Services & roles
Case Manager
for your team.
Add case manager expertise to your team in the Philippines. Define the responsibilities and working hours you need, then meet candidates selected around your requirements.
Why Choose Our Healthcare Staffing Solutions?
- Our case managers are not generalists; they are highly trained specialists.
- They possess deep experience navigating the complexities of the US medical and healthcare systems.
- This expertise includes a thorough understanding of insurance protocols, regulatory compliance (specifically HIPAA), and diverse patient needs.
- We operate as a true extension of your internal team, ensuring a cohesive partnership.
- Our processes are designed for rapid deployment, guaranteeing a smooth transition with minimal disruption to your current operations.
- We offer flexible resources that scale precisely to meet your demand, whether for a small pilot program or large-scale operations across multiple facilities.
- Quality assurance is a core component, embedded in every step of our case management workflow.
- We maintain rigorous standards for documentation, ensuring accuracy and completeness.
- Strict protocols are followed for patient communication and data security, guaranteeing full compliance with all relevant regulations.
- This commitment ensures the highest level of professional service.
- By leveraging our established infrastructure and expertise, your organization can significantly reduce overhead costs.
- This includes savings on expenses associated with recruitment, training, employee benefits, and technology investment.
- This model allows you to access premium, consistent case management support at a predictable, lower operational expenditure.
Where Compassion Meets Operational Expertise
Our outsourced case managers coordinate patient care and admin work. They are a central contact for communication and logistics. Their daily tasks include:
Patient Intake & Assessment
Conducting initial screenings, comprehensive needs assessments, and gathering necessary patient history to develop individualized care plans.
Care Plan Development and Implementation
Working collaboratively with physicians, specialists, and patients to create, document, and regularly update goal-oriented care plans.
Coordination of Services
Scheduling appointments, managing referrals, arranging transportation, and securing necessary medical equipment and home health services.
Benefits Verification and Prior Authorization
Work directly with insurers and payers to verify coverage. Submit documents for pre-approvals and manage complex authorization processes to help prevent claim denials.
Patient Education and Advocacy
Serving as the patient’s primary advocate, explaining complex medical information, treatment options, insurance coverage, and promoting patient self-management skills.
Discharge Planning and Post-Acute Care
Coordinate moves between care settings, such as from hospital to home or rehab. Arrange the required follow-up care and resources.
Documentation and Reporting
Maintaining meticulous records of all patient interactions, care activities, financial transactions, and outcomes in compliance with regulatory standards.
Technology and Tools Utilized
Our medical case managers work with leading healthcare systems:
- Electronic Health Records (EHR) Systems: Proficiency in major platforms like Epic, Cerner, and Meditech for accessing, updating, and managing patient clinical data.
- Case Management Software: Utilizing dedicated platforms (e.g., Allscripts Care Management, Salesforce Health Cloud) for tracking patient progress, managing workflows, and documenting interventions.
- Secure Communication Channels: Using HIPAA-compliant virtual tools (e.g., secure messaging, encrypted email, telehealth platforms) for seamless and confidential communication with providers and patients.
- Billing and Payer Portals: Navigating various insurance company portals and billing systems to submit claims, check eligibility, and manage prior authorizations efficiently.
- Telephony and Customer Relationship Management (CRM) Tools: Employing integrated phone systems and CRM software to manage high volumes of patient and provider calls, ensuring professional and logged interactions.
How Our Healthcare Staffing Solutions Work
Staffing Consultation and Calibration
We start by reviewing your workflow, patient volume, and case management challenges. We then define the clinical and admin skills the role needs. This helps us match a dedicated case manager to your organization.
Recruitment, Interviews, and Selection
We use our talent pool to find vetted case management specialists. Candidates know areas such as HIPAA compliance and complex insurance processes. We also look for a good fit with your culture. You make the final choice.
Staff Onboarding
Your chosen case manager learns your protocols, EHR or case management system, and quality standards. This focused onboarding helps them join your team quickly and prepare to manage patient cases.
Ongoing support of the Clark Outsourcing Support Team
Our support continues after placement. Operations and IT teams support your case manager with the tools needed for consistent performance. They also help maintain strict quality and compliance standards. This ongoing support ensures reliable service.
Who We Support
We provide tailored staffing for healthcare organizations that need specialist support. This suits teams without the staff or scale for a large administrative department.
- Small to Mid-Size Medical Practices and Clinics: Practices focused on providing excellent patient care but struggling with the high administrative burden of case coordination, prior authorizations, and complex payer communications.
- Specialty Physician Groups: Groups requiring case management expertise specific to complex, high-need areas (e.g., oncology, cardiology, chronic disease management) where deep insurance knowledge is critical.
- Home Health and Hospice Agencies: Organizations needing coordinated logistics, discharge planning, and benefits management to ensure smooth transitions and continuous care outside of traditional facilities.
- Ambulatory Surgery Centers (ASCs): Facilities focused on high patient turnover that need efficient pre-authorization, scheduling, and post-operative follow-up management to optimize flow and prevent scheduling bottlenecks.
- Healthcare Technology Startups: Companies developing or implementing new healthcare solutions that need clinical or administrative staff to manage pilot programs, user support, or complex patient enrollment processes.
FAQs
What is an Outsourced Case Manager?
An outsourced case manager is a dedicated specialist who coordinates patient care, admin tasks, and communication. They make the admin side of care run smoothly, from intake to discharge planning. Their work supports compliance and smooth transitions.
Who is this service ideal for?
This service suits small and mid-sized practices, specialty groups, and home health agencies with limited staff. It helps teams manage complex prior authorizations, scheduling, and high patient turnover.
What technology and tools do your case managers utilize?
Our team uses major EHR systems such as Epic and Cerner, and case management tools such as Allscripts. They also use HIPAA-compliant secure communication. Billing and payer portals support authorizations. CRM tools help maintain detailed records.
What are the key deliverables of your Case Managers?
Deliverables include individual care plans, benefits checks, and prior authorizations. Case managers record patient interactions and outcomes, arrange appointments and referrals, and support care transitions with detailed discharge plans.
What operational outcomes can we expect?
Expected results include more efficient work, lower overhead costs than in-house staffing, and better regulatory compliance. Patients can move through care faster, with fewer claim denials. Clinical staff have more time for direct care, helping improve patient satisfaction.
How is the service priced?
Pricing depends on the role, experience level, working hours and support arrangement. Share your requirements with our team for a scoped proposal.
Outsourced Case Manager
Elevate operational efficiency by outsourcing your healthcare case manager and medical case manager needs to dedicated experts.
Our team provides specialized external support for patient-centric coordination and administrative tasks within the medical and healthcare sectors. These professionals ensure smooth communication among patients, providers, and payers.
Our healthcare staffing solutions provide specialized external support for patient-centric coordination and administrative workflows across medical and healthcare organizations. These professionals ensure seamless communication between patients, providers, and payers while improving care outcomes and operational performance.
Schedule a ConsultationWho We Support
Our services are an ideal fit for:
FAQs
The pricing is predictable and cost-effective. The dedicated Case Manager role starts at an all-inclusive rate of $16 per hour. This rate covers all associated expenses for recruitment, training, benefits, and infrastructure support.
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