USRN Team Lead

Key Responsibilities: Lead and manage a team of USRNs involved in clinical functions such as utilization management, case management, prior authorizations, appeals, or claims review. Track and evaluate team performance against established KPIs and SLAs, ensuring quality, productivity, and timely delivery. Ensure full compliance with HIPAA, client-specific...

Responsibilities Lead and manage a team of USRNs involved in clinical functions such as utilization management, case management, prior authorizations, appeals, or claims review. Track and evaluate team performance against established KPIs and SLAs, ensuring quality, productivity, and timely delivery. Ensure full compliance with HIPAA, client-specific...

About the job USRN Team Leader (Pasig) | Onsite Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Active USRN License in any stateBPO or hospital leadership experience recent (ER or ICU experience) Responsibilities: Lead, supervise, and motivate a team of US Registered Nurses (USRNs), ensuring they meet performance standards and quality...

This position supervises a team of USRNs to deliver accurate, high-quality clinical support and services for healthcare clients within a BPO setting. The role includes managing team performance, providing training and coaching, and ensuring compliance with HIPAA, client policies, and SLA standards. Responsibilities involve overseeing clinical processes such...

Overview This position supervises a team of USRNs to deliver accurate, high-quality clinical support and services for healthcare clients within a BPO setting. The role includes managing team performance, providing training and coaching, and ensuring compliance with HIPAA, client policies, and SLA standards. Responsibilities Overseeing clinical processes such...

Role: USRN Team Lead/QA - Utilization ManagementAbout Visaya KPO:Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach.Role Overview:We...

About the role Nezda Technologies, Inc. is seeking a talented registered nurse to join our team as a USRN UMR & PHRN - PRIOR AUTH. This is a full-time, based in Ortigas Pasig City Metro Manila. In this strategic position, you will play a crucial part in our efforts to deliver exceptional healthcare services to our clients.What you'll be doingReviewing and...

TASQ is urgently hiring a USRN Case Manager for an on-site role in Pasig. The pre-screening interview will be conducted via a phone call.Work set up/schedule: Night Shift | Onsite HMO day 1 with 1 free dependent Qualifications: Must hold a Bachelor's degree in Nursing and have an active USRN license At least one year of experience in a hospital or clinical...

Qualifications:Active USRN license in any U.S. stateMinimum 2 years of hospital or bedside experience in an acute care setting (Med/Surg, Ortho, ER)Experience using InterQualStrong analytical and clinical judgment skillsKey Responsibilities:Review and analyze denied inpatient claims and determine reasons for denial following IP DRG coding guidelinesPrepare...

WE'RE HIRING! – Prior-Authorization Nurse USRN – Pioneer Account Location: Ortigas (Onsite) Company: VISAYA Be part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications: Graduate of BS Nursing with an active USRN license At least 3–5 years of solid experience in: Utilization Review...