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USRN Team Leader 

Gratitude Inc
1548 Views
13 hours ago

USRN Team Leader 

2-4 Year(s)
₱ 70 - ₱ 120K p.m
Manila
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

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.

Recruiter profile

David Abulu

Recruiter - Gratitude Inc

NA, nigeria

3+ Followers

500+ Posts

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