Senior RN Health Care Plan Analyst

8003 Accenture Inc Company; Quezon City; Hybride; PHP 600 000 - 900 000; Plein temps

Résumé du poste

Accenture is seeking a Health Clinical Services Sr Analyst to join our hybrid team in Quezon City. You will review plans of care for completeness, coordinate with nurses, clinicians, and physicians, and ensure alignment with clinical protocols and CMS guidelines.

You will support Admissions Plan of Care & OASIS reviews, handle recertifications, and coordinate resumption of care and one-time visits. The role emphasizes patient safety, quality improvements, and timely documentation.

Qualifications

• BSN degree is required.
• Current and unrestricted US Registered Nurse license is required.
• 3 months clinical experience (480 hours) as an RN in a hospital setting.
• Active RN license with direct patient care experience.
• Clinical setting includes inpatient hospital and outpatient hospital clinic.
• No state RN license required (revisit if a specific state license is needed).

Responsabilités

• Review patient Plan of Care for completeness, accuracy, and alignment with clinical protocols.
• Perform Admissions Plan of Care & OASIS Review with correct Home Health coding.
• Provide recertification of plan-of-care reviews per client guidelines.
• Resume care and one-time visit based on plan of care and client guidelines.
• Serve as clinical liaison between nurses, clinicians, case managers and physicians.
• Promote patient safety and continuity of care and contribute to process improvements.
• Adhere to CMS guidelines, internal policies and quality standards for documentation and coordination.
• Facilitate corrected Plan of Care routing for physician approval within timelines.

Connaissances

RN license

Clinical experience

Direct patient care

Inpatient/outpatient

Formation

BSN degree

Description du poste

Accenture is seeking a Health Clinical Services Sr Analyst to join our hybrid team in Quezon City. You will review plans of care for completeness, coordinate with nurses, clinicians, and physicians, and ensure alignment with clinical protocols and CMS guidelines.

You will support Admissions Plan of Care & OASIS reviews, handle recertifications, and coordinate resumption of care and one-time visits. The role emphasizes patient safety, quality improvements, and timely documentation.