DE033837-Health Clinical Services Senior Analyst

Accenture in the Philippines; Quezon City; On-site; PHP 650,000 - 900,000; Full time

Benefits offered by this job

Night shift

Weekends off

Job summary

Accenture in the Philippines is seeking a Health Clinical Services Senior Analyst to join our clinical review team in Quezon City. You will conduct thorough reviews of patient plans of care, ensure alignment with protocols, and serve as a liaison among nurses, clinicians, case managers, and physicians.

A BSN with an active US RN license and at least 3 months of hospital experience are required; the role follows a night shift with a return-to-office setup and weekends off.

Qualifications

• BSN degree is required.
• Holds current and unrestricted US Registered Nurse license.
• 3 months clinical experience (480 hours) in a hospital setting.
• Active RN license and direct patient care experience.
• Clinical settings include inpatient hospital or outpatient hospital clinic.
• No state license required; re-evaluation if a specific state RN license is needed.

Responsibilities

• Review patient's Plan of Care for completeness, accuracy, and alignment with clinical protocols.
• Perform Admissions Plan of Care & OASIS assessment review with correct home health coding.

Skills

BSN degree

US RN license

Clinical experience

RN licensure active

Healthcare coordination

Education

BSN

Job description

Job Description:

Responsibilities:

• 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)

Requirements: