Job Title: USRN/ PHRN Team Leader
Shift: Night shift
Work Set-up: On-site in Bridgetowne, Quezon City
Salary range: 70K to 120K, depending on the credentials
Start date: Dec 31, 2025/ ASAP


QUALIFICATIONS:

• Bachelor's Degree in Nursing with an active and valid license in PHRN or USRN
• Minimum of 1 year InterQual criteria experience
• Minimum of 2 years bedside experience as an ER or ICU nurse (Acure Care bedside experience)
• Must have experience in utilization management with a US-based insurance company or hospital (or equivalent)
• Experience as a Team Lead or Supervisor for at least 1 year, in a similar support environment - other related roles exposed to related functions are also considered.
• Experience in a hospital setting or other clinical environment/ contact center setting
• Excellent verbal and written communication skills
• Strong attention to detail and case documentation practices
• Ability to manage multiple cases and meet regulatory turnaround time under pressure
• Proficient in basic Microsoft Office applications such as Word, Excel, and Outlook
• Strong clinical knowledge, particularly in medical necessity review and interpretation of clinical documentation
• Good knowledge and understanding of different healthcare insurance processes, appeals, grievances, and utilization management is preferred
• Willingness to work on-site with flexible schedules, including US hours and holidays

Interested and qualified candidates should send their CV to esther.igweonu@gratitudeindia.com