Utilization Management Nurse — Non-Bedside Case Reviews

Accenture in the Philippines; Taguig; On-site; PHP 480,000 - 720,000; Full time

Benefits offered by this job

Signing bonus up to ₱200,000

Job summary

Accenture in the Philippines is seeking a licensed US Registered Nurse for an Utilization Management role in a non-bedside capacity in Taguig. The position focuses on clinical documentation, case review, and collaboration with medical directors to support evidence-based decisions.

This on-site opportunity offers a signing bonus of up to ₱200,000 and a clear path to deepen expertise in utilization management, medical-necessity reviews, and healthcare operations while maintaining patient privacy

Qualifications

• Recognized nursing degree, diploma, or acceptable equivalent.
• Current and unrestricted US Registered Nurse license.
• At least three months or 480 hours of RN clinical experience with direct patient care.
• Minimum of three months in Utilization Management or Utilization Review.
• 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 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

Clinical documentation

Medical record analysis

Communication skills (English)

Computer literacy

Education

Nursing degree / diploma

Tools

ICD-9/ICD-10/CPT codes familiarity

Job description

Accenture in the Philippines is seeking a licensed US Registered Nurse for an Utilization Management role in a non-bedside capacity in Taguig. The position focuses on clinical documentation, case review, and collaboration with medical directors to support evidence-based decisions.

This on-site opportunity offers a signing bonus of up to ₱200,000 and a clear path to deepen expertise in utilization management, medical-necessity reviews, and healthcare operations while maintaining patient privacy