Utilization Management Nurse - Clinical Review Specialist

Accenture PLC; Taguig; On-site; PHP 350,000 - 700,000; Full time

Benefits offered by this job

Signing Bonus up to ₱200,000

Job summary

Accenture PLC in Taguig is seeking a qualified USRN to join our healthcare team in a non-bedside role. You will review medical records, prepare clinical summaries, and support care-management processes onsite in Taguig.

The role requires an active US RN license, nursing degree, English communication, and 3+ months of RN and utilization management experience. Signing bonus up to ₱200,000 is available for qualified hires; onsite daily schedule with rotating shifts.

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 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

English communication

Clinical RN experience

Analytical skills

Education

Nursing degree or diploma

US Registered Nurse license

Tools

MS Office

Electronic Medical Records

Job description

Accenture PLC in Taguig is seeking a qualified USRN to join our healthcare team in a non-bedside role. You will review medical records, prepare clinical summaries, and support care-management processes onsite in Taguig.

The role requires an active US RN license, nursing degree, English communication, and 3+ months of RN and utilization management experience. Signing bonus up to ₱200,000 is available for qualified hires; onsite daily schedule with rotating shifts.