USRN Care Manager
Manila - Philippines
Job Summary
- Assess clinical needs and determine initial eligibility for long-term care benefits using clinical evidence and established guidelines.
- Review onsite/virtual assessments functional and cognitive screening results and supporting documentation to make benefit eligibility decisions.
- Monitor ongoing claims particularly those with high-risk activity and conduct clinical follow-ups in accordance with current protocols.
- Collaborate with senior care management and cross-functional teams to ensure accurate claim decisions and provide excellent customer service.
- Maintain up-to-date knowledge of clinical protocols and guidelines by completing required training programs.
- Participate in regular meetings one-on-ones and other team activities to support operational goals and continuous improvement.
- Active Philippine Registered Nurse (PHRN) and US Registered Nurse (USRN) licenses with the USRN license valid in any U.S. state.
- Candidates with 12 years of recent clinical experience.
- Bachelors degree in Nursing (BSN).
- Candidates must have a professional license with at least one (1) year of validity remaining prior to expiration.
- Amenable to a fixed night shift schedule.
- Experience in geriatrics long-term care (LTC) chronic illness management claims review care management or related clinical settings is an advantage but not required.
- Fresh graduates who have relevant exposure or experience in either of these areas are also welcome to apply.
- Proficiency in Microsoft Office applications and Microsoft Teams; ability to quickly learn new claims and workflow management systems.
- Strong decision-making assessment and clinical judgment skills with the ability to work independently and collaborate effectively within multidisciplinary teams.
- Excellent written and verbal communication skills.
- Professional license renewal expenses are covered through the companys reimbursement program.
- Continuing education and professional development costs are also eligible for reimbursement.
- Opportunities for learning growth and career advancement within a global organization.
- A flexible and inclusive work environment that supports well-being and professional success.
- 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
About Company
Manulife is a leading financial services group. We provide financial advice, insurance, as well as wealth and asset management solutions for individuals, groups and institutions.