US Home Health Case Manager

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TYPE OF WORK

Full Time

SALARY

USD900

HOURS PER WEEK

40

DATE UPDATED

Sep 5, 2026

JOB OVERVIEW

About Us
Our Home Health is a home health agency in Southern California's Inland Empire. We provide skilled nursing and therapy services to patients in their homes. We are a small, close team — you will not be a number here, and you will work directly with the agency's leadership and clinical staff.

We are hiring one full-time Case Management Coordinator to support our licensed clinical team. This is a long-term role, not a short project.


The Role in One Sentence
You make sure every patient's plan of care actually gets carried out — on time, fully documented, and properly authorized — for the entire certification period.

You are the person who notices that an authorization expires in nine days, that a physician never signed the 485, that the PT was ordered three days ago and still hasn't been scheduled, and that a patient's 2W9 frequency is behind by two visits. You catch it, and you chase it down until it's closed.


Schedule
Monday to Friday, 8:00 AM – 5:00 PM US Pacific Time
This is approximately 11:00 PM – 8:00 AM Philippine Time (shifts by one hour with US daylight saving)
40 hours per week, night shift, permanent

Please only apply if you can commit to this schedule long term. This is not negotiable — you must be available and responsive during US business hours, when physicians' offices, insurance companies, and DME suppliers are open.


What You Will Do
Plan of Care Management
Track each patient's plan of care from start of care through the end of the certification period
Monitor visit frequency compliance (e.g., 2W9, 1W4) and flag when a discipline is falling behind
Track missed visits, get them documented, and follow up on rescheduling
Monitor certification period end dates and initiate the recertification process before it's late
Track 485 / Plan of Care documents: sent out, signed, returned, filed
Track face-to-face encounter documentation
Physician & Order Coordination
Order and follow up on PT, OT, ST, and MSW evaluations and follow-up visits
Prepare and send physician orders; track them until signed and returned
Follow up relentlessly on unsigned orders — this is a large part of the job
Document new orders received and route them immediately to the assigned licensed RN Case Manager
Communicate with physician offices by phone, fax, and email




Supplies, DME & Vendors
Coordinate DME orders and delivery with suppliers
Order and track patient medical supplies
Follow up on delivery confirmation
Documentation Follow-Up
Monitor that clinician visit notes are submitted on time
Track OASIS submission timelines and flag anything at risk
Keep the patient chart complete and audit-ready in DSL
Run and maintain daily tracking reports for leadership
Communication
Manage the agency's provider-facing email inbox
Coordinate with physicians, payers, vendors, and staffing
Report status daily to agency leadership


What This Role Is NOT
Please read this carefully — it defines your professional boundary.

You are a coordinator supporting our licensed California clinical team. You are not the patient's clinical case manager, and you do not practice nursing in this role.

You will NOT:

Make clinical assessments or clinical judgments
Accept, verify, or independently act on verbal or telephone orders
Triage a patient's change of condition
Write, sign, or alter clinical documentation on a clinician's behalf
Give clinical advice to patients or families

When a patient reports a complaint or a change in condition, you document it and escalate it immediately to the assigned licensed RN Case Manager. The licensed clinician makes every clinical decision. Your nursing background matters because it lets you understand what you're reading, ask the right question, and recognize what's urgent — not because you'll be practicing.

Our patient- and family-facing communication is handled by our US-based office staff. Your focus is provider-facing coordination.


Requirements
Must Have
Registered Nurse licensed in the Philippines (active or inactive PRC license — please state which)
Minimum 2 years of experience working for a US home health agency. Two years is what we're looking for; one year of very strong, directly relevant experience will be considered. Hospice-only experience is not a substitute — we need home health.
Hands-on experience with Data Soft Logic (DSL). If you have deep experience in another major home health EMR (Axxess, WellSky/Kinnser, HCHB, MatrixCare) and can learn DSL quickly, tell us specifically why.
Working knowledge of Medicare home health requirements: certification periods, 485/plan of care, face-to-face encounters, OASIS timelines, visit frequency
Experience with managed care authorizations and re-authorizations
Excellent spoken and written English — you will be on the phone with US physician offices and insurance companies every single day
Comfortable making outbound phone calls to US providers. A large part of this job is polite, persistent follow-up.
Strong organization and follow-through. You track many open items at once and close every one of them.
Committed to the permanent night shift
Nice to Have
Experience with Medi-Cal / California managed care plans
Experience with authorization portals (Availity, Office Ally, or payer portals)
Experience in a small agency where you wore several hats


Technical Requirements
These will be tested during the interview. Please do not apply if you cannot meet them.

Primary internet: wired fiber or cable, minimum 25 Mbps download / 10 Mbps upload. Mobile-data-only setups will not be accepted.
Backup internet: a second, independent connection (different provider or a mobile hotspot) you can switch to within minutes
Backup power: UPS at minimum; generator strongly preferred
Computer: Windows 10/11 or macOS, minimum 8GB RAM, dual monitors preferred
Headset: wired USB noise-cancelling headset with a quality microphone
Workspace: quiet, private, dedicated home office. No background noise — you will be on calls with physician offices all shift.
Webcam for daily team check-ins

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