Phrn Team Leader

12 hours ago

Metro Manila Philippines Buscojobs Full time

Overview

We are seeking an experienced Registered Nurse to serve as Team Leader for our Virtual Utilization Review Team. This leadership role involves supervising a team of UR nurses, ensuring clinical quality, compliance, and productivity, and acting as a liaison between clinical staff, clients, and internal stakeholders. The ideal candidate will have a strong background in utilization review and leadership within a healthcare BPO or managed care setting.

Key Responsibilities
  • Supervise and mentor a team of virtual utilization review nurses to ensure timely, accurate, and compliant case reviews.
  • Monitor team performance metrics, including productivity, quality assurance, and turnaround times.
  • Conduct regular team huddles, case discussions, and performance reviews to foster continuous improvement.
  • Review complex or escalated clinical cases and provide guidance or second-level decision support.
  • Ensure the team adheres to evidence-based guidelines (e.g., MCG, InterQual), payer policies, and regulatory standards.
  • Coordinate with clients and internal quality teams to address feedback, audits, or updates to clinical protocols.
  • Lead training and onboarding programs for new UR nurses.
  • Collaborate with operations and workforce management to ensure adequate staffing and coverage across shifts.
  • Prepare reports and presentations for management and client stakeholders.
Qualifications
  • Active PRC License
  • At least 1 year experience in acute hospital settings
  • At least 1 year of experience in utilization review, case management, or medical management in a BPO setup
  • At least 1 year of leadership experience in a healthcare BPO
  • Strong knowledge of medical terminology and utilization management guidelines (InterQual, MCG).
  • Strong knowledge in EPIC/CERNER
  • Proven ability to lead and inspire remote teams in a performance-driven environment.
  • Excellent communication, decision-making, and conflict-resolution skills.
  • Proficiency in EMR systems, UR platforms, and Microsoft Office Suite.
Work Set up
  • Work onsite at Pasay
  • Permanent night shift
#J-18808-Ljbffr

  • PHRN Healthcare Team Leaders NEEDED 60K

    2 days ago

    Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱600,000 - ₱624,000 per year

    5 PHRN Healthcare Team Leaders and 2 PHRN Healthcare Quality Analysts5 PHRN Healthcare Team Leaders2 years Hospital Experience1 year of PHRN Healthcare Team Leader ExperienceCan work onsiteCan start asap3 Easy steps before your Job Offer60, ,000php + night diff2 PHRN Healthcare Quality Analysts1 year PHRN Healthcare QA experience is a mustwilling to work...

  • PHRN Team Leader – Healthcare BPO

    4 days ago

    Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱600,000 - ₱744,000 per year

    PHRN Team Leader – Healthcare BPO | Up to PHP 62K | Quezon City (Onsite) Salary Range: PHP 50,000 – 62,000 (depending on experience) Work Setup: Onsite – Bridgetowne, Quezon CityJob SummaryTake your nursing career to the next level We're hiring a licensed PHRN with leadership experience in Healthcare BPO to lead a team in Prior Authorization...

  • Team Leader

    2 weeks ago

    Manila, Philippines V-Call Center Link Inc. Full time

    Key Responsibilities Supervise, coach, and mentor a team of PHRNs in handling clinical and non-clinical BPO-related tasks (e.g., utilization management, prior authorization, claims review, telehealth support). Monitor daily team performance, productivity, and quality metrics. Conduct regular performance reviews and provide constructive feedback. Assist in...

  • Operations Manager

    12 hours ago

    , Metro Manila, Philippines HRTX Full time

    Operations Manager / Team Leader (Healthcare Account – BPO) Job Openings Operations Manager / Team Leader (Healthcare Account – BPO) About the job We are looking for a licensed Philippine Registered Nurse (PHRN) with strong BPO leadership experience to manage operations and lead teams for a Healthcare account. This role combines operational oversight...

  • USRN Licensed Team Leader

    4 days ago

    Manila, Philippines GGAS Services Full time

    USRN Licensed Team Leader (TL) – BPO Healthcare UMR Account Location: Onsite – ortiags Salary: Up to ₱90,000 + ₱100,000 Bonus Job Type: Full-Time, Night Shift Job Summary: We are looking for a highly experienced and motivated USRN Licensed Team Leader (TL) with a strong background in BPO, specifically in Healthcare UMR Accounts. The successful...

  • USRN Licensed Team Leader

    2 weeks ago

    manila, Philippines GGAS Services Full time

    USRN Licensed Team Leader (TL) – BPO Healthcare UMR Account Location: Onsite – ortiags Salary: Up to ₱90,000 + ₱100,000 Bonus Job Type: Full-Time, Night Shift Job Summary: We are looking for a highly experienced and motivated USRN Licensed Team Leader (TL) with a strong background in BPO, specifically in Healthcare UMR Accounts. The successful...

  • Phrn Qa Specialist

    12 hours ago

    , Metro Manila, Philippines Buscojobs Full time

    Overview Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers Physical Sites: Taguig, Cebu, and Pampanga Our Clinicians & Associates advocates for better patient care while enjoying these benefits: Benefits Work from Home HMO on Day 1 with 2 Dependents upon regularization Group Life...

  • Team Leader

    2 weeks ago

    , Metro Manila, Philippines Buscojobs Full time

    Malabon, National Capital Region LUCKYRICH TRADING CO. (Remilly's Yema Cake) Posted today Job Description Overseeing the daily activities of the accounting department and ensuring that all major projects, month-end, and year-end reports are completed accurately and on time. Tax compliance Business registration and renewals BIR processing Bachelor’s degree...

  • PHRN Licensed Must Hospital Exp 50k to 53k Hybird

    4 days ago

    Manila, Philippines GGAS Services Full time

    Job Opening: PHRN Licensed – Hospital Experience Location: Quezon City (Onsite) Salary: 31k We are currently looking for a PHRN Licensed professional with hospital experience to join our team. Key Requirements: PHRN Licensed (active) Must have hospital experience Available to work onsite in Makati or Taguig Willing to work the night shift Available to...

  • PHRN Licensed Must Hospital Exp 50k to 53k Hybird

    2 weeks ago

    Manila, Philippines GGAS Services Full time

    Job Opening: PHRN Licensed – Hospital Experience Location: Quezon City (Onsite) Salary: 31k We are currently looking for a PHRN Licensed professional with hospital experience to join our team. Key Requirements: PHRN Licensed (active) Must have hospital experience Available to work onsite in Makati or Taguig Willing to work the night shift Available to...