Utilization Management Nurse: Clinical Review & Care

Accenture PLC; Taguig; On-site; PHP 500,000 - 800,000; Full time

Benefits offered by this job

Signing bonus up to ₱200,000

Job summary

Accenture in Taguig is seeking a US-licensed Registered Nurse for a clinical-review oriented, non-bedside role. You will review medical records, prepare concise clinical summaries, and coordinate follow-up while protecting patient information.

The role emphasizes utilization management experience, strong English communication, and proficient document handling in a healthcare BPO setting. On-site arrangement in Taguig with rotational schedules is expected.

Qualifications

• Recognized nursing degree or equivalent.
• Current and unrestricted US RN license.
• At least three months or 480 hours of RN direct patient care.
• Minimum of three months in Utilization Management or Utilization Review.

Responsibilities

• 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 care-management processes.
• Communicate relevant case information to clinical teams and medical directors.
• Manage assigned cases within required quality and turnaround-time standards.

Skills

English proficiency

Analytical skills

Documentation

Computer literacy

Clinical RN experience

Education

Nursing degree

Tools

EMR systems

Job description

Accenture in Taguig is seeking a US-licensed Registered Nurse for a clinical-review oriented, non-bedside role. You will review medical records, prepare concise clinical summaries, and coordinate follow-up while protecting patient information.

The role emphasizes utilization management experience, strong English communication, and proficient document handling in a healthcare BPO setting. On-site arrangement in Taguig with rotational schedules is expected.