USRN Operations Manager – Utilization Management

Job Title:Operations Manager for Utilization Management – USRNWork Setup:On-site (Bridgetowne, Quezon City)Shift:Night ShiftSalary Range:₱150,000–₱180,000Description:Utilization Management (UM):Handles medical necessity reviews for pre-service, concurrent, and retrospective cases, including approval and denial decision-making.Job Description:The...

Job Title: Operations Manager for Utilization Management - USRNShift: Night shiftWork Set-up: On-site in Bridgetowne, Quezon CitySalary range: 150K to 180KStart date: Dec 31, 2025/ ASAPLOB DESCRIPTION: Utilization Management - medical necessity approval/ denials for pre-service, retrospective, and concurrent services.JOB SUMMARY:The Operations Manager for...

Job Summary:The Operations Manager for Utilization Management is responsible for managing and overseeing UM operations, ensuring compliance with industry standards and regulatory requirements. The role involves close collaboration with various stakeholders to drive performance and maintain high-quality standards.Key ResponsibilitiesOversee daily operations...

Role Title: USRN/PHRN Operations ManagerECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges through...

Job Title: Operations Manager for Utilization Management - USRNShift: Night shiftWork Set-up: On-site in Bridgetowne, Quezon CitySalary range: 150K to 180KHC: 1Start date: Dec 31, 2025/ ASAPRecruitment Process: 2 interviews with Ops/virtual, Assessment depends on the recommendations after the interviewsLOB DESCRIPTION: Utilization Management - medical...

Job Summary:The Manager Operations is responsible for coaching and supervising a group of Team Leaders. This position is also responsible for ensuring Client Service Level Agreement and financial expectations are achieved.Essential Duties and Responsibilities:• Analyze and maintain all Client Service Level Agreements; implement improvement plans as...

WE'RE HIRING: Senior Operations Manager (USRN) Onsite – Quezon City BPO / Healthcare AccountWe are looking for an experienced Senior Operations Manager from the BPO industry with strong leadership experience handling healthcare operations. Qualifications: Active USRN License (required) Active PHRN License (required) Solid background in BPO Operations...

We are looking for a Training Quality Manager with strong experience in InterQual and Utilization Management Review (UMR) to lead training effectiveness, quality governance, and performance calibration for a healthcare BPO environment. This role is ideal for leaders who can drive measurable improvements and build high-performing clinical teams.Key...

HIRING: Clinical Operations Manager (PHRN / USRN)Join a leading healthcare BPO organization and take the next step in your leadership career.POSITION 1: Clinical Operations Manager (PHRN)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...

USRN CDI SpecialistWork location: Quezon City or BGCWork shift/schedule: Dayshift to MidshiftWork set-up: ONSITEQualifications:BS Nursing GraduateActive USRN license2–5 years of recent hospital experience (ICU, Medical-Surgical, ER, or Telemetry)Strong background in medical-surgical nursing and patient care managementKnowledgeable in disease processes,...