PHRN Team Leader
Gratitude IncPHRN Team Leader
Job Description
Key Skills
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Job Title: USRN/PHRN Team Leader
Location: Quezon City (On-site)
Shift: Night Shift (aligning with US hours)
Salary: PHP 70,000 - 120,000 per month (dependent on experience and credentials)
Start Date: Immediate or as soon as possible
Recruitment Process: Two virtual interview stages
About the Role:
We are seeking an experienced and licensed USRN or PHRN to lead a dedicated healthcare team. In this pivotal role, you will apply your clinical expertise in utilization management, overseeing case reviews and ensuring compliance with InterQual criteria. The ideal candidate is a proven leader with strong clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced, detail-oriented environment.
Key Responsibilities:
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Lead and supervise a team of clinical staff in utilization management activities.
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Conduct medical necessity reviews using InterQual criteria.
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Manage multiple cases while meeting strict regulatory turnaround times.
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Ensure accurate and thorough case documentation.
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Serve as a clinical resource and provide guidance on complex cases.
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Collaborate effectively to maintain high standards of quality and compliance.
Qualifications:
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Active and valid PHRN or USRN license.
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Minimum of 2 years of acute care bedside experience in an ER or ICU setting.
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Minimum of 1 year of hands-on experience applying InterQual criteria.
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At least 1 year of experience in a Team Lead or Supervisor role within a healthcare, clinical, or related support environment.
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Proven experience in utilization management with a US-based insurance company, hospital, or equivalent.
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Excellent verbal and written English communication skills.
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Strong proficiency in Microsoft Office (Word, Excel, Outlook).
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Solid clinical knowledge, especially in medical necessity review and interpretation of clinical documentation.
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Willingness to work on-site in Quezon City on a night shift schedule, including US holidays.
Preferred Qualifications:
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Knowledge of healthcare insurance processes, appeals, grievances, and utilization management.
Role
Nurse
Timings
US-Type Shift (Permanent)
Industry
BPO
Work Mode
Work from office
Functional Area
Medical Professional / Healthcare Practitioner / Technician
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
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