PHRN Team Lead

Ready to take your nursing career to the next level? Join one of the leading healthcare accounts in the country Whether your strength is bedside care, clinical support, or BPO healthcare, we have a spot for you.1 — PHRN (Registered Nurse) | Critical Care AccountLocation: Taguig City or MakatiWork Setup: Hybrid | Graveyard Shift | US HolidaysSalary Range:...

HIRING: PHRN – Prior Authorization / UMR ExperienceWork Location: Ortigas / Quezon City / BGCSchedule: Onsite | Night Shift | Monday to FridaySalary Range: ₱45,000 – ₱50,000Start Date: ASAPJoin a leading healthcare BPO organization and take your nursing career to the next level.Qualifications:Must be a Registered Nurse (PHRN) with an active PRC...

Job SummaryThe PHRN Appeals Specialist is responsible for reviewing, evaluating, and processing medical appeals in accordance with client and regulatory guidelines. The role requires strong clinical knowledge, analytical skills, and the ability to communicate effectively with members and healthcare professionals.QualificationsMust have experience in handling...

Job SummaryWe're hiring PH Registered Nurses (Client Insurance) to collaborate with healthcare providers and members to ensure quality, medically appropriate, and cost-effective care.You'll assess inpatient and outpatient medical necessity, coordinate discharge planning, and support utilization management and appeals review.ResponsibilitiesEvaluate medical...

MASS HIRING: 30 PHRNs | Up to P50,000 Salary Package + Night Differential + Sign-On BonusWork Onsite – Taguig, Pasig, or BridgetowneBe part of a leading healthcare account with fast processing and immediate hiring.What We Offer:• Competitive salary package: P40,000–P50,000• Night differential• Sign-on bonus• Fixed onsite work locations: Taguig,...

PHRN Operations Manager (PHRN) with 1 year exp Sr ops manager in BPOJoin a leading healthcare BPO organization and take the next step in your leadership career.Compensation Package:₱150,000.00 – Base Rate₱5,000.00 – Program-Specific Allowance₱2,800.00 – Non-Taxable AllowanceTotal Compensation Package: ₱157,800.00 per monthSigning Bonus: ₱50,...

Key ResponsibilitiesOversee end-to-end UM operations and ensure SLA and quality complianceManage profitability, seat utilization, and retention performanceLead and coach a clinical team of up to 100 employeesEnsure adherence to MCG, InterQual, NCQA, and ODG guidelinesBuild strong client relationships and conduct regular business reviewsCollaborate with...

Active PHRN and no USRNHealthcare BPO background required— preferably inclinical accountssuch as UMR, Appeals, Denials, or Coding Minimum1–5 years of leadership or support experiencein roles such as:Training / Training ManagementTeam LeadershipQuality Assurance / Quality LeadershipOperations Management Must beamenable to onsite work(Ortigas, Pasig or...

About the role Join the dynamic team at Find HR PH as a PHRN/USRN/NCLEX (Associates, Assistant Manager, & Trainer) for Pasay and Cebu. This is a full-time, hybrid role offering a flexible work arrangement between the office and remote locations. As a key member of our Call Centre & Customer Service team, you will play a vital part in supporting our clients...

RESPONSIBILITIES:To provide support to the clinical team and client team to assist in the promotion of quality member outcomes, to optimize member benefits, and to promote effective use of resources. Supports the procedures that ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost...