Nurse Case Management Lead – US Healthcare Support

Genfinity Philippines, Inc.

Philippines

On-site

PHP 781,000 - 1,228,000

Full time

14 days+

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Job summary

Genfinity Philippines, Inc. is seeking an experienced Nurse Case Management Support Nurse Supervisor based in the Philippines to lead daily operations for Nurse Case Management services serving U.S. clients.

The role ensures quality, timeliness, compliance, and escalation management across the team handling workers’ compensation cases. The supervisor will coach staff, monitor case queues and documentation, ensure adherence to client instructions, and coordinate training for new hires.

Qualifications

Active Nursing license in the Philippines and in the mainland US.
At least 3 years of experience supporting U.S. healthcare.
At least 2 years of lead, supervisory, quality review, training, or team coordination experience.
Experience in Workers’ Compensation, Utilization Review, Case Management, or related clinical operations preferred.
Strong knowledge of clinical documentation, medical terminology, provider communication, injured worker communication, and case management support workflows.

Responsibilities

Provide day-to-day supervision, coaching, and support for Nurse Case Management Support Nurses.
Monitor work queues, case assignments, turnaround times, and documentation quality to ensure timely and accurate support to Nurse Case Managers.
Ensure team members follow jurisdictional requirements, client instructions, injured worker contact permissions, and internal case management protocols.
Review or audit documentation summaries, injured worker communications, provider letters, work status updates, and case file attachments for accuracy and completeness.
Serve as escalation point for questions related to injured worker contact permissions, attorney representation, employer coordination, service instructions, and compliance concerns.
Coordinate training for new hires and ongoing competency development related to workers’ compensation, documentation standards, communication expectations, and case management workflows.