Remote LTC Care Manager - Geriatric RN
$61.88k - $103.13kManulife Financial
- Remote job
Care Manager – Long-Term Care We’re looking for a compassionate and experienced Care Manager to join our Long-Term Care Team! In this role, you’ll use your clinical expertise as a licensed RN to assess medical information, review evidence, and make thoughtful benefit eligibility determinations for Long-Term Care (LTC) claims. You’ll play a key role in ensuring decisions are accurate, timely, and aligned with policy provisions, while delivering a high-quality customer experience. As a Care Manager, you’ll balance claim adjudication responsibilities with opportunities to contribute to strategic initiatives and evolving business priorities. This is an excellent opportunity for a clinically strong, detail-oriented professional who thrives in a collaborative environment and is passionate about supporting customers with care, integrity, and sound judgment. Responsibilities Oversee care management activities, including benefit eligibility reviews, care coordination, and documentation, while ensuring quality, timeliness, and a positive customer experience. Assess clinical needs to determine initial and ongoing eligibility for long-term care benefits. Review clinical evidence, including onsite assessments from vendors, to make accurate benefit eligibility decisions. Monitor claims for high-risk activity and maintain appropriate follow-up schedules based on current protocols. Conduct virtual telehealth assessments when required. Manage multiple priorities and meet deadlines across assigned claims and projects. Collaborate with senior care management staff and cross-functional teams to support accurate decisions and optimal customer service. Stay current with protocols and guidelines through assigned training, regular management check-ins, and team meetings. Qualifications Bachelor’s degree in nursing required. Minimum 5 years of nursing experience, with a focus on geriatrics, long-term care, and/or chronic illness management. Prior experience in geriatric nursing and the long-term care industry is strongly preferred. Experience conducting virtual telehealth assessments is considered an asset. Strong ability to work both independently and collaboratively within multidisciplinary teams. Excellent verbal and written communication skills, with the ability to engage effectively with customers and internal partners. Sound clinical judgment and strong decision-making skills to support accurate benefit eligibility determinations. Proficiency in Microsoft Office and comfort learning new systems; current RN compact license in an NLC state is an asset. Benefits 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. The role being advertised is an existing vacancy. About Manulife and John Hancock マニュライフ・ファイナンシャル・コーポレーションは、「あなたの未来に、わかりやすさを」を提供する、国際的な大手金融サービスプロバイダーです。当社について詳しくは、 Equal Employment Opportunity マニュライフは機会均等を是とする雇用主です。マニュライフ/ジョン・ハンコックでは、多様性を受け入れます。私たちは、サービス提供先であるお客さまと同様に、多様な人材を引きつけ、育成し、定着させ、文化や個人の力を受け入れる包括的な職場環境を促進するよう努めています。当社は公正な採用、定着、昇進、報酬に努めています。当社のすべての慣行およびプログラムは、人種、祖先、出身地、肌の色、民族的出自、市民権、宗教または宗教的信念、信条、性別(妊娠および妊娠関連の状態を含む)、性的指向、遺伝的特徴、退役軍人としての地位、性自認、性に関する表明、年齢、婚姻状況、家族状況、障害、または適用法で保護されるその他の要因に対する一切の差別を行うことなく管理されます。 雇用への平等なアクセスを提供するために、障壁を取り除くことが当社の優先事項です。人事担当者は、応募者が応募プロセス中に合理的配慮を要求する場合に協力します。配慮要求のプロセス中に共有されるすべての情報は、適用される法律およびマニュライフ/ジョン・ハンコックのポリシーに準拠した方法で保存および使用されます。申請プロセスにおいて合理的配慮を要求するには、View email address on click.appcast.io。 Location and Compensation
米国, マサチューセッツ州 フルタイムリモート
Salary range is expected to be between $61,875.00 USD and $103,125.00 USD. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact View email address on click.appcast.io for the salary range for your location. Benefits Details Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year, and we offer the full range of statutory leaves of absence. Privacy and Data Use We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement. Company: John Hancock Life Insurance Company (U.S.A.) #J-18808-Ljbffr Manulife Financial- A behavioral health organization is looking for a Telehealth RN to manage geriatric mental health care. This remote position requires a Pennsylvania RN license and offers a predictable daytime schedule. Responsibilities include patient engagement, care coordination, and...Remote work
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