Case Manager
6 hours ago
Job Summary
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.
Why Palmeira Lando OPC?
- We are a healthcare-focused company founded by people coming from the Healthcare Industry.
- We are a direct company and have our own dedicated Home Healthcare facility in the US.
- We offer competitive salary and foster a supportive work environment.
As a FULL TIME employee of Palmeira Lando OPC, 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 (NOTE: training is on graveyard shift)
Others such as:
- Government Mandated Benefits,
- 13th month Salary
- Exciting company events both locally and abroad
Submit your application now and a recruiter will reach out to you WITHIN 24 BUSINESS HOURS or call/text us to connect with our recruiter to do your initial interview (Available Monday - Friday, 9:00 AM to 5:00 PM)
As a Case Manager (Home Health Back Office), 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.
Qualifications:
- 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:
- Can work under pressure with minimal supervision
- Amenable to work on site with US schedule (PST/DST)
- Amenable to work in a night shift schedule.
Equal Opportunity Employer:
Palmeira Lando OPC 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.
To know more about Palmeira Lando OPC, visit our website: at
Job Type: Full-time
Work Location: In person
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