Nurse Case Management Support Specialist (US WC)

Genfinity; Philippines; On-site; PHP 360,000 - 540,000; Full time

Job summary

Genfinity seeks licensed nurses in the Philippines to support US-based Nurse Case Management for workers’ compensation claims. The role provides clinical-administrative support to ensure timely communications, proper documentation, and accurate case updates under the direction of the assigned Nurse Case Manager.

Ideal candidates hold PH and US licenses with 1+ year US healthcare experience and can work US business hours from Makati or another office.

Qualifications

• Active nursing license in the Philippines and in the mainland US.
• At least one year experience supporting US healthcare.
• Experience in Workers’ Compensation, Utilization Review, Case Management, or related clinical operations preferred.
• Strong understanding of clinical documentation, medical terminology, provider communication, and injured worker support processes.
• Ability to follow jurisdictional, client-specific, and case-specific communication requirements with a high degree of accuracy.
• Excellent written and verbal communication skills, including professional text, email, and phone communication.
• Strong attention to detail, organization, prioritization, and follow-through in a fast-paced case management environment.
• Proficient computer literacy, including MS Office Suite, electronic medical records, and case management platforms.
• Willing to work any assigned shift during a work week to support U.S. business hours and client needs.
• Availability to work from Makati City or any assigned office location, as required.

Responsibilities

• Support Nurse Case Management (NCM) nurses and clients for WC claims with clinical-administrative duties.
• Confirm whether injured worker contact is permitted and document approved communication methods (call, text, email).
• Confirm employer contact details and document any special service instructions.
• Ensure communications comply with jurisdictional requirements, client instructions, and internal protocols.
• Send welcome packet and medical records release to the injured worker and confirm receipt.
• Send injury-related reminders and updates from medical visits as appropriate.
• Summarize new document uploads, accident descriptions, conversations, and medical updates in the case file.
• Record provider information (name, specialty, contact) for each treating provider.
• Prepare and send pre-appointment letters to medical providers with relevant case content.
• Import savings data from ancillary services for inclusion in the final report.
• Perform other assigned duties as deemed necessary.

Skills

Nursing license PH

US license

US healthcare exp

Workers’ Compensation

Case management

Clinical documentation

MS Office

Communication skills

Education

Tools

EMR systems

Case management software

Job description

Genfinity seeks licensed nurses in the Philippines to support US-based Nurse Case Management for workers’ compensation claims. The role provides clinical-administrative support to ensure timely communications, proper documentation, and accurate case updates under the direction of the assigned Nurse Case Manager.

Ideal candidates hold PH and US licenses with 1+ year US healthcare experience and can work US business hours from Makati or another office.