We’re looking for a USRN Care Manager to join our Insurance Operations team at MBPS. In this role, you will evaluate medical documentation and claim information against policy terms and conditions to determine eligibility for insurance benefits. You will interpret policy language, analyze medical evidence, and make accurate claim decisions while ensuring compliance with contractual and regulatory requirements.Position ResponsibilitiesAssess 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 QualificationsActive Philippine Registered Nurse (PHRN) and US Registered Nurse (USRN) licenses, with the USRN license valid in any U.S. state.Candidates with 1–2 years of recent clinical experience.Bachelor’s degree in Nursing (BSN).Candidates must have a professional license with at least one (1) year of validity remaining prior to expiration.Amenable to a fixed night shift schedule.Preferred QualificationsExperience in geriatrics, long-term care (LTC), chronic illness management, claims review, care management, or related clinical settings is an advantage but not required.Fresh graduates who have relevant exposure or experience in either of these areas are also welcome to apply.Proficiency in Microsoft Office applications and Microsoft Teams; ability to quickly learn new claims and workflow management systems.Strong decision-making, assessment, and clinical judgment skills, with the ability to work independently and collaborate effectively within multidisciplinary teams.Excellent written and verbal communication skills.What We OfferProfessional license renewal expenses are covered through the company's reimbursement program.Continuing education and professional development costs are also eligible for reimbursement.Opportunities for learning, growth, and career advancement within a global organization.A flexible and inclusive work environment that supports well-being and professional success.When You Join Our TeamWe’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 HancockManulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.Manulife is an Equal Opportunity EmployerAt 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 hr@manulife.com.Working ArrangementHybrid