Utilization Management Nurse — Clinical Review & Sign-On Bonus
Accenture in the Philippines
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Benefits offered by this job
Job summary
Accenture in the Philippines is hiring a US Registered Nurse for Utilization Management in Taguig. The non-bedside role leverages nursing expertise to support timely, evidence-based healthcare decisions, including medical-necessity reviews. Eligible hires will have a US RN license and UM experience, with a signing bonus up to ₱200,000.
The position offers an onsite work arrangement in Taguig and opportunities to deepen expertise in clinical documentation and healthcare operations.
Qualifications
- Must hold a recognized nursing degree or diploma.
- Current and unrestricted US Registered Nurse license.
Responsibilities
- Review medical records and clinical documentation for 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.
Skills
Education
Tools
Job description
Accenture in the Philippines is hiring a US Registered Nurse for Utilization Management in Taguig. The non-bedside role leverages nursing expertise to support timely, evidence-based healthcare decisions, including medical-necessity reviews. Eligible hires will have a US RN license and UM experience, with a signing bonus up to ₱200,000.
The position offers an onsite work arrangement in Taguig and opportunities to deepen expertise in clinical documentation and healthcare operations.
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