Job Types: Full-time, Permanent

Job description:
The Case Manager is responsible for overseeing the coordination and management of patient care plans within the home health operations unit. This role ensures that all patient cases have appropriate visit frequencies, goals, and interventions aligned with physician orders, payer guidelines, and regulatory requirements.
Operating from the back office, the Case Manager serves as the central point for clinical review, documentation oversight, and interdepartmental coordination.

As a FULL TIME employee of PLO Global BPO, you can expect:
• HMO insurance on the 3rd month of employment
• Paid leaves upon regularization
• Free meal & unlimited coffee supply
• New Hire training: for 1-3 months
• Government Mandated Benefits
• 13th month Pay
• Exciting company events both locally and abroad

As a Case Manager, you will be responsible for the following:
• Review OASIS and visit documentation to determine visit frequency, goals, and
interventions.
• Develop and update care plans (POCs) in collaboration with field clinicians and the
QA/Coding team.
• Ensure all interventions and frequencies align with physician orders and payer
criteria.
• Monitor patient progress, recertifications, and episode timelines for compliance
and efficiency.
• Coordinate with the QA/Coding team for diagnosis alignment and documentation
corrections.
• Evaluate clinical reports and trends for missed visits, reassessments, and outcome
variances.
• Communicate plan changes to field staff, physicians, and clients through approved
channels.
• Participate in quality and utilization review meetings to ensure adherence to CMS
and state regulations.
• Maintain confidentiality and compliance with HIPAA and company data standards.
• Performs other related tasks as may be assigned by the Manager.

Requirements:
• Licensed RN (Philippines or U.S. compact license preferred) or PT/OT with home
health experience.
• 3+ years of case management experience in a home health setting.
• Familiarity with EMR platforms (WellSky, Kinnser, or equivalent).
• Strong knowledge of OASIS, ICD-10, and Medicare Conditions of Participation
(CoPs).
• Exceptional analytical, documentation, and communication skills.
• Ability to lead back-office teams and coordinate with U.S.-based clinical partners.
Others:
• Excellent communication skills both oral & written
• Analytical & Detail Oriented
• Fast learner & willing to be constantly trained of new processes
• Can work under pressure with minimal supervision
• Amenable to work on site with US schedule (PST/DST)
• Amenable to work on a night shift schedule.

Things to know for this position:
• On-site
• Graveyard Schedule

Equal Opportunity Employer:
PLO Global BPO is an Equal Opportunity Employer. Employment decisions are made
without regard to race, color, religion, gender, sexual orientation, gender identity, age,
physical or mental disability, genetic factors, or other characteristics protected by law.