105 Care Planning jobs in the Philippines

• Bachelor of Science in Nursing (BSN)
• Valid Registered Nurse (RN) license.
• You'll work closely with physicians, case managers, and insurance providers to ensure optimal patient care
• Excellent communication, leadership, and organizational skills.
• Willing to assign in Makati City

Job Type: Full-time

Pay: Up to Php50,000.00 per month

Work Location: In person

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced HEALTHCARE CUSTOMER SERVICE REPRESENTATIVE to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you

Account specific roles and responsibilities:

• Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions.
• Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
• coordinates with US insurance providers

Job Description:

• Provides customer support through different communication channels (Phone, email, chat).
• Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
• Collaborate with colleagues and different departments to resolve complex issues
• Maintain accurate records on customer interactions, transaction, feedback, etc.

• Basic knowledge about Medicare and Medicaid
• 1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals.
• Good to excellent communications (both verbal & written) and detail oriented
• Ability to multitask (taking in calls and responding to email)
• Organized and keen attention to details
• Familiar with common medical terms
• Willing to report onsite in MAKATI
• Amenable working night shifts

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

At Globe, our goal is to create a wonderful world for our people, business, and nation. By uniting people of passion who believe they can make a difference, we are confident that we can achieve this goal.

Job Description
The Case Management Lead is primarily responsible for overseeing, leading, and evaluating the effectiveness of customer-impacting workflows to ensure seamless and efficient service delivery. This role acts as a key partner across internal teams and external stakeholders, driving improvements in workflow design and automation to enhance customer experience and reduce manual, agent-assisted processes.

Duties And Responsibilities

• Primarily responsible for overseeing, leading and evaluating the effectiveness of customer impacting workflows.
• Align and collaborate with Operations and Voice of the customer teams to understand and resolve customer pain points and challenges
• Champion customer experience improvement in CRM workflow management
• Drive automation and system improvement initiatives to lessen agent-assisted transactions and manual processes
• Partners with representatives of other internal and external groups to identify and address workflow design issues
• Identify performance improvements in existing workflows and recommend enhancements
• Identifies and effectively prioritizes workflow design requirements and regularly communicates updates to stakeholders
• Engage key stakeholders and participate with them on monitoring and reporting progress of work streams.
• Define the high level requirements, governance, metrics, and management practices to be used for case management.
• Set overall direction for the team and conduct mobilization team orientation
• Supervise and lead project plans, assign action items as needed, track progress, cascade updates and changes within and outside the CXM organization
• Work closely with other development teams to ensure the end to end solution meet the business requirements
• Be aware of security implications when implementing solutions
• Maintain accountability for the delivery of program capabilities and business results
• Provide regular reporting to management
• Disseminates information to all stakeholders in a manner that will help facilitate and help ensure front liner and customer change management prior launch dates
• Facilitate discussions on system improvements concerning workflow management
• Provides user requirements and follow through to ensure end to end solution is met
• Align with contact center BPOs on workflow challenges, gathers insights and engage them as stakeholders in redesigning CX

KPIs

• NPS

• % Case Resolution

• % Repeat Reduction
• % Reduction in Manual Processes

• % End to end automation in GlobeOne

• Internal Customer Satisfaction

• Individual Development Plan
• CXM Opex

Competencies
Critical thinking to dissect performance issues and identify root causes and solve problems
Strong Orchestration, Consultation, Facilitation And Communication Skills
An ability to work autonomously and collaboratively
Excellent Attention To Detail, With Strong Organizational Skills
Experience in Project Management
Skills
Experience in CRM development and integration preferred

• Soft Skills: Creative Communications, Relationship Development
• Hard Skills: Project/Program Management, Change Management
• Certification/License: Change Management

Equal Opportunity Employer
Globe's hiring process promotes equal opportunity to applicants, Any form of discrimination is not tolerated throughout the entire employee lifecycle, including the hiring process such as in posting vacancies, selecting, and interviewing applicants.

Globe's Diversity, Equity and Inclusion Policy Commitment can be accessed here

Make Your Passion Part of Your Profession. Attracting the best and brightest Talents is pivotal to our success. If you are ready to share our purpose of Creating a Globe of Good, explore opportunities with us.

Global Pacific Support
is partnering with one of its valued U.S.-based clients to hire a
Case Management Virtual Assistant
who has experience working with American companies and supporting
U.S. Veterans
.

This role calls for a professional who's organized, empathetic, and able to handle sensitive information with precision and care.

Responsibilities

• Manage Veteran case files, ensuring accuracy, timeliness, and confidentiality.
• Coordinate appointments, follow-ups, and documentation with Veterans and support partners.
• Prepare reports, maintain databases, and track progress on ongoing cases.
• Communicate with clients and stakeholders via email, phone, and video — always with empathy and clarity.
• Support process improvement by identifying gaps and proposing efficiency solutions

Requirements
*Qualifications *

• Minimum 2 years of experience working as a Virtual Assistant, Case Manager, or Administrative Support Specialist for a U.S.-based company.
• Prior experience supporting Veteran-focused services (e.g., healthcare, benefits, or advocacy) preferred.
• Excellent written and verbal communication skills in English.
• Proficiency in CRM tools, Google Workspace, Microsoft Office, and project/task management apps.
• Strong attention to detail, organizational skills, and discretion with sensitive data.
• Ability to work U.S. time zones and maintain consistent communication

Are you a skilled and compassionate RN looking to make a real impact, every single day? At CLINIQON, we're on a mission to elevate patient care and advocacy, and we're looking for a Nurse Case Manager who's ready to lead with both heart and expertise.

If you thrive in a fast-paced environment, understand the ins and outs of Medicare, and are passionate about guiding patients through complex care journeys, we want to hear from you

Why This Role Matters

As a Nurse Case Manager, you're not just coordinating care, you're transforming lives. Your clinical knowledge and deep empathy will help ensure that patients receive the best possible services while navigating the ever-changing Medicare landscape. This is more than a job, it's your opportunity to grow, lead, and make a lasting difference.

Responsibilities:

• Manage a diverse caseload while ensuring timely, high-quality care
• Develop personalized care plans tailored to each patient's unique needs
• Maintain care plans and documentation that meet Medicare guidelines
• Stay ahead of regulatory updates to ensure optimal care and reimbursement
• Collaborate closely with physicians, social workers, and other care providers
• Facilitate smooth transitions and continuity of care across disciplines
• Ensure accurate, timely, and detailed documentation using EHR and case management tools
• Support quality of care with clean, compliant records
• Address patient concerns and Medicare challenges with empathy, urgency, and clarity

What We're Looking For

We're searching for a proactive, compassionate RN who combines clinical know-how with a drive to advocate for patients.

Requirements:

• Active RN license.
• 2–3 years of nursing experience, preferably in case management
• Strong knowledge of Medicare guidelines and compliance
• Experience working with interdisciplinary care teams
• Excellent communication, critical thinking, and organizational skills
• Comfort with EHR systems and case management software
• Must be amenable to start ASAP

Why Join Us?

• Permanent work-from-home
• Retention bonus
• Performance bonus
• Immense growth opportunities
• Company-provided assets
• HMO coverage
• Many more benefits

Ready to join a company that truly values your work?

Apply now by sending your resume to:

Let's make a difference together at CLINIQON.

Job Type: Full-time

Benefits:

• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Work from home

Application Question(s):

• Do you currently hold an active Registered Nurse (RN) license?
• Do you have at least 2 years of nursing experience, including case management or care coordination?
• Are you amenable to start ASAP?

Work Location: Remote

Job Summary:

The Document Reviewer and Case Management Officer is responsible in reviewing the OPS documentation and handling cases from complaints and dispute filed.

DUTIES AND RESPONSIBILITIES

1. Facilitates the review and verification of the documents of Operator Payment System (OPS) accounts submitted by the branch.

2. Ensures the completeness of OPS documents prior to endorsing for Terminal ID creation.

3. Coordinates with the Product Champions, the branches, and other concerned units for the compliance of required documents.

4. Handles the cases from complaints/disputes filed.

5. Monitors the cases and ensures complaints/disputes were addressed and resolved.

6. Ensure critical records are scanned/uploaded to the Network Attached Storage Server NASSVR.

7. Perform duties and responsibilities required under the latest manual of operations pertaining to the position.

8. Perform other tasks that may be assigned by the Management from time to time.

WORK RELATIONSHIPS

Reports directly to the Branch Operations Support and Control Department Head.

MINIMUM REQUIREMENT

Education Graduate of any Banking related course.

Experience

• Three (3) years relevant experience in Branch Operations particularly in handling client's documents
• Proven experience in handling corporate/business documents
• Background in customer service preferably in managing customer complaints
• Good communication and analytical skills
• Ability to manage multiple cases

Other Skills: Professional Qualities

Results-oriented

• Analytical
• Team worker
• With leadership qualities
• Good interpersonal skills

Technical Skills

• Office management
• Oral & written communication
• Computer Literate

Job Types: Full-time, Permanent

Benefits:

• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Promotion to permanent employee

Education:

• Bachelor's (Required)

Experience:

• Branch Operations in handling client's documents: 2 years (Required)

Willingness to travel:

• 100% (Preferred)

Work Location: In person

Job Summary:

The Document Reviewer and Case Management Officer is responsible in reviewing the OPS documentation and handling cases from complaints and dispute filed.

DUTIES AND RESPONSIBILITIES

1.    Facilitates the review and verification of the documents of Operator Payment System (OPS) accounts submitted by the branch.

2.    Ensures the completeness of OPS documents prior to endorsing for Terminal ID creation.

3.    Coordinates with the Product Champions, the branches, and other concerned units for the compliance of required documents.

4.    Handles the cases from complaints/disputes filed.

5.    Monitors the cases and ensures complaints/disputes were addressed and resolved.

6.    Ensure critical records are scanned/uploaded to the Network Attached Storage Server NASSVR.

7.    Perform duties and responsibilities required under the latest manual of operations pertaining to the position.

8.    Perform other tasks that may be assigned by the Management from time to time.

WORK RELATIONSHIPS

Reports directly to the Branch Operations Support and Control Department Head.

MINIMUM REQUIREMENT

Education     Graduate of any Banking related course.

Experience

• Three (3) years relevant experience in Branch Operations particularly in handling client's documents
• Proven experience in handling corporate/business documents
• Background in customer service preferably in managing customer complaints
• Good communication and analytical skills
• Ability to manage multiple cases

• Results-oriented
• Analytical
• Team worker
• With leadership qualities
• Good interpersonal skills

• Office management
• Oral & written communication
• Computer Literate