Job Description
Responsibilities
- Lead and manage a team of USRNs involved in clinical functions such as utilization management, case management, prior authorizations, appeals, or claims review.
- Track and evaluate team performance against established KPIs and SLAs, ensuring quality, productivity, and timely delivery.
- Ensure full compliance with HIPAA, client-specific policies, and clinical standards.
- Conduct audits and reviews of clinical decisions to maintain accuracy and adherence to protocols.
Qualifications
- Must hold an active USRN license (from any U.S. state)
- Minimum of 1 year experience in an ER and/or ICU setting
- Previous leadership or supervisory experience in either a clinical or BPO environment
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Submit your application today and join our talented team at HRTX.
Submit ApplicationJob Details
- Location pasig, metro manila
- Job Type Full-time
- Category Bio & Pharmacology & Health
- Posted Date June 04, 2026
- Application Deadline July 14, 2026