Case Manager

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💎 Seniority level: Manager, 2+ years

📍 Location: Philippines, EST

🔍 Industry: Healthcare

🏢 Company: Limitlessli

🗣️ Languages: English

⏳ Experience: 2+ years

🪄 Skills: CollaborationCustomer serviceTime ManagementWritten communicationExcellent communication skillsProblem-solving skillsCritical thinkingVerbal communicationActive listeningEnglish communication

Requirements:

Must possess a valid USRN - NY nursing license
A graduate degree in BS Nursing or similar field
Minimum 2 years of clinical experience is preferred
Excellent English communication skills, both written and verbal
A background working with individuals who have difficulty expressing their needs
Outgoing and team-orientated
Capable of working in a fast-paced environment
Critical thinker with strong customer service focus

Responsibilities:

Assist patients in making informed decisions about their clinical status, medications, and treatment options
Conduct concurrent and retrospective reviews to assess medical necessity, appropriateness of service, and level of care
Interview clients or patients to evaluate their situational needs
Determine necessary services and assistance for patients
Document case history, prepare reports, and serve as a liaison between families and essential services
Use care protocols, standards, and guidelines to inform decision-making
Liaise with patients, physicians, insurance companies, and facility staff regarding clinical-related information and clarifications via phone, email, and other communication methods
Ensure case reports are accurate and up to date
Identify and report quality of care concerns appropriately
Undertake other ad-hoc duties as assigned

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