Nurse Case Manager

Job Scope

  • Review all new admissions orders.
  • Follow up with field RNs to receive SOC reports for all new admissions.
  • Send reports on all new admissions to office staff to ensure timely staffing.
  • Request authorizations for Kaiser and PPO patients from Billing Department.
  • Provide support to field clinicians as needed.
  • Keep patient census current and up to date.
  • Process any orders for patients on service such as Labs, DMEs, supplies, etc.
  • Keep close communication with patients to explain services and answer any questions they may have.
  • Document all reports received from field clinicians and take action as necessary.
  • Request orders from MD as needed/’Report lab results to MD.
  • Participate in the coordination of home health services appropriately reporting the identified needs of patients to the interdisciplinary team which includes PT/OT/MSW/ST/HHA/RN/LVN.
  • Track high acuity patients to ensure visits are being done timely and correctly.
  • Collaborate with the Staffing team to relay staffing needs for patients and ensure patients have been adequately staffed.
  • Review patient’s chart and track progress, determine patient needs throughout the duration of the patient being on service.
  • Keep patient’s charts up to date with current tracking and documentation of findings
  • Ensure patients get timely services.


  • Bachelor’s degree in Nursing (Registered Nurse)
  • 6 months to 1-year experience
  • Previous HMO/insurance-related work experience is an advantage
  • Ideal to have at least 6-months experience in the medical billing/healthcare industry
  • Preferably with home healthcare experience
  • Professional and excellent English communication skills, phone manners, and writing skills
  • Strong attention to detail and resourceful
  • Basic computer knowledge, word, emails, excel
  • Uphold high ethical standards and moral behavior outlined in the company’s Code of Conduct

Enjoy the following perks and benefits when you work with us

  • Cool Workplace
  • Steady-Shift Schedule
  • Very Competitive Pay
  • Comprehensive HMO
  • Monthly Perfect Attendance Bonus & MORE!
Job Location: Bacolod

Apply for this position

Allowed Type(s): .pdf, .doc, .docx

Please fill out the form below and we will get back to you as soon as possible