USRN Team Lead | Night Shift | UMR & InterQual Expert

Our Clients; Pasig; On-site; PHP 900,000 - 1,100,000; Full time

Job summary

Our Clients in Ortigas is seeking an experienced USRN Team Lead to guide a clinical team delivering Utilization Management Review (UMR) for a healthcare BPO, using InterQual and MCG criteria to uphold quality and performance.

The ideal candidate holds a USRN license (New York preferred) and a PHRN license, with 3 years acute hospital ER/OR experience and 1 year UMR leadership in a healthcare BPO, working onsite night shifts.

Qualifications

• Active US Registered Nurse (USRN) license; New York license preferred.
• Active Philippine Registered Nurse (PHRN) license.
• Minimum of 3 years of acute hospital experience, ER or OR.
• At least 1 year of Utilization Management Review (UMR) experience using InterQual and MCG.
• Minimum of 2 years of Team Lead experience in a healthcare BPO.
• Strong leadership, coaching, and people management skills.
• Excellent English communication (verbal and written).
• 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.

Education

USRN License (Active)

PHRN License (Active)

Tools

InterQual

MCG

Job description

Our Clients in Ortigas is seeking an experienced USRN Team Lead to guide a clinical team delivering Utilization Management Review (UMR) for a healthcare BPO, using InterQual and MCG criteria to uphold quality and performance.

The ideal candidate holds a USRN license (New York preferred) and a PHRN license, with 3 years acute hospital ER/OR experience and 1 year UMR leadership in a healthcare BPO, working onsite night shifts.