U.S. Registered Nurse Team Lead (ER/OR & BPO Healthcare Experience) | PASIG

About Omega Healthcare

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) is an AI-driven healthcare solutions company that partners across the healthcare ecosystem to deliver breakthrough results by reimagining and elevating revenue operations. Powered by the Omega Digital Platform®, our agentic AI engine leverages adaptive intelligence to drive automation, complemented by deep human expertise to help optimize performance and deliver sustained financial and clinical outcomes—while enhancing patient satisfaction. Omega Healthcare empowers organizations across provider, payer, and life sciences sectors to navigate today’s healthcare challenges while building the agility to adapt as healthcare and technology continue to evolve rapidly. Recognized by industry analysts, Omega Healthcare has consistently been ranked a leader in driving operational performance excellence.

Key Responsibilities

• Lead, coach, and develop a team of clinicians to achieve performance targets
• Manage team KPIs (quality, productivity, attendance, and compliance)
• Conduct coaching sessions, performance reviews, and feedback discussions
• Handle conflict resolution and drive team engagement
• Analyze performance data, identify gaps, and escalate risks/red flags
• Oversee Utilization Review (UR), clinical denial management, and appeals processes
• Ensure proper application of Inter
• Qual and/or MCG guidelines in clinical reviews
• Participate in calibration sessions and quality reviews
• Present Business Reviews (WBR/MBR/QBR/YBR) to stakeholders
• Ensure alignment with client requirements in a dynamic, client-facing environment

Prepare reports and dashboards using Excel and PowerPointQualificationsActive PH Registered Nurse (PHRN) license required; US Registered Nurse (USRN) license is highly preferred

• At least 2 years of experience as a Team Lead or Supervisor
• Experience in a Healthcare BPO or Call Center environment
• Strong healthcare background, preferably in clinical operations, utilization management, case management, or hospital-based healthcare services
• Experience working in an Acute Care Hospital setting (ER/OR/ Medical Surgical)
• Strong leadership, coaching, and people management skills
• Excellent communication and stakeholder management skills
• Amenable to reporting onsite in Ortigas, Pasig
• Willing to work on a night shift or shifting schedule as required

Clinical

Requirements

• At least 2 years of experience in an Acute Care Hospital setting and/or Healthcare BPO environment
• Experience in Clinical Appeals, Care Coordination, Case Management, or Hospital Admissions Review is preferred
• Strong understanding of healthcare processes, medical necessity reviews, and payer guidelines is an advantage
• Experience working with inpatient, outpatient, and hospital-based healthcare services is preferred
• Amenable to working onsite and on a shifting schedule as required. Technical Skills
• Proficient in MS Excel (Pivot Tables, VLOOKUP, dashboards)
• Skilled in PowerPoint presentations

Core Skills

• Strong leadership, coaching, and mentoring skills
• Excellent communication and stakeholder management
• Analytical and data-driven decision-making
• Ability to thrive in a fast-paced, evolving environment