USRN (Transitional Care Management) - Earn Up to 80K

Job description

Position Summary The Transitional Care Management Nurse is a U.S.-licensed Registered Nurse responsible for delivering high-quality, post-discharge care coordination services to patients across multiple programs. This role focuses on ensuring safe transitions of care, reducing readmissions, and improving patient outcomes through timely outreach, clinical assessment, education, and coordination. This position is based in Ormoc, Leyte, Philippines, and supports U.S. patient populations and health plan partners, requiring alignment with U.S. clinical, regulatory, and documentation standards (including HIPAA compliance). Key Responsibilities Contact patients after discharge and complete Transitional Care Management assessments Review medications, discharge plans, and identify risks Coordinate follow-up care and referrals Escalate clinical concerns to U.S. providers Document all interactions in the EMR Support care coordination across programs Communicate clearly with patients and provide education Qualifications Active U.S. RN license 2–3 years clinical experience Knowledge of U.S. healthcare and HIPAA Strong English communication skills Preferred TCM, case management, or telehealth experience Familiarity with CMS guidelines and Medicare Advantage Experience with EMR systems Location: Onsite, Ormoc Leyte (Relocation Assistance will be offered to those who are not based in Leyte) Salary: Up to 80K plus Sign-On Bonus* (25K) *Terms and Conditions apply