UM RN — Non-Bedside Case Review (Signing Bonus)

Accenture in the Philippines; Taguig; Sur place; PHP 600 000 - 800 000; Plein temps

Avantages offerts par ce poste

Signing bonus up to ₱200,000

Résumé du poste

Accenture in the Philippines is seeking a USRN Utilization Management Nurse to join our healthcare team in Taguig. This non-bedside role leverages your nursing expertise to support medical decision-making through utilization management, medical-necessity review, and clinical documentation.

Responsibilities include reviewing medical records, evaluating cases per client guidelines, preparing clinical summaries, identifying missing information, and communicating findings to clinical leaders.

Qualifications

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

Responsabilités

• 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 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 and continuous-improvement activities.

Formation

Nursing degree or equivalent

US Registered Nurse license

Outils

Computer applications

Description du poste

Accenture in the Philippines is seeking a USRN Utilization Management Nurse to join our healthcare team in Taguig. This non-bedside role leverages your nursing expertise to support medical decision-making through utilization management, medical-necessity review, and clinical documentation.

Responsibilities include reviewing medical records, evaluating cases per client guidelines, preparing clinical summaries, identifying missing information, and communicating findings to clinical leaders.