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Usrn • Philippines

Last updated: 1 day ago

Care Manager

Company 81 - Manulife Data Services Inc.

Lapu Lapu City,

Assess clinical needs to determine initial eligibility for long term care benefits.Ongoing monitoring of claims for high-risk activity.Make benefit eligibility determinations based on onsite/virtua...Show more

Utilization Review Nurse - USRN (Remote work!)

NTT DATA Services

Manila, 00, PH

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us.If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now....Show more

USRN - Supervisor

UnitedHealth Group

Makati, National Capital Region, PH

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show more

US Registered Nurse Davao

UnitedHealth Group

Davao, Davao del Sur, PH

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show more

USRN Prior-Authorization | WFH

ISTA Personnel Solutions

Mandaluyong City, Metro Manila, PH

Quick Apply

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team.As a member of our team, you will have the opportunity to work with highly ...Show more

US Registered Nurse (USRN) - Texas License Required - Spanish Speaker

Core-VA Solutions

Manila, Metro Manila, PH

Quick Apply

Spanish-speaking patients and families is part of day-to-day responsibilities.As a USRN at Core-VA Solutions, you will support healthcare operations by providing remote clinical and administrative ...Show more

Coordinating Benefit Review Nurse

International SOS

Pasig City, PH

Utilization Review Nurse (USRN Only - Dayshift).Federal Employee Health Benefit (FEHB) Program policies.This role supports Japan-based US DoD Civilians and involves close collaboration with regiona...Show more

DE031238-Learning Operations Specialist

Accenture

Quezon

ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Learning Operations Specialist WORK SETUP: Return to Office ...Show more

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Care Manager

Care Manager

Company 81 - Manulife Data Services Inc.Lapu Lapu City,
7 days ago
Job description

Position Responsibilities:

  • Assess clinical needs to determine initial eligibility for long term care benefits

  • Ongoing monitoring of claims for high-risk activity

  • Make benefit eligibility determinations based on onsite/virtual assessments, functional/cognitive screening forms and/or other clinical evidence on ongoing claims

  • Appropriately set clinical follow updates based on current protocols

  • Complete trainings as assigned to maintain currency with protocol and guideline updates

  • Collaborate with other business units as needed to provide optimum service to customers

  • Participate in regular one-on-one meetings with management, attend staff meetings and attend other work activities as directed by manager

  • Collaborate with senior care management staff on specific claim questions to ensure accurate decision-making

Required Qualifications:

  • Bachelor’s degree in Nursing with an active and valid PHRN or USRN license

  • Excellent communication and interpersonal skills, with sound clinical judgment and decision‑making abilities

  • Proficient in Microsoft Office applications and quick to learn new systems and technologies

Preferred Qualifications:

  • At least 5+ years of clinical nursing experience, ideally in geriatrics, long-term care, and/or chronic illness management

  • Experience in the Long-Term Care industry highly desirable; geriatric nursing background preferred

  • 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.

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 .

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 .

Working Arrangement

Hybrid