DE033827-Health Clinical Services Senior Analyst

Accenture in the Philippines; Quezon City; On-site; PHP 500,000 - 700,000; Full time

Job summary

Accenture in the Philippines is seeking a Health Clinical Services Senior Analyst in Quezon City. The role involves reviewing plans of care, coordinating with nurses and physicians, and ensuring compliance with CMS guidelines and home health documentation.

Ideal candidates hold a US RN license, a BSN, and at least 3 months of clinical experience. The position requires night shifts and on-site work at Quezon Gateway Tower 2, with standard healthcare governance expectations.

Qualifications

• BSN degree required.
• Holds current and unrestricted US Registered Nurse license.
• 3 months clinical experience (480 hours) as RN in hospital setting.
• Active RN license with direct patient care experience.
• Clinical setting includes inpatient or outpatient hospital clinics.

Responsibilities

• Review patient Plan of Care for completeness, accuracy and alignment with protocols.
• Review Admissions Plan of Care & OASIS; code Home Health services.
• Recertify plan of care per client guidelines on home health services.
• Resume care and one-time visits per plan of care and client procedures.
• Act as clinical liaison between nurses, clinicians, case managers and physicians.

Skills

RN License

BSN

Clinical Experience

Plan of Care review

CMS guidelines knowledge

Education

BSN

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 Senior Analyst WORK SETUP: Return to Office 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 Gateway Tower 2

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)

''

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 Senior Analyst WORK SETUP: Return to Office 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 Gateway Tower 2

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)