
Clinical Operations Manager USRN | 150k Sign On Bonus
6 days ago
Job Summary:
The Clinical Operations Manager oversees Utilization Management (UM) operations, ensuring compliance with regulatory and industry standards. This role involves coordinating across teams to drive operational excellence, maintain quality, and achieve business goals.
Key Responsibilities:
- Manage overall program performance, including revenue, profitability, billing, and client retention.
- Lead and develop staff through training, coaching, and performance management.
- Ensure compliance with contracts and service level agreements (SLAs); maintain strong client relationships and satisfaction.
- Partner with cross-functional teams (HR, Training, Quality, Workforce Management) to resolve issues and improve operations.
- Foster a positive, engaging work environment; handle employee relations effectively.
- Monitor industry trends, vendor relationships, and operational best practices to drive continuous improvement.
- Conduct regular business and performance reviews with internal leaders and clients.
Job Type: Full-time
Pay: Php190, Php197,000.00 per month
Work Location: In person
-
Clinical Operations Manager
2 days ago
Pasig, Philippines Swift-up Full timeClinical Operations Manager (USRN) | 150k Sign On Bonus! Swift-up Pasig, National Capital Region, Philippines Job Summary The Clinical Operations Manager is responsible for managing and overseeing UM (Utilization Management) operations, ensuring compliance with industry standard(s) and regulatory requirement(s). The role involves close coordination with...
-
Pasig, National Capital Region, Philippines Swift-up Full time ₱1,200,000 - ₱1,500,000 per yearJob Summary:The Clinical Operations Manager oversees Utilization Management (UM) operations, ensuring compliance with regulatory and industry standards. This role involves coordinating across teams to drive operational excellence, maintain quality, and achieve business goals.Key Responsibilities:Manage overall program performance, including revenue,...
-
USRN Team Lead
2 days 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...
-
USRN Team Lead
3 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...
-
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...
-
USRN - Case Manager - Pasig
2 days 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...
-
USRN - Case Manager - Pasig
3 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...
-
USRN Team Lead
2 weeks ago
Pasig, Philippines HRTX Full timeResponsibilities 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
2 days ago
Pasig, Philippines TASQ Staffing Solutions Full timeAbout 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...
-
USRN Nurse Trainer
3 hours ago
Pasig, Philippines TASQ Staffing Solutions Full timeAbout the job USRN Trainer (Pasig) | Onsite Work Setu p/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 Trainer Minimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)...