Managed Care Case Manager

Required work experience: 2-4 years

Location: 100% Remote - Open to All Applicants in the Philippines.


Who Are We

Touch Support a multinational Business Process Optimization company is rapidly expanding its finance and support teams. We are seeking a motivated detail-oriented individual in the Philippines to join our team as a Managed Care Case Manager. With over 350 employees across the US and Europe and a proven track record of successful remote onboarding we are excited to offer this long-term opportunity to talented professionals like you.


What Were Looking For

• 24 years of experience as an RN LPN USRN or Healthcare Virtual Assistant with clinical nursing education.
• Knowledge of US healthcare insurance Medicare Advantage Medicaid MCOs commercial payors and criteria such as InterQual/MCG is a plus.
• Experience with PointClickCare MatrixCare Availity NaviHealth or similar systems.
• Strong English communication organization attention to detail and time-management skills.
• Ability to manage high-volume authorization workflows independently.
• Shift & Schedule - full-time five days per week (US business hours align - 7 AM - 3 PM CDT) including dedicated Weekend Coverage.

What Youll Do

• Manage pre-admission and prior authorizations with MCOs Medicare Advantage and commercial insurers.
• Conduct concurrent reviews and clinical chart audits to support continued stays.
• Track authorizations length of stay and expiration dates to prevent coverage gaps and lost revenue.
• Communicate with insurance case managers medical directors and facility clinical teams.
• Support Peer-to-Peer reviews and appeals when coverage is denied.
• Coordinate with intake nursing social work and billing teams.
• Maintain accurate authorization records in the EHR.
• Provide weekend/high-volume coverage and ensure smooth team handoffs.

What We Offer:

• Starting salary: 665 USD gross monthly
• Comprehensive Training: We provide extensive initial training and ongoing mentorship to set you up for success.
• A Clear Career Ladder: This role is just the beginning. We offer a clear promotional path with competitive salary increases as you grow with us.
• A Supportive Global Team: Even though we work from home our team is tightly connected. You will have a dedicated Team Lead and supervisor
• A Dynamic Work Environment: You will be in constant communication with native English speakers helping you to further enhance your language skills in a professional setting.

Please submit your application and resume in English. Applications submitted in any other language will not be considered.

Required Experience:

Manager

Employment Type : Full-Time
Experience: years
Vacancy: 1
Monthly Salary Salary: 665 - 665