

WellSky

Home Health MD

eClinicalWorks

Job description

Job description:

• Department: Clinical Operations / Case Management
• Employment Type: Full-time
• Location: Parañaque City – On-site
• Reports to: Clinical Supervisor / Case Management Supervisor

Job Overview

The Case Managemer provides administrative and operational support to the Case Management department by coordinating referrals, tracking patient cases, managing documentation, facilitating communication between healthcare providers, and ensuring timely progression of patients through the continuum of care.

This position is responsible for managing non-clinical case management workflows while maintaining accurate documentation within EMR/EHR systems and coordinating with interdisciplinary teams to support efficient patient care operations.

The Case Management Coordinator works closely with Registered Nurse Case Managers, physicians, healthcare facilities, insurance representatives, Scheduling, Intake, Quality Assurance, and other Clinical Operations teams to ensure timely completion of patient care activities.

Key Responsibilities

Case Coordination

• Coordinate assigned patient cases throughout the care continuum.
• Track patient progression and ensure timely completion of required workflow activities.
• Monitor pending physician orders, referrals, authorizations, and required documentation.
• Follow up with physicians, facilities, insurance representatives, and other healthcare providers regarding outstanding requirements.
• Coordinate communication between internal departments and external providers.

Documentation Management

• Review patient documentation for completeness and accuracy.
• Upload and maintain documentation within EHR systems.
• Ensure that all required documents are available before RN clinical review.
• Maintain internal tracking logs and case status updates.

Care Coordination Support

• Support RN Case Managers by coordinating administrative aspects of patient care.
• Assist with referral processing, authorization tracking, discharge coordination, and continuity of care workflows.
• Coordinate with Scheduling, Intake, Billing, and Quality Assurance teams.
• Escalate clinical questions or documentation requiring nursing judgment to the appropriate RN Case Manager.

Core Skills

Minimum 2 years combined experience in one or more of the following:

• Case Management
• Care Coordination
• Utilization Management
• Intake / Referral Coordination
• Prior Authorization
• Denials & Appeals
• Healthcare Operations
• US Healthcare BPO

Experience utilizing EMR/EHR systems such as:

• Axxess
• WellSky (Kinnser)
• Home Health MD
• eClinicalWorks

or similar healthcare documentation systems

Core Skills

• Strong EMR/EHR navigation skills
• Excellent documentation management skills
• Strong organizational and time management abilities
• Excellent verbal and written communication
• Ability to manage multiple active patient cases simultaneously
• Strong attention to detail
• Critical thinking and problem-solving skills
• Ability to identify workflow issues and documentation deficiencies
• Ability to prioritize tasks in a fast-paced healthcare environment
• Professional communication and collaboration skills

Preferred (Not Required)

• Experience supporting US-based healthcare accounts or operations
• Familiarity with Medicare, Medicaid, HMO, or managed care workflows
• Prior exposure to utilization management or authorization workflows
• BPO healthcare or remote clinical operations experience