Onsite Nurse UM Analyst - Clinical Review & Documentation

Accenture PLC; Taguig; On-site; PHP 800,000 - 1,200,000; Full time

Job summary

Accenture Philippines is seeking a Health Clinical Services Senior Analyst (USRN Utilization Management). This non-bedside role emphasizes clinical case review, medical-necessity decisions, and documentation within a fast-paced healthcare support team based in Taguig.

Return to Office setup with rotation shifts, offering opportunities to deepen Utilization Management expertise, clinical documentation, and collaboration with clinical stakeholders while protecting patient information and

Qualifications

• Recognized nursing degree, diploma, or acceptable equivalent.
• Current and unrestricted US Registered Nurse license.
• At least three months or 480 hours of clinical RN experience involving direct patient care.
• Minimum of three (3) months of Utilization Management or Utilization Review experience.
• Strong written and verbal communication skills in English.
• Ability to analyze medical records and prepare clear clinical documentation.
• Working knowledge of standard computer applications.

Responsibilities

• Join our healthcare team and apply your clinical expertise in a rewarding non-bedside career.
• Review medical records and clinical documentation for assigned UM cases.
• Evaluate case information based on established review processes and client guidelines.
• Prepare organized, concise, and accurate clinical summaries.
• Identify missing clinical information and coordinate follow-up as needed.
• Document review findings and case actions accurately.
• Support medical-necessity, care-management, and related clinical-review processes.
• Communicate relevant case information to clinical teams and medical directors.
• Manage assigned cases within required quality and turnaround-time standards.
• Protect confidential healthcare and patient information.
• Participate in quality reviews, process calibration, and continuous-improvement activities.

Skills

Communication skills

English proficiency

Computer literacy

Education

Nursing degree/diploma

Job description

Accenture Philippines is seeking a Health Clinical Services Senior Analyst (USRN Utilization Management). This non-bedside role emphasizes clinical case review, medical-necessity decisions, and documentation within a fast-paced healthcare support team based in Taguig.

Return to Office setup with rotation shifts, offering opportunities to deepen Utilization Management expertise, clinical documentation, and collaboration with clinical stakeholders while protecting patient information and