Job Title: USRN/PHRN Team Leader

Shift: Night Shift

Work Arrangement: On-site (Bridgetowne, Quezon City)

Salary Range: ₱70,000 – ₱120,000 (based on qualifications and experience)

Target Start Date: December 31, 2025 or ASAP

 

REQUIRED QUALIFICATIONS:

• Bachelor's Degree in Nursing with a current, valid PHRN or USRN license


• At least 1 year of hands-on experience using InterQual criteria


• Minimum 2 years of acute care bedside experience in an ER or ICU setting


• Proven experience in utilization management with a US-based insurance company, hospital, or equivalent organization


• At least 1 year of Team Lead or Supervisory experience in a similar healthcare support environment (candidates with exposure to related functions in comparable roles will also be considered)


• Background in a hospital, clinical environment, or contact center setting


• Excellent verbal and written English communication skills


• Strong attention to detail with solid case documentation practices


• Ability to handle multiple cases simultaneously and meet regulatory deadlines under pressure


• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)


• Solid clinical knowledge, especially in medical necessity reviews and clinical documentation interpretation


• Good understanding of healthcare insurance processes, including appeals, grievances, and utilization management (preferred)


• Willing to work on-site with flexible scheduling, including US business hours and holidays


• Must not be a current or former Concentrix employee

PRE-SCREENING QUESTIONS:

1. Do you hold an active PHRN or USRN license?


2. How many years of experience do you have using InterQual criteria?


3. How many years of bedside nursing experience do you have specifically in ER or ICU settings?


4. Do you have utilization management experience with a US-based insurance company, hospital, or equivalent organization?


5. How many years of Team Lead or Supervisory experience do you have in the BPO/healthcare industry?


6. On a scale of 1 to 10 (with 10 being the highest), how would you rate your knowledge of healthcare insurance processes, appeals, grievances, and utilization management?


7. What was your most recent salary?


8. What is your expected salary for this role?


9. Are you willing to work on-site in Bridgetowne, Quezon City, on a night shift schedule with fixed weekends off?


10. If selected, when would you be available to start?