Patient Care Navigator & Advocate

MediCard Phils., Inc.; Metro Manila; On-site; PHP 360,000 - 480,000; Full time

Job summary

MediCard Phils., Inc. is seeking a Healthcare Navigator to assist members inside healthcare facilities, explain benefits, and coordinate care with providers. You will support admission, treatment, and discharge processes while ensuring service quality and adherence to guidelines.

The role emphasizes compassionate member interactions, documentation accuracy, and collaboration with hospital staff to optimize care and access to services.

Qualifications

• Minimum 2–3 years experience in HMO Operations, Hospital Operations, Utilization Management, or Case Management.
• Experience in patient relations and healthcare customer service is preferred.
• Familiarity with data privacy requirements and SLAs is a plus.

Responsibilities

• Serve as the primary contact for members within assigned facilities and guide access to services.
• Explain benefits, approvals, and coverage; support admission, treatment, and discharge processes.
• Coordinate with providers on covered services and promote evidence-based care.
• Deliver compassionate member support and manage concerns and complaints promptly.
• Develop positive relationships with hospital personnel and participate in provider engagement.
• Maintain accurate documentation and comply with privacy and SLA requirements.

Skills

Healthcare navigation

Member support

Provider relations

Care coordination

Brand promotion

Communication skills

Education

Bachelor's Degree in Nursing

Bachelor's Degree in Medical Technology

Bachelor's Degree in Physical Therapy

Bachelor's Degree in Pharmacy

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Allied Health Sciences

Other healthcare-related courses

Job description

MediCard Phils., Inc. is seeking a Healthcare Navigator to assist members inside healthcare facilities, explain benefits, and coordinate care with providers. You will support admission, treatment, and discharge processes while ensuring service quality and adherence to guidelines.

The role emphasizes compassionate member interactions, documentation accuracy, and collaboration with hospital staff to optimize care and access to services.