Utilization Management Nurse: Clinical Review & Care

Accenture PLC; Taguig; On-site; PHP 350,000 - 500,000; Full time

Benefits offered by this job

Signing bonus up to ₱200,000

Job summary

Accenture is hiring a licensed US RN for a Utilization Management role in the Philippines. The position involves reviewing medical records, organizing clinical summaries, and coordinating follow-up to ensure adherence to client guidelines and quality standards. Onsite in Taguig with rotating shifts.

A signing bonus is available for qualified hires. Applicants must have an active US RN license, 3+ months of RN direct patient care, and 3+ months in UM/UR, plus strong English communication 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

• 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

Clinical documentation

Data analysis

Computer literacy

Education

Nursing degree

Tools

MS Office

Job description

Accenture is hiring a licensed US RN for a Utilization Management role in the Philippines. The position involves reviewing medical records, organizing clinical summaries, and coordinating follow-up to ensure adherence to client guidelines and quality standards. Onsite in Taguig with rotating shifts.

A signing bonus is available for qualified hires. Applicants must have an active US RN license, 3+ months of RN direct patient care, and 3+ months in UM/UR, plus strong English communication and