Senior USRN Utilization Management Analyst

Accenture PLC

Taguig

Presencial

PHP 670.000 - 893.000

Jornada completa

14 días+

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Descripción de la vacante

Accenture is seeking a Health Clinical Services Senior Analyst in Taguig, Philippines. This non-bedside role leverages USRN utilization management expertise to review medical records, prepare clinical summaries, and support care-management processes, with daily onsite operations.

The position requires an active USRN license, nursing degree, and 3+ months UM/UR experience, plus strong English communication and computer skills.

Formación

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.

Responsabilidades

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.