Job Title: USRN/PHRN Team Leader

Shift: Night shift

Work Set-up: On-site in Bridgetowne, Quezon City

Start Date: Dec 31, 2025 / ASAP

Recruitment Process: 2 Virtual interview processes

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 (Acute Care bedside experience)

• Must have experience in utilization management with a US-based insurance company or hospital

• 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

If you meet these qualifications and are ready to lead a dynamic team in a fast-paced healthcare environment, apply now by submitting your resume and responses to the screening questions below!

Do you have an active and valid PHRN or USRN license?

How many years of experience do you have with InterQual criteria?

How many years of bedside experience do you have as an ER or ICU nurse?

Do you have experience in utilization management with a US-based insurance company or hospital?

How many years of experience do you have as a Team Lead or Supervisor in a similar support environment?

Are you proficient in basic Microsoft Office applications such as Word, Excel, and Outlook?

Are you willing to work on-site in Bridgetowne, Quezon City, with flexible night shifts including US hours and holidays?