Nurse Case Management Support (USRN)

Genfinity Philippines, Inc.; Makati; On-site; PHP 248,000 - 413,000; Full time

Job summary

Genfinity Philippines, Inc. invites applications for a Nurse Case Management support role based in Makati, Philippines. The position supports US-based WC claims, ensuring compliant clinical-administrative tasks are completed accurately under the Nurse Case Manager guidance.

Requirements include an active Philippines and US nursing license, at least one year of US healthcare experience, and strong communication with attention to detail. On-site work aligns with US business hours.

Qualifications

• Active nursing license in the Philippines and the mainland US.
• At least 1 year experience supporting US healthcare.
• Experience in Workers’ Compensation, Utilization Review, Case Management, or related clinical operations.
• Strong medical terminology and provider communication skills.

Responsibilities

• Confirm whether injured worker contact is permitted and document approved communication method.
• Confirm employer contact details and document special service instructions.
• Ensure communications comply with jurisdictional requirements and case management protocols.
• Send welcome packet and medical records release; confirm receipt.
• Send injury worker text reminders for assignments and medical updates.
• Summarize new documents and injury details in the case file.
• Attach job description to the file when available.
• Provide a summary of work status and attach forms.
• Record treatment providers' information (name, specialty, contact).
• Prepare and send pre-appointment letters to medical providers.
• Import savings data from ancillary services for final report.
• Perform other duties as needed.

Skills

Clear written and verbal communication

Attention to detail

Case management understanding

US healthcare knowledge

Education

Active Nursing license in the Philippines and the mainland US

Tools

MS Office Suite

Electronic Medical Records (EMR)

Job description

WHAT IS NEXT IN YOUR CAREER IN 2026?

Our US-based client, a premier multiline claims services provider, is looking for U.S.-licensed nurses based in the Philippines to support Nurse Case Management (NCM) nurses and clients for workers’ compensation (WC) claims. This role provides clinical-administrative support to ensure injured worker communications, employer coordination, jurisdictional compliance, medical documentation, and case file updates are completed accurately and timely under the direction of the assigned Nurse Case Manager.

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.