Nurse Case Management Support (USRN)

Genfinity; Makati; Presencial; PHP 335.000 - 614.000; Jornada completa

Descripción de la vacante

Genfinity seeks a Nurse Case Manager in Makati to oversee communication with injured workers, document case details, and ensure compliance with client and regulatory requirements. The role includes sending packets, reminders, and maintaining provider information, with an emphasis on accurate documentation and proactive updates.

Applicants should hold an active nursing license in the Philippines (and US alignment preferred), have at least 1 year in US healthcare support, and be proficient with

Formación

• Active nursing license in the Philippines and, ideally, the mainland US.
• At least 1 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 high accuracy.

Responsabilidades

• Confirm whether injured worker contact is permitted and document approved communication methods.
• Document employer contact details and any special service Instructions.
• Ensure communications comply with jurisdictional requirements and internal protocols.
• Send welcome packet and medical records release; confirm receipt.
• Send text reminders for assignments, notices of visits, and updates from medical visits.
• Summarize new document uploads and medical updates in the case file.
• Review job descriptions and attach to files when available.
• Provide summaries of work status documents and attach related forms.
• Record treating providers’ information (name, specialty, contact).
• Prepare and send pre-appointment letters to medical providers with relevant content.
• Import savings data from ancillary services for final report.
• Perform other assigned duties as necessary.

Conocimientos

Nursing license

US healthcare experience

Case management

Medical terminology

Provider communication

Attention to detail

MS Office

EMR systems

Phone/text/email communication

Herramientas

MS Office Suite

EMR systems

Case management platforms

Descripción del empleo

WHAT IS NEXT IN YOUR CAREER IN 2026?

Primary Duties And Responsibilities

• Confirm whether injured worker contact is permitted by the assigned Nurse Case Manager and document the approved method of communication, including call, text, or email.
• Confirm employer contact details and document any special instructions included in service instructions
• Ensure communications and support activities comply with applicable jurisdictional requirements, client instructions, and internal case management protocols.
• Send the welcome packet and medical records release to the injured worker when permitted, and confirm receipt of both documents.
• Send injured worker text reminders for new assignments, notices of visit, and updates from medical visits as appropriate.
• Summarize new document uploads, injured worker descriptions of accident, conversations with the injured worker, and relevant medical visit updates in the case file.
• Review the job description and attach to the file when available in service instructions.
• Provide a summary of documentation related to injured worker work status and attach any work status forms available in the file.
• Record provider information, including name, specialty, and contact information for each treating provider.
• Prepare and send pre-appointment letters to medical providers with relevant case content as directed.
• Import savings data from ancillary services for inclusion in the final report.
• Perform other assigned duties and responsibilities as deemed necessary.

Qualifications

• An 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.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, or any other characteristic protected by law.

Genfinity as an Equal Opportunity Employer, believes in each person’s potential, and we’ll help you achieve yours.

All information will be kept confidential according to EEO guidelines.