DE033837-Health Clinical Services Senior Analyst

Accenture PLC; Quezon City; Sur place; PHP 600 000 - 900 000; Plein temps

Résumé du poste

Accenture PLC in the Philippines is seeking a Health Clinical Services Senior Analyst to support review and coordination of patient care plans. This on-site role requires BSN, a current US RN license, and hospital-based RN experience.

Your work will include verifying plans of care, coordinating with clinicians and physicians, and ensuring compliance with CMS guidelines. Night shifts are possible, with the office located at Quezon Gateway Tower 2, Quezon City.

Qualifications

• 3 months clinical RN experience in a hospital setting
• Active US RN license is required
• Inpatient and outpatient clinical settings experience preferred

Responsabilités

• Review Plan of Care for completeness and alignment with clinical protocols
• Recertify Plan of Care per client guidelines
• Perform resumption of care and one-time visits
• Serve as clinical liaison among nurses, clinicians, case managers and physicians
• Support patient safety and care continuity through process improvements and audits
• Adhere to CMS guidelines and internal policies
• Coordinate corrected Plan of Care routing for physician approval within timelines

Connaissances

Clinical experience

Formation

BSN

US RN license

Description du poste

---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 & OASISAssessment 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)

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.

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