Care Manager

We’re looking for a Care Manager to join our 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 protocols. You will validate and interpret clinical evidence against policy or plan provisions to determine benefit eligibility for Long-Term Care (LTC) claims.

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
  
  

When You Join Our Team

• 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 https://www.manulife.com/en/about/our-story.html.

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 recruitment@manulife.com.

Working Arrangement

Hybrid

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