Care Coordinator | USRN  


  • Makati, Philippines
    Makati, Metro Manila, Philippines
    Metro Manila
  • Full timeFULL_TIME

Expired a year ago

Job closed.

Job Description

As a care coordinator, you will be responsible for supporting our clients' most important asset their members. Our client is looking for a dedicated, motivated, and detail-oriented team player to join their growing team.

Job Responsibilities

  • Serve as a clinical resource for members seeking guidance on screenings or other preventative measures that help to optimize a member’s (and/or their family’s) overall health
  • Lead the internal review of client plan documents, preparing benefit coverage summaries that our Provider
  • Relations and Support team can use in answer members’ (program coverage) questions
  • Provide notice of coverage documentation that outlines specific protocols that certain specialties may require a member to adhere to (i.e., physical therapy, chiropractic visits, oncology, bariatric procedures, etc.)
  • Serve as a clinical support option on the Support team, handling live member calls, emails, and chats for any member seeking clinical assistance during their use of the program
  • Serve as a clinical point of contact for providers who have any clinical coverage questions regarding treatment options (second opinion options, alternative treatment plans in lieu of surgeries, etc.)
  • Follow up with pending items and make sure that members are updated on a timely/responsive basis
  • Adhere to required documentation standards to ensure all provider support and member support questions are properly logged and documented for client reviews, analytical reviews, and legal purposes.
  • Initiate and oversee infographics and other marketing materials for key healthcare awareness months (Breast Cancer Awareness, Colon Cancer Awareness, Diabetes Education, Menopause, etc.)
  • Proactively provide ideas on how to market or serve our member base more effectively
  • Become proficient in the client’s program knowledge in an effort to provide the highest level of support and service to members
  • Work on special projects deemed key by management and/or at the suggestion of staff where the projects serve a strategic purpose in improving program and service delivery – collaborate with management on project priorities as needed
  • Perform other miscellaneous office duties as needed

Minimum Qualifications

Required Skills & Experience

  • Must be a Licensed Nurse in good standing (USRN)
  • Minimum of 2-5 years of strong clinical experience at the clinic or hospital level
  • Patient advocacy experience (not required but a Plus)
  • Strong medical terminology acumen
  • Familiarity with Plan Document Review and Analysis
  • Must be able to work full time (8 AM CST to 5 PM CST – Monday through Friday)
  • Weekend Work is Not Required; however, occasional weekend work may be needed based on member needs (ample notice will be given)
  • Strong communicator (ability to effectively tailor message based on the audience)
  • ”Ownership mindset” - Committed to being a team player and getting the job done
  • Flexible to changing circumstances and able to juggle multiple situations and responsibilities.
  • Strong Awareness and understanding that our business and growth are affected and influenced by your level of dedication and attitude
  • Demonstrated ability to adapt to both fast and slow-paced environments
  • Demonstrated commitment to high customer service (including fast response, quality documentation, and willingness to go over and beyond to satisfy both internal and external customers)
  • Solutions-oriented, proactive (vs. reactive) mindset
  • Strong member advocacy mindset – able to anticipate and cater to members in a manner that is mutually beneficial to the members, providers, and the organization
  • Able to work with little distraction from a remote location
  • Solid customer service, process, and data mindset
  • Solid computer skills, including a working knowledge of the Microsoft Office suite
  • Solid written and verbal communication skills

System Requirements

  • At least 15mbps main internet and at least 10mbps for backup
  • A desktop or laptop that has an i5 processor with at least 4 GB RAM and an i3 processor for backup
  • Note: Back-ups should still be able to function when there is a power interruption
  • A webcam
  • Noise-canceling USB Headset
  • Quiet, Dedicated Home Office
  • Smartphone

Perks and Benefits

  • Work from HomeWork from Home

Required Skills

  • Medical Industry Knowledge
  • Deductive Reasoning

Licenses and Certifications

  • Nurse

Jobs Summary

Job Level
Entry Level / Junior, Apprentice
Job Category
Health and Medical
Educational Requirement
Bachelor's degree graduate
Recruiter response to application
Office Address
Makati, Metro Manila, Philippines
Staffing / Recruiting
10 openings

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About CrewBloom

CrewBloom is a remote outsourcing agency with contractors from more than 10 countries globally. Our core services are sales and support outsourcing, serving clients from startups to enterprise accounts. We pride ourselves on having the top 2% of global remote talent in our pool. Services: Virtual Assistant; Inside Sales; Appointment Setter; Data Entry Specialist; Email Support; Chat Support; Customer Support; Call Quality Analyst

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