PHRN Team Leader

Gratitude Inc

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6 days ago

PHRN Team Leader

2-4 Year(s)

70 - 120 Thousand p.m

Manila

Job Description

Key Skills

Microsoft Office Team Leader PHRN or USRN Excellent verbal and written English communication skills InterQual Process

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Job Title: USRN/PHRN Team Leader

Location: Quezon City (On-site)

Shift: Night Shift (aligning with US hours)

Salary: PHP 70,000 - 120,000 per month (dependent on experience and credentials)

Start Date: Immediate or as soon as possible

Recruitment Process: Two virtual interview stages

About the Role:

We are seeking an experienced and licensed USRN or PHRN to lead a dedicated healthcare team. In this pivotal role, you will apply your clinical expertise in utilization management, overseeing case reviews and ensuring compliance with InterQual criteria. The ideal candidate is a proven leader with strong clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced, detail-oriented environment.

Key Responsibilities:

Lead and supervise a team of clinical staff in utilization management activities.

Conduct medical necessity reviews using InterQual criteria.

Manage multiple cases while meeting strict regulatory turnaround times.

Ensure accurate and thorough case documentation.

Serve as a clinical resource and provide guidance on complex cases.

Collaborate effectively to maintain high standards of quality and compliance.

Qualifications:

Active and valid PHRN or USRN license.

Minimum of 2 years of acute care bedside experience in an ER or ICU setting.

Minimum of 1 year of hands-on experience applying InterQual criteria.

At least 1 year of experience in a Team Lead or Supervisor role within a healthcare, clinical, or related support environment.

Proven experience in utilization management with a US-based insurance company, hospital, or equivalent.

Excellent verbal and written English communication skills.

Strong proficiency in Microsoft Office (Word, Excel, Outlook).

Solid clinical knowledge, especially in medical necessity review and interpretation of clinical documentation.

Willingness to work on-site in Quezon City on a night shift schedule, including US holidays.

Preferred Qualifications:

Knowledge of healthcare insurance processes, appeals, grievances, and utilization management.

Role

Nurse

Timings

US-Type Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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