Team Lead - USRN | Home Health RCM

AGS Health Philippines, Inc; Taguig; On-site; PHP 558,000 - 781,000; Full time

Job summary

AGS Health Philippines, Inc. is seeking a Team Leader for Plan of Care Coordination (USRN) in Taguig. The role oversees daily operations of the Plan of Care Review team, ensuring high-quality case reviews, coaching, and performance management while maintaining patient care standards.

The successful candidate will have US RN licensure, 3+ years clinical experience in relevant areas, and at least 1 year of supervisory experience. Strong EMR and MS Office skills are essential for success.

Qualifications

• Active US RN license is required.
• 3+ years clinical experience in home health, utilization management, care coordination, or related reviews.
• 1+ year of supervisory or team leadership experience.
• Strong understanding of Plans of Care (Form 485), recertification, and resumption-of-care processes.
• Excellent written and verbal communication skills.

Responsibilities

• Provide day-to-day leadership and support to Plan of Care Review team.
• Monitor productivity, quality, attendance, and service levels.
• Manage workload distribution and resources for timely case completion.
• Serve as first escalation point for clinical, workflow, and operational concerns.
• Conduct regular team meetings, coaching, and performance reviews.
• Foster accountability, collaboration, and continuous improvement.

Skills

RN license

Leadership

Communication skills

Analytical thinking

Team leadership

Time management

Independent work

EMR systems

Microsoft Office

Education

US RN license

Tools

EMR systems

Microsoft Office

Job description

Job Title: Team Leader – Plan of Care Coordination (USRN)

Location: McKinley, Taguig

Work set-up: Onsite

Shift: Night Shift (M-F)

Position Summary

The Team Leader is responsible for overseeing the daily operations, quality, productivity, and development of the Plan of Care Coordination team. This role serves as the primary point of contact for clinical and operational escalations, ensures compliance with established workflows and quality standards, and supports continuous improvement initiatives. The Team Leader will also perform case reviews as needed while providing coaching, training, and performance management to team members.

The Team Leader must possess strong clinical knowledge, leadership skills, and the ability to effectively manage a team in a fast-paced healthcare environment.

Minimum Requirements

• Active US Registered Nurse (RN) license.
• Minimum of 3 years of clinical experience, preferably in home health, utilization management, care coordination, or related clinical review functions.
• Minimum of 1 year of supervisory, coaching, mentoring, or team leadership experience.
• Strong understanding of home health documentation, Plans of Care (Form 485), recertification, and resumption-of-care processes.
• Excellent written and verbal communication skills.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently and lead a team effectively.
• Proficient in EMR systems and Microsoft Office applications.
• Willing to work assigned Manila day or evening shift schedules.

Key Responsibilities

Team Leadership & Operations

• Provide day-to-day leadership and support to the Plan of Care Review team.
• Monitor daily productivity, quality, attendance, and service level performance.
• Manage workload distribution and resource allocation to ensure timely completion of assigned cases.
• Serve as the first point of escalation for clinical, workflow, and operational concerns.
• Conduct regular team meetings, huddles, and one‑on‑one coaching sessions.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Support recruitment, onboarding, and integration of new team members.

Quality Management

• Ensure team compliance with policies, procedures, and clinical standards.
• Review completed cases for accuracy, completeness, and adherence to established workflows.
• Conduct routine audits and quality reviews.
• Identify quality trends and implement corrective action plans.
• Provide coaching and feedback to improve individual and team performance.
• Partner with stakeholders on quality improvement initiatives.

Training & Development

• Deliver ongoing training, refresher sessions, and skills development programs.
• Act as a subject matter expert (SME) for Plan of Care Review and Recertification processes.
• Support knowledge transfer and train‑the‑trainer activities.
• Maintain training documentation and monitor competency requirements.
• Ensure team readiness for process updates and workflow changes.

Client & Stakeholder Management

• Collaborate with clinical and operational leadership.
• Communicate process updates, issues, and performance results to stakeholders.
• Participate in calibration sessions, audits, and client meetings as required.
• Escalate workflow, documentation, and system issues impacting performance or quality.

Performance Metrics

The Team Leader will be accountable for:

• Team productivity and throughput
• Quality and audit performance
• Service level adherence
• Accuracy and compliance metrics
• Training completion and competency achievement
• Employee engagement and retention
• Escalation management and resolution turnaround times
• Client satisfaction and stakeholder feedback

Key Competencies

• Clinical Leadership
• Critical Thinking and Clinical Judgment
• Coaching and Mentoring
• Performance Management
• Quality Assurance and Compliance
• Stakeholder Management
• Communication Skills
• Change Management
• Decision Making
• Process Improvement
• Time Management and Prioritization

Reporting Structure

Reports To: Operations Manager / Clinical Operations Manager

Direct Reports: Plan of Care Coordinators - Registered Nurses

Role Level: Team Leader / Supervisor

This role combines clinical expertise with people leadership responsibilities to ensure high-quality Plan of Care reviews, operational excellence, client satisfaction, and team development.