LTC Care Manager (USRN)

Are you looking for a supportive and collaborative workplace with great benefits and clear career development You've come to the right place.

Why choose Manulife

• Competitive Salary packages and performance bonuses
• Day 1 HMO + FREE coverage for your dependents (inclusive of same-sex partners)
• Retirement savings benefit
• Rewarding culture that values wellness and well-being
• Performance Bonus
• Global network of industry experts
• Extensive training resources

Job Description:

We're looking for a LTC Care Manager to join our Insurance Operations team at MBPS. In 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 policy's criteria for eligibility remain approved.

Have the skills and knowledge for the job Learn more about the opening below!

Key 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.

Qualifications:

• Educational and Licensing Requirements: Bachelor's degree in nursing. Must be a registered nurse in both the Philippines and the US (any state) with active professional licenses.
• Experience and Expertise: 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.
• Skills and Abilities: 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.
• Technical Proficiency: Proficiency with MS Office and the ability to easily learn new computer applications.
• Motivational Fit: A customer-focused mindset with a passion for integrity, teamwork, and contributing to a diverse and inclusive work environment.

Let's make every day better together. Learn about our opportunities at JOBS.MANULIFE.COM

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 https://www.manulife.com/en/about/our-story.html.

Manulife 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 [Confidential Information].

Working Arrangement

Hybrid