Nurse Case Management Support (USRN)

Genfinity; Makati; On-site; PHP 600,000 - 800,000; Full time

Job summary

Genfinity is seeking a U.S.-licensed nurse based in the Philippines to support Nurse Case Management for workers’ compensation claims. The role provides clinical-administrative support to ensure timely communications, medical documentation, and case-file updates under the direction of the assigned Nurse Case Manager.

Qualifications include an active nursing license in the Philippines and the mainland U.S., at least one year of US healthcare experience, and familiarity with workers’ compensation

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, or Case Management.
• Strong understanding of clinical documentation and provider communication.
• Excellent written and verbal communication, including professional text, email, and phone.
• Proficient with MS Office, EMR, and case management platforms.

Responsibilities

• Confirm whether injured worker contact is permitted and document approved communications.
• Confirm employer contact details and document any special instructions.
• Ensure communications comply with jurisdictional requirements and protocols.
• Send welcome packet and medical records release to the injured worker and confirm receipt.
• Send injury worker text reminders for assignments and visits.
• Summarize new document uploads and medical updates in the case file.
• Attach job description to the file when available in instructions.
• Provide summaries of work status and related forms in the file.
• Record provider information including name, specialty, and contact.
• Prepare and send pre-appointment letters to medical providers.
• Import savings data from ancillary services for final report.
• Perform other assigned duties as needed.

Skills

Nursing license PH

Nursing license US

US healthcare experience

Workers’ Compensation knowledge

Clinical documentation

Provider communication

Attention to detail

MS Office

EMR systems

Education

Bachelor of Science in Nursing

Tools

MS Office Suite

Electronic Medical Records (EMR)

Case management platforms

Job description

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.