Utilization Management Nurse: Non-Bedside Clinical Reviewer

8003 Accenture Inc Company; Taguig; On-site; PHP 600,000 - 900,000; Full time

Benefits offered by this job

Signing bonus up to ₱200,000

Onsite daily in Taguig

Job summary

Accenture is seeking a USRN Utilization Management Nurse to review medical records and support timely, evidence-based decisions within a non-bedside UM framework. This role emphasizes clinical documentation, case summaries, and collaboration with clinical stakeholders in a fast-paced healthcare BPO environment.

Requirements include an active US RN license, nursing degree, and 3+ months in Utilization Management. Daily onsite work in Taguig, with a signing bonus up to ₱200,000 for eligible hires.

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

USRN license

Clinical RN experience

Utilization Management

English communication

Medical record analysis

Computer applications

Nursing degree/diploma

Education

Nursing degree/diploma

Tools

MS Office

Job description

Accenture is seeking a USRN Utilization Management Nurse to review medical records and support timely, evidence-based decisions within a non-bedside UM framework. This role emphasizes clinical documentation, case summaries, and collaboration with clinical stakeholders in a fast-paced healthcare BPO environment.

Requirements include an active US RN license, nursing degree, and 3+ months in Utilization Management. Daily onsite work in Taguig, with a signing bonus up to ₱200,000 for eligible hires.