RN Case Manager / Medical QA

Full job description E-TeleConnect (Paranaque) is hiring Registered Nurse Case Manager, a healthcare professional who coordinates and manages the care of patients, from the point of hospital admission to discharge. They work closely with patients, families, healthcare providers, and insurance companies to ensure that the patient receives the appropriate care, and that the care is covered by insurance. RN Case Managers are responsible for creating a care plan for patients, monitoring their progress, and making adjustments as needed. They also serve as advocates for the patient, ensuring that their needs and preferences are taken into account throughout the care process. RN Case Managers play a critical role in the healthcare system by helping to ensure that patients receive the right care at the right time, and that healthcare resources are used efficiently. Primary Roles Responsibilities Assessing new patients by gathering information, reviewing diagnoses and analyzing medical test results Developing complete plans of care to address the needs of patients Educating patients about their care plan and health care options and helping them make key decisions Scheduling appointments for doctors visits, therapies and other medical services Revising care plans based on patients progress and input from physicians and other medical providers Updating patient medical records after each contact Offering emotional support for patients and their families Qualifications: PHRN required. At least 2 year previous hospital nursing experience or Case Management experience in a clinical setting for a US-based healthcare company, required. Extensive knowledge of medicine and anatomy Strong verbal and written communication skills to interact with patients and medical providers Interpersonal skills to work with people of a broad range of socioeconomic and cultural backgrounds Multitasking skills to provide care for multiple patients Analytical skills to review documented medical information and use it to inform care plans Problem-solving skills to identify shortcomings of care plans and revise them accordingly Familiarity with word processors, spreadsheets, electronic record management programs and other software Organizational skills to plan patient appointments and meetings and to coordinate the activities of medical providers Benefits: Health insurance Opportunities for promotion Promotion to permanent employee Experience: Prior Authorization: 1 year (Preferred) Case Management: 1 year (Preferred) Utilization Review: 1 year (Preferred) License/Certification: PHRN USRN license (preferred but not required) Job Type: Full-time Work Location: In person