LTC Care Manager
LTC Care Manager
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Were looking for a LTC Care Manager to join our Insurance Operations this role you are responsible for using clinical expertise to assess clinical information on low to moderate exposure claims consistent with current business protocols. Accountable for ensuring the accuracy of the clinical evidence to compare against policy or plan language in order to determine benefit eligibility on LTC claims. This role exists to ensure that only those policyholders meeting their policys criteria for eligibility remain approved.
Position Responsibilities:
Assess clinical needs to determine eligibility for long-term care benefits and make benefit eligibility determinations based on onsite/virtual assessments functional/cognitive screening forms and/or other clinical evidence on ongoing claims .
Monitor ongoing claims for high-risk activity and set clinical follow-up dates based on protocols.
Complete required training to stay updated with protocols and guidelines.
Collaborate with other business units and senior care management staff to ensure accurate decision-making and provide optimal customer service.
Participate in one-on-one meetings staff meetings and other work activities as directed by management.
Required Qualifications:
Theoretical knowledge in geriatric care and cognitive screening forms like Mini Mental State Examination (MMSE) Montreal Cognitive Assessment (MOCA) St. Louis University Mental Status Exam (SLUMS) and other cognitive screening tool. Experience in the Long-Term Care industry and geriatric nursing is preferred; BPO experience is a plus.
Bachelors degree in nursing. Must be a registered nurse in both the Philippines and the US (any state) with active professional licenses.
Preferred Qualifications:
Strong decision-making skills and the ability to work both autonomously and within multi-disciplinary teams. Excellent communication skills for effective collaboration and customer interaction.
Proficiency with MS Office and the ability to easily learn new computer applications.
A customer-focused mindset with a passion for integrity teamwork and contributing to a diverse and inclusive work environment.
When you join our team:
Well empower you to learn and grow the career you want.
Well recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team well support you in shaping the future you want to see.
About Manulife and John Hancock
Manulife Financial Corporation is a leading international financial services provider helping people make their decisions easier and lives better. To learn more about us visit is an Equal Opportunity Employer
At Manulife/John Hancock we embrace our diversity. We strive to attract develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment retention advancement and compensation and we administer all of our practices and programs without discrimination on the basis of race ancestry place of origin colour ethnic origin citizenship religion or religious beliefs creed sex (including pregnancy and pregnancy-related conditions) sexual orientation genetic characteristics veteran status gender identity gender expression age marital status family status disability or any other ground protected by applicable law.
It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process contact .
Working Arrangement
Required Experience:
Manager
Employment Type
Full-Time
