USRN Team Supervisor

1 day ago

Taguig, National Capital Region, Philippines UST Full time

Role Description

  • This role is responsible for ensuring all decisions are precise and thorough, developing trend reports for management, and guaranteeing compliance with CMS requirements for UM policies and procedures
  • Create and execute strategies to keep department processes efficient and cost-effective
  • Set up and sustain UM Intake systems to maintain data quality and support UST's goals in quality, productivity, and finances
  • Promote operational excellence throughout all departmental activities
  • Guide employees and management in building sound intercompany workflows
  • Lead, coach, and develop training programs to ensure staff competency
  • Manage a department audit and oversight program that focuses on ongoing quality improvement
  • Implement regular reporting to inform management about process trends and performance
  • Foster a positive work environment that encourages collaboration, transparency, and employee engagement
  • Discover innovative ways to boost performance and provider/customer satisfaction
  • Instill a commitment to quality within your team
  • Oversee standards and processes for hiring and retaining department staff
  • Balance workloads to maximize team effectiveness
  • Directly supervise non-exempt staff according to company policies and relevant local laws and regulations
  • Responsibilities include interviewing, hiring, performance management, training, planning, assigning work, performance reviews, rewarding and counseling employees, handling complaints, resolving issues, and supporting employee engagement

Qualifications

  • Active mainland USRN license
  • Three to five years of progressive experience in insurance or managed care; at least one year at a supervisory or lead level in insurance or managed care required
  • Background in Utilization Management
  • Demonstrated problem-solving skills and ability to share knowledge across corporate departments
  • Experience setting up training programs and motivating staff in a quality-focused setting
  • Strong leadership, mentoring, and team-building abilities
  • Collaborative skills to empower others and ensure team success
  • Effective verbal and written communication skills for sharing ideas, presenting facts, answering questions, and active listening
  • Ability to present budget or cost information and answer related queries
  • Workflow management, project multitasking, and deadline achievement capabilities
  • Amenable to work night shifts

Skills
Utilization Management,Care Management,USRN,US Healthcare,Medival Insurance

  • Usrn

    1 week ago

    Taguig, National Capital Region, Philippines HRTX Full time

    USRN - Emergency Department / Medical Surgical Ward/ ICU | 100K SOBWe accept any state of USRN license now WE'RE HIRING: USRN - CDI Specialist Location: BGC, Taguig Work Arrangement: Mid Shift | Onsite Company: PM ConsultingAre you a US Registered Nurse looking to shift into a documentation-focused role while utilizing your clinical expertise? PM Consulting...

  • Philippines and/or USRN QA Specialist/ Team Lead

    5 days ago

    Taguig, National Capital Region, Philippines Nityo Infotech Full time

    USRN QA SpecialistWith at least 1-2 years of Utilization Management experience ; must have no Priority DateLicense: USRNHighly prefer - no ongoing US applicationAt least 6 months of related clinical work experienceThe Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing,...

  • USRN Team Lead

    5 days ago

    Taguig, National Capital Region, Philippines Shearwater CPO® - Home of Clinicians Full time

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryAnnual Salary...

  • USRN Supervisor

    2 weeks ago

    Taguig, National Capital Region, Philippines UST Full time

    This role is responsible for ensuring all decisions are precise and thorough, developing trend reports for management, and guaranteeing compliance with CMS requirements for UM policies and procedures.Responsibilities:Create and execute strategies to keep department processes efficient and cost-effectiveSet up and sustain UM Intake systems to maintain data...

  • USRN (ICU and ED) | with Sign on Bonus

    1 week ago

    Taguig, National Capital Region, Philippines HRTX Full time

    We're Hiring: US Registered Nurse (USRN) ICU & Emergency Department Location: BGC, Taguig Schedule: Mid shift Start Date: ASAPAre you a skilled USRN with a strong background in ICU or Emergency Department care? Join our team of dedicated professionals making a real impact in patient outcomes.Qualifications: Bachelors Degree in Nursing Active PRC License...

  • USRN PHRN Representative

    1 week ago

    Taguig, National Capital Region, Philippines HRTX Full time

    This role is responsible for improving the quality, accuracy, and completeness of clinical documentation in the medical record. This role collaborates with physicians, coders, and other healthcare team members to ensure documentation reflects the true clinical picture, supports appropriate code assignment, and meets regulatory and quality reporting...

  • USRN (Emergency Department) | 100K SOB

    1 week ago

    Taguig, National Capital Region, Philippines HRTX Full time

    Were Hiring: USRN Clinical Documentation Improvement (CDI) Specialist Location: BGC, Taguig Work Schedule: Mid Shift (Onsite) Start Date: ASAPAre you a USRN with a strong clinical background looking to transition into a dynamic documentation-focused role? Join our team as a Clinical Documentation Improvement (CDI) Specialist and help bridge the gap between...

  • USRN (with MS, ICU, and ER Experience)

    1 week ago

    Taguig, National Capital Region, Philippines HRTX Full time

    Job DescriptionWe are looking for a detail-oriented USRN to join our team This role involves reviewing patient medical records to ensure accurate, complete, and high-quality documentation that reflects the level of care provided. You will collaborate with physicians, nurses, and coding teams to improve clinical documentation, support accurate coding, and...

  • USRN – Health Clinical Services Senior Manager

    2 weeks ago

    Taguig, National Capital Region, Philippines PROTALENTNEXUS CONSULTING Full time

    USRN – Health Clinical Services Senior Manager Location: Taguig City (Onsite, Uptown Bonifacio Tower 3) Shift: Night Shift | Weekends Off Hiring Level: Senior Leadership Salary Range: About the RoleWe are hiring an experienced US Registered Nurse (USRN) to lead clinical review and utilization management teams within a healthcare services environment. This...

  • USRN- Nurse Trainer

    1 week ago

    Taguig, National Capital Region, Philippines Tata Consultancy Services Full time

    Job Summary: We are seeking a dynamic and experiencedClinical Nurse Trainer (USRN)to lead onboarding, skills development, and ongoing training for registered nurses supporting telephonic triage, utilization management, prior authorization, and administrative clinical support functions. The ideal candidate will combine clinical knowledge, adult learning...