
USRN Team Lead
2 weeks ago
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 policies, and clinical standards.
- Conduct audits and reviews of clinical decisions to maintain accuracy and adherence to protocols.
- Must hold an active USRN license (from any U.S. state)
- Minimum of 1 year experience in an ER and/or ICU setting
- Previous leadership or supervisory experience in either a clinical or BPO environment
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USRN Team Lead
15 hours ago
Pasig, Philippines HRTX Full timeThis position is responsible for supervising a team of USRNs in delivering accurate and high-quality clinical support and services for healthcare clients. The role involves performance management, training, coaching, quality control, and ensuring adherence to compliance and SLA standards within a BPO setting. Location: Ortigas, Pasig Shift: Night Shift...
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USRN Team Lead
2 weeks ago
Pasig, Philippines HR TechX Corp. Full timeKey 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...
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USRN Nurse Team Lead
15 hours ago
Pasig, Philippines TASQ Staffing Solutions Full timeAbout 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...
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US Registered Nurse
15 hours ago
Pasig, Philippines HRTX Full timeThis 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...
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US Registered Nurse
4 weeks ago
Pasig, Philippines HRTX Full timeOverview 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...
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USRN Lead/QA
2 weeks ago
Pasig, National Capital Region, Philippines VISAYA Full time ₱900,000 - ₱1,200,000 per yearRole: 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...
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usrn umr
2 weeks ago
Pasig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱40,000 - ₱95,000 per yearAbout 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...
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USRN - Case Manager - Pasig
15 hours ago
Pasig, Philippines TASQ Staffing Solutions Full timeTASQ 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...
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USRN – Denials
2 weeks ago
Pasig, National Capital Region, Philippines Global Group Innovative Services Full time ₱1,080,000 - ₱1,140,000 per yearQualifications: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...
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Prior-Authorization Nurses USRN
3 weeks ago
Pasig City, Philippines Visaya KPO Full timeWE'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...