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USRN Care Manager at Manulife - ApplyBlast

USRN Care Manager

Manulife

3 months ago

3.9 on Glassdoor

Quezon City, Philippines

Hybrid

Full Time

Senior

0 applicants

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About this role

A USRN Care Manager at MBPS evaluates medical documentation and claim information against policy terms to determine eligibility for insurance benefits. The role involves interpreting policy language, analyzing medical evidence, and making accurate claim decisions while ensuring compliance with contractual and regulatory requirements. Candidates will collaborate with senior care management teams and monitor ongoing claims, particularly those with high-risk activity.

Responsibilities

Evaluate medical documentation and claim information against policy terms
Assess clinical needs and determine initial eligibility for long-term care benefits
Monitor ongoing claims with high-risk activity and conduct clinical follow-ups
Collaborate with cross-functional teams to ensure accurate claim decisions
Maintain up-to-date knowledge of clinical protocols and guidelines

Skills

Qualifications

Active US Registered Nurse (USRN) licenseActive Philippine Registered Nurse (PHRN) licenseBachelor's degree in Nursing (BSN)

About Manulife

manulife.com

Headquarters

Toronto, Ontario, Canada

Company Size

10001+ employees

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Manulife is a leading financial services group. We provide financial advice, insurance, as well as wealth and asset management solutions for individuals, groups and institutions.