Night-Shift USRN Team Lead: UMR & Quality

Create Synergies Inc.; Pasig; On-site; PHP 1,116,000 - 1,786,000; Full time

Job summary

Create Synergies Inc. in Ortigas is seeking an experienced USRN Team Lead to guide a team supporting Utilization Management Review (UMR) operations in a healthcare BPO.

The ideal candidate holds an active USRN license (New York preferred), a PHRN license, and at least 3 years in acute hospital settings (ER/OR). UMR experience with InterQual and MCG, plus 2 years in team leadership, are essential for success.

Qualifications

• Active and unrestricted US Registered Nurse license (New York license preferred).
• Active Philippine Registered Nurse license.
• Minimum of 3 years of acute hospital experience, preferably in ER or OR.
• At least 1 year of Utilization Management Review (UMR) experience using InterQual and MCG criteria.
• Minimum of 2 years of Team Lead experience in a healthcare BPO environment.
• Willing to work onsite in Ortigas on a night shift schedule.

Responsibilities

• Lead, coach, and manage a team of clinicians to achieve quality, productivity, and service level targets.
• Monitor daily operations and ensure compliance with client requirements, regulatory standards, and internal policies.
• Provide clinical guidance and support on utilization management review cases using InterQual and MCG criteria.
• Conduct performance coaching, quality reviews, and regular feedback sessions to improve team performance.
• Manage team attendance, scheduling, and workload distribution.
• Handle escalations and resolve operational and clinical issues in a timely manner.
• Partner with Operations, Quality, Training, and Workforce Management teams to drive continuous process improvement.
• Prepare operational reports and communicate performance metrics to leadership.
• Foster a collaborative, high-performing, and patient-focused work environment.

Skills

Leadership

Coaching

People management

English communication

Analytical thinking

Critical thinking

Team collaboration

Education

US Registered Nurse license

Philippine Registered Nurse license

Tools

InterQual

MCG guidelines

Microsoft Office

Healthcare documentation systems

Job description

Create Synergies Inc. in Ortigas is seeking an experienced USRN Team Lead to guide a team supporting Utilization Management Review (UMR) operations in a healthcare BPO.

The ideal candidate holds an active USRN license (New York preferred), a PHRN license, and at least 3 years in acute hospital settings (ER/OR). UMR experience with InterQual and MCG, plus 2 years in team leadership, are essential for success.