Senior Clinical Case Manager Nurse

Crawford & Company; Iloilo City; On-site; PHP 600,000 - 1,000,000; Full time

Job summary

Crawford & Company is seeking a Nursing professional in the Philippines to provide proactive case management by assessing medical records and coordinating care. The role involves evaluating medical status, costs, and rehabilitation needs, with emphasis on confidentiality and teamwork.

The ideal candidate holds a Nursing degree with active Philippine RN license and US license, plus 2+ years of clinical or medical bill review experience, strong communication skills, and proficiency in document

Qualifications

• Bachelor's degree in Nursing.
• Active Philippine RN license in good standing; US RN license from any mainland state.
• Minimum of two years clinical experience or prior medical bill review experience.
• Excellent verbal communication and customer orientation.
• Proficient in word processing software.
• Analytical and critical thinking skills; able to follow SOP.
• Strong confidentiality and professionalism.
• Ability to multi-task and manage time effectively.
• Strong interpersonal skills and teamwork.

Responsibilities

• Provide proactive case management by assessing medical records.
• Analyze and review case records, evaluate client’s medical status, and define needs and problems.
• Offer opinions on case costs, treatment plan, outcomes, and rehabilitation recommendations.
• Interpret medical records and test results to support assessments.
• Review cases with supervisor monthly to obtain directions.
• Perform job site evaluations to facilitate case management.
• Communicate Broadspire policies to internal and external customers.
• Maintain professional relationships with clients and timely updates on case activity.

Skills

Verbal communication

Customer service

Analytical thinking

Multitasking

Time management

Interpersonal skills

Attention to detail

Active listening

Critical thinking

Teamwork

Education

Bachelor's degree in Nursing

Tools

Word processing (MS Word)

Job description

Crawford & Company is seeking a Nursing professional in the Philippines to provide proactive case management by assessing medical records and coordinating care. The role involves evaluating medical status, costs, and rehabilitation needs, with emphasis on confidentiality and teamwork.

The ideal candidate holds a Nursing degree with active Philippine RN license and US license, plus 2+ years of clinical or medical bill review experience, strong communication skills, and proficiency in document