Night-Shift USRN Team Lead — Utilization Management

Our Clients; Pasig; On-site; PHP 892,800 - 1,562,400; Full time

Job summary

Our Clients in Ortigas is seeking a USRN Team Lead to steer a healthcare BPO team handling Utilization Management Review (UMR) operations. This onsite night-shift role requires a valid USRN and PHRN license, with strong ER/OR background and UMR experience using InterQual and MCG criteria.

You will coach clinicians, monitor performance, ensure regulatory compliance, and deliver client SLAs while promoting quality patient care and process improvements.

Qualifications

• Active and unrestricted US Registered Nurse (USRN) License (New York license preferred).
• Active Philippine Registered Nurse (PHRN) License.
• Minimum of 3 years of acute hospital experience, preferably in ER or OR settings.
• At least 1 year of Utilization Management Review (UMR) experience using InterQual and MCG clinical guidelines.
• Minimum of 2 years of Team Lead experience in a healthcare BPO environment.
• Strong leadership, coaching, and people management skills.
• Excellent verbal and written English communication skills.
• Strong analytical and critical thinking skills with the ability to make sound clinical decisions.
• Proficient in Microsoft Office applications and healthcare documentation systems.
• 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

Team leadership

Coaching

People management

English communication

Analytical thinking

Decision making

Microsoft Office

Education

USRN License

PHRN License

Tools

InterQual

MCG

Job description

Our Clients in Ortigas is seeking a USRN Team Lead to steer a healthcare BPO team handling Utilization Management Review (UMR) operations. This onsite night-shift role requires a valid USRN and PHRN license, with strong ER/OR background and UMR experience using InterQual and MCG criteria.

You will coach clinicians, monitor performance, ensure regulatory compliance, and deliver client SLAs while promoting quality patient care and process improvements.