About this role
Role Overview
- Evaluate medical documentation and claim information against policy terms
- Assess clinical needs for long-term care benefits
- Review assessments and documentation for eligibility decisions
- Monitor ongoing claims and conduct clinical follow-ups
- Collaborate with senior care management and cross-functional teams
- Maintain up-to-date knowledge of clinical protocols and guidelines
Requirements
- Active Philippine Registered Nurse (PHRN) and US Registered Nurse (USRN) licenses
- 5+ years of nursing experience
- Bachelor’s degree in Nursing (BSN)
- Amenable for fixed night shift schedule
- Proficiency in Microsoft Office applications
Benefits
- flexible environment
- well-being and inclusion support
- professional development opportunities