Training Quality Manager (PHRN/USRN)

Gratitude Philippines; Quezon City; On-site; PHP 446,400 - 669,600; Full time

Job summary

A healthcare organization in Metro Manila seeks a Training Quality Manager responsible for overseeing training quality and compliance with healthcare standards. You will manage a team, conduct training, and analyze complex medical information. The ideal candidate must have a Bachelor's in Nursing, an active license, and at least 2 years of experience in Utilization Management. Strong communication skills are essential, and flexible work hours including US hours are required.

Qualifications

• Active and valid license in Nursing (PHRN/USRN) is required.
• At least 2 years of experience in Utilization Management.
• Minimum 2 years in a managerial position.

Responsibilities

• Oversee the quality of training programs and compliance with healthcare standards.
• Manage team of leaders, TLs, and Supervisors.
• Conduct training and quality management activities.

Skills

Utilization Management

Training Management

Analytical Skills

Communication Skills

Education

Bachelor's Degree in Nursing

Job description

Description

The Training Quality Manager is responsible for overseeing the quality of training programs and ensuring compliance with healthcare standards.

• Manage utilization management and medical necessity approval and denials.
• Handle a team of leaders, TLs, and Supervisors.
• Conduct training and quality management activities.
• Analyze complex medical information and identify relevant clinical issues.
• Prepare appeal arguments and communicate with stakeholders.
• Ensure familiarity with Medicare rules & regulations and guidelines.
• Work on-site with flexible schedules, including US hours and holidays.

Requirements

• Bachelor's Degree in Nursing with an active and valid license (PHRN/USRN).
• At least 2 years of experience in Utilization Management.
• Minimum 2 years in a managerial position.
• Experience in training and quality management.
• Experience in a hospital setting or other clinical environment.
• Knowledge of InterQual, NCQA, and CMS.
• Excellent verbal and written communication skills.