PHRN/USRN Operations Manager

4 days ago

Pasig, Philippines Omega Healthcare Management Services Inc. Full time

JOB PURPOSE This position is responsible for coaching and supporting Team Leads and ensures that each team lead meets or exceeds their team performance. This position is also responsible for ensuring client quality and service levels are met on a consistent basis. PRIMARY DUTIES & RESPONSIBILITIES Meet all Client Service Level Agreements (deliverables) Ensure the team understands client specific training requirements / needs etc. Analyze performance results of the team and implement process improvements Determine appropriate staff levels and implement strategies to ensure efficient operations Work with support departments to ensure staffing strategies are effectively executed Support the data collection for billing process, billable/non-billable hours & preparation of Invoice Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates Act as single point of contact for the team leads for all their client and team member needs and create a harmonious work environment Escalate performance related issues with respect to his TL to management in a timely manner. Escalate client complaints to Ops Head and resolve escalated customer issues, CAPA to be followed. Perform any other duty assigned by respective Ops Head. Act as authorized person for sanctioning team leads leave thru HRIS. Responsible for day-to-day functional supervision of each team, including productivity of the team, quality %, track absenteeism of the team and encourage team leads to complete performance appraisal of work group(s) in accordance with the organization’s policies and applicable legal requirements. Ensure that the team’s adherence to QMS and ISMS standards like ISO 9001:2000 and ISO 27001. SKILL SET With at least 5-7 years of experience in the BPO\Healthcare Graduate of Bachelor's degree in Nursing with active PH Registered Nurse or US Registered Nurse license of any state Minimum 1-3 years of managerial experience supporting a US BPO healthcare account in Prior Authorization and Clinical experience CANDIDATE PROFILE Excellent Leadership & Interpersonal relationship Strong Process Management & planning skills Embrace change and think operationally to achieve business goals Proven process improvement experience #J-18808-Ljbffr

  • Healthcare CSR | PHRN | USRN Hiring

    3 weeks ago

    Pasig, Philippines Nezda Technologies, Inc. Full time

    WE ARE HIRING: HEALTHCARE PROFESSIONALS! Join our growing healthcare team and build a rewarding career that makes a difference! We are looking for passionate and dedicated individuals for the following positions: Customer Service Representatives (CSR) Philippine Registered Nurses (PHRN) US Registered Nurses (USRN) Location: Bridgetowne Pasig-QC, Mandaluyong,...

  • phrn | usrn | virtual hiring process | ortigas pasig

    1 week ago

    Pasig, National Capital Region, Philippines Nezda Global PH Full time ₱50,000 - ₱100,000 per year

    We Are Hiring – Healthcare BPO Roles Location: Manila & Cebu (depending on the role) Work Setup: Onsite / Temporary WFH Start Dates: Varies per role Salary Range: Competitive (up to PHP 100,000 depending on experience)Open Positions1. USRN MCGStart Date: 22-SepWork Setup: Temporary WFHSalary: Up to PHP 95,000Non-Negotiable Qualifications:1 year inpatient...

  • usrn umr

    2 weeks ago

    Pasig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱40,000 - ₱95,000 per year

    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...

  • Clinical Nurse Auditor

    2 weeks ago

    Pasig, Philippines Visaya KPO Full time

    WE'RE HIRING! Ortigas Site Clinical Nurse Appeals Writer (For Active Pooling) Visaya KPO is on the lookout for experienced and dedicated PHRN/USRN professionals to join our growing team! Why Join Us? HMO & Retirement Benefits 15% Night Differential 24 Leave Credits per Year Holistic Wellness Programs Qualifications: PHRN/USRN with 3+ years of...

  • USRN Team Lead

    3 weeks ago

    Pasig, Philippines HRTX Full time

    This 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...

  • USRN Team Lead

    3 weeks ago

    Pasig, Philippines HRTX Full time

    This 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...

  • USRN - Case Manager - Pasig

    3 weeks ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    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...

  • USRN - Case Manager - Pasig

    3 weeks ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    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...

  • USRN Team Lead

    7 hours ago

    Pasig, Philippines HRTX Full time

    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...

  • USRN Nurse Trainer

    3 weeks ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    About the job USRN Trainer (Pasig) | Onsite Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Nursing Graduate (Bachelor's Degree)Active USRN License of any state (but NY is preferred)At least 1-2 years as a Process TrainerMinimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)Experience...