DE033740-Health Clinical Services Sr Analyst

Accenture PLC; Quezon City; Hybrid; PHP 500,000 - 750,000; Full time

Job summary

Accenture PLC in the Philippines is seeking a Health Clinical Services Senior Analyst to work in a hybrid setup. You will review plans of care, lead admissions and OASIS assessments, and coordinate with nurses, clinicians, and physicians to ensure alignment with treatment goals.

The role requires a BSN, an active US RN license, and at least 3 months of clinical hospital experience, with duties spanning documentation, compliance, and patient safety in home health contexts.

Qualifications

• Bachelor of Science Nursing (BSN) degree.
• Holds current and unrestricted US Registered Nurse license.
• 3 months clinical experience (480 hours) as RN in hospital setting.
• Working as an active RN providing direct patient care.
• Clinical setting includes inpatient hospital and outpatient clinic.
• No state license required (doability revisited if state RN license required).

Responsibilities

• Review Plan of Care for completeness, accuracy, and alignment with clinical protocols and patient needs.
• Perform Admissions Plan of Care & OASIS Assessment Review with appropriate Home Health coding.
• Recertify plan of care per client guidelines for home health services.
• Resume care and one-time visits per plan of care and client procedures.
• Serve as clinical liaison among nurses, clinicians, case managers, and physicians to verify care goals and treatment plans.
• Promote patient safety and continuity of care; participate in process improvements and audits.
• Adhere to CMS guidelines, internal policies, and quality standards for home health documentation and care coordination.
• Facilitate routing of corrected Plan of Care for physician approval within required timeframes.

Skills

Clinical assessment

Patient care

Regulatory compliance

Education

BSN degree

US RN license

Job description

ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE

POSITION TITLE

Health Clinical Services Sr Analyst

WORK SETUP

Hybrid

RESPONSIBILITIES

• Conduct thorough review of patient’s Plan of Care for completeness, accuracy, and alignment with clinical protocols and patient-specific needs.
• Performs Admissions Plan of Care & OASIS Assessment Review to include appropriate coding of Home Health services
• Provide Recertification of plan of care review-based client’s process guideline on recertification of home health services
• Perform resumption of care and one-time visit based on plan of care review considering the client guidelines and procedures.
• Serve as a clinical liaison between nurses, clinicians, case managers, and physicians to verify alignment on the patient’s care goals and treatment plan
• Promote patient safety and continuity of care by actively participating in process improvements and audits related to Plan of Care quality and turnaround time.
• Adhere to applicable regulations (e.g., CMS guidelines), internal policies, and quality standards related to home health documentation and care coordination
• Facilitate corrected Plan of Care routing for physician approval within required timeframes.

OTHERS

• Project Shift Schedule: Night Shift
• Project Rest Day: Weekends Off
• Project/Team Location: Quezon Cyberpark Tower 3

SKILL AND QUALIFICATIONS

• Bachelor of Science Nursing (BSN) degree
• Holds current and unrestricted US Registered Nurse license
• 3 months clinical experience (480 hours of working experience as a RN) in a hospital setting
• Work experience as an active RN license and providing direct patient care
• Clinical setting includes inpatient hospital, outpatient hospital clinic
• No state license required (doability will be revisited if there's a specific state of RN license needed)

Equal Employment Opportunity Statement

All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.

Accenture is committed to providing veteran employment opportunities to our service men and women.