USRN Team Lead – Night Shift, Onsite Ortigas (UMR/InterQual)

PM Consulting

Pasig

On-site

PHP 900,000 - 1,200,000

Full time

14 days+

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Job summary

PM Consulting is seeking an experienced USRN Team Lead to lead a team supporting Utilization Management Review (UMR) in a healthcare BPO environment. The ideal candidate is a US Registered Nurse with acute hospital background, UMR experience with InterQual and MCG guidelines, and proven leadership in healthcare operations.

Responsibilities include coaching, performance reviews, scheduling, and ensuring compliance with client requirements and regulations.

Qualifications

Active and unrestricted USRN license; New York license preferred.
Active Philippine RN license (PHRN).
Minimum 3 years acute hospital experience (ER/OR preferred).
At least 1 year UMR experience using InterQual and MCG.
Minimum 2 years Team Lead experience in a healthcare BPO.
Strong leadership, coaching and people management skills.
Excellent verbal and written English communication skills.
Strong analytical and clinical decision-making abilities.
Proficient in MS Office 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 targets.
Monitor daily operations and ensure client requirements and regulatory standards are met.
Provide clinical guidance on UM reviews using InterQual and MCG criteria.
Conduct performance coaching, quality reviews, and feedback sessions.
Manage attendance, scheduling, and workload distribution.
Handle escalations and resolve operational and clinical issues promptly.
Partner with Operations, Quality, Training, and WFM to drive process improvements.
Prepare operational reports and share performance metrics with leadership.
Foster a collaborative, high-performing, patient-focused environment.