USRN Care Manager

Company 322 - John Hancock Administrative Services

Quezon City, Metro Manila, Philippines Full time July 13, 2026

Found Description

Position Responsibilities:

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.

Required Qualifications:

Active Philippine Registered Nurse (PHRN) and US Registered Nurse (...

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