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Usrn • Philippines

Last updated: 2 days ago
Care Manager

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 moreLast updated: 2 days ago
Care Manager

Care Manager

ManulifeLapu Lapu City,
Insurance Operations team at MBPS.In this role, you are expected to use your clinical expertise to assess clinical information on low to moderate exposure claims, following established business pro...Show moreLast updated: 2 days ago
Training and Quality Manager (PHRN / USRN)

Training and Quality Manager (PHRN / USRN)

HCM Nexus ConsultingPasig City, Metro Manila, Philippines
We are looking for an experienced RN Training & Quality Manager to lead clinical training and quality initiatives for a US healthcare account. This role requires an active PHRN or USRN license, stro...Show moreLast updated: 30+ days ago
Training and Quality Manager (PHRN / USRN)

Training and Quality Manager (PHRN / USRN)

Nexus Recruitment GroupPasig City, Metro Manila, Philippines
Quick Apply
We are looking for an experienced RN Training & Quality Manager to lead clinical training and quality initiatives for a US healthcare account. This role requires an active PHRN or USRN license, ...Show moreLast updated: 30+ days ago
US Registered Nurse Makati

US Registered Nurse Makati

UnitedHealth GroupMakati, 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 moreLast updated: 30+ days ago
Clinical Reviewer Specialist

Clinical Reviewer Specialist

NTT DATA ServicesManila, 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 moreLast updated: 15 days ago
Utilization Review Nurse - USRN (Remote work!)

Utilization Review Nurse - USRN (Remote work!)

NTTManila, Philippines
We are currently seeking a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Performs clinical reviews needed to resolve a...Show moreLast updated: 5 days ago
USRN Prior-Authorization | WFH

USRN Prior-Authorization | WFH

ISTA Personnel SolutionsMandaluyong 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 moreLast updated: 6 days ago
Coordinating Benefit Review Nurse

Coordinating Benefit Review Nurse

International SOSPasig 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 moreLast updated: 13 days ago
DE031238-Learning Operations Specialist

DE031238-Learning Operations Specialist

AccentureQuezon
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 moreLast updated: 16 days ago
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Care Manager

Care Manager

Company 81 - Manulife Data Services Inc.Lapu Lapu City,
2 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