Quezon City, PHL
2 days ago
LTC Care Manager
_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._ **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. + Bachelor’s 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:_** + We’ll empower you to learn and grow the career you want. + We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words. + As part of our global team, we’ll support you in shaping the future you want to see. **Acerca de Manulife y John Hancock** Manulife Financial Corporation es un importante proveedor internacional de servicios financieros que ayuda a las personas a tomar decisiones de una manera más fácil y a vivir mejor. Para obtener más información acerca de nosotros, visite http://www.manulife.com . **Manulife es un empleador que ofrece igualdad de oportunidades** En Manulife/John Hancock, valoramos nuestra diversidad. Nos esforzamos por atraer, formar y retener una fuerza laboral tan diversa como los clientes a los que prestamos servicios, y para fomentar un entorno laboral inclusivo en el que se aprovechen las fortalezas de las culturas y las personas. Estamos comprometidos con la equidad en las contrataciones, la retención de talento, el ascenso y la remuneración, y administramos todas nuestras prácticas y programas sin discriminación por motivos de raza, ascendencia, lugar de origen, color, origen étnico, ciudadanía, religión o creencias religiosas, credo, sexo (incluyendo el embarazo y las afecciones relacionadas con este), orientación sexual, características genéticas, condición de veterano, identidad de género, expresión de género, edad, estado civil, estatus familiar, discapacidad, o cualquier otro aspecto protegido por la ley vigente. Nuestra prioridad es eliminar las barreras para garantizar la igualdad de acceso al empleo. Un representante de Recursos Humanos trabajará con los solicitantes que requieran una adaptación razonable durante el proceso de solicitud. Toda la información que se haya compartido durante el proceso de solicitud de adaptación se almacenará y utilizará de manera congruente con las leyes y las políticas de Manulife/John Hancock correspondientes. Para solicitar una adaptación razonable en el proceso de solicitud, envíenos un mensaje a recruitment@manulife.com . **Modalidades de Trabajo** Híbrido
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