R_364098 Registered Nurse – Clinical Case Management & Product Support

Marsh; Taguig; Hybrid; PHP 600,000 - 1,200,000; Full time

Job summary

Mercer Well is seeking a Registered Nurse Consultant in the Philippines to join our MercerWell team. The role is hybrid, requiring at least three days in the office weekly, and focuses on guiding administrators in care coordination and case management.

You will oversee action plans, analyze claims data, and lead discussions to improve member care. A nursing degree and active RN license are required, with 5+ years in relevant roles.

Qualifications

• Bachelor’s or Associate degree in Nursing is required.
• Active, unrestricted RN license (US or Philippines).
• 5+ years in case management, clinical consulting or related field.
• Strong project management and communication skills.
• Ability to analyze clinical data and metrics.

Responsibilities

• Establish carrier/vendor relationships for the book of business.
• Communicate Mercer’s clinical management program models to clients.
• Lead case discussions with administrators’ clinical teams.
• Synthesize data and present results with clear, actionable insights.
• Support continuous process improvement in care coordination.

Skills

Project management

Verbal communication

Written communication

Clinical acumen

Data analysis

Education

Bachelor's degree in Nursing

Associate degree in Nursing

Job description

R_364098 Registered Nurse – Clinical Case Management & Product Support

We are seeking a talented Registered Nurse Consultant to join our MercerWell team at Mercer. This role will be based in the Philippines. This is a hybrid role that has a requirement of working at least three days a week in the office.

As a Registered Nurse Consultant, you will impact patient outcomes by providing guidance to benefit administrators on opportunities for improved care coordination and case management. You will oversee the implementation of action plans to ensure administrator accountability and recognize areas where performance aligns with or exceeds best practices.

We will count on you to:

Establish effective carrier/vendor relationships with assigned book of business to successfully represent Mercer and to serve our clients.

Communicate Mercer's point of view on effective clinical management program models and strategies to manage potential and actual high-cost claimants.

Bring a natural curiosity and continuous quality improvement mindset to evolve and enhance the clinical strategy and delivery of assigned book of business.

Interpret claims and other data reports leveraging this information to effectively manage assigned book of business.

Lead case discussions with the benefit administrators’ clinical teams to identify strengths and opportunities in how the case is being managed and offer suggestions to shape the course of the member’s care moving forward.

Synthesize available data, develop engaging reports / presentations, effectively present results to clients in a clear and constructive manner using formats that allow for tracking results over-time to support continuous process improvement.

What you need to have:

Associate or Bachelor’s degree in Nursing required, with an active, unrestricted U.S. RN or Philippine RN license.

Minimum of 5 years of relevant work experience in case management, clinical consulting, clinical carrier related experiences (quality assurance, clinical auditing, clinical leadership, stop loss).

Proven project management, verbal and written skills with strong clinical acumen.

Ability to analyze clinical data and metrics.

What makes you stand out:

Master’s level degree in related field preferred.

Prior experience performing clinical program assessments or working with stop loss cases.

Why join our team:

We help you be your best through professional development opportunities, interesting work and supportive leaders.

We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.

Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.