Manila, PH / Cebu City, PH / Davao City, PH / Cape Town, ZA Remote (Global) Full-time

Limitlessli is hiring an USRN Case Manager (Utilization Management)

About the Role

What You'll Do

Perform in-depth evaluations of patients' clinical, functional, and psychosocial needs to inform effective care planning. Design and oversee personalized care strategies with clear, measurable objectives aligned with patient goals.

Coordinate seamlessly across healthcare providers, facilities, and community services to support continuity of care. Identify obstacles to treatment and implement timely actions to address gaps.

Guide patient transitions between care settings, including post-hospitalization and facility moves. Facilitate access to long-term support and disease management programs when appropriate.

Deliver education to patients and families about care plans, self-care techniques, and available resources. Present case summaries during team meetings and collaborate with interdisciplinary partners to refine care approaches.

Maintain precise, up-to-date records of assessments, interventions, and follow-ups. Support quality assurance through audits, reporting, and process improvement initiatives.

Requirements

  • Valid US Registered Nurse (RN) license
  • Proven ability to communicate clearly and coordinate care effectively
  • Strong organizational skills with experience managing multiple patient cases
  • Proficiency with Microsoft Office and electronic health record systems
  • Reliable computer setup with a noise-canceling headset
  • Second monitor for efficient workflow
  • Stable primary internet connection and a backup connection
  • Availability to work remotely during US Pacific Time: Monday–Friday, 9 AM to 6 PM

Preferred Qualifications

  • Background in case management, utilization review, or managed care settings
  • Knowledge of healthcare delivery systems and managed care principles
  • Experience applying clinical criteria such as InterQual or Milliman

Benefits

  • Fully remote work environment
  • Flexible structure supporting work-life balance
  • Opportunity to collaborate with professionals across global locations
Required Skills
Microsoft Officeclinical documentation systemscase managementpatient assessmentcare coordinationutilization managementnursing documentationorganizational skillscommunication skillsremote work Microsoft Officeclinical documentation systemscase managementpatient assessmentcare coordinationutilization managementnursing documentationorganizational skillscommunication skillsremote work
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About company
Limitlessli

Limitlessli provides professional remote staffing and clinical solutions to help businesses scale efficiently. The company specializes in delivering qualified remote professionals for administrative, operational, and specialized roles across healthcare and related industries.

They offer modular services including remote staffing, MDS consulting and support, and clinical compliance solutions. These services are designed to support healthcare facilities with documentation accuracy, regulatory compliance, and workforce scalability, enabling clients to focus on resident care and core operations.

Backed by a U.S.-led team and a global talent network, Limitlessli partners with organizations to improve efficiency, reduce risk, and strengthen revenue cycles through flexible, customized workforce solutions.

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Job Details
Category other
Posted 14 days ago