Utilization Management Nurse - Non-Bedside, Signing Bonus

Accenture in the Philippines; Taguig; On-site; PHP 446,000 - 781,000; Full time

Job summary

Accenture in the Philippines is seeking a USRN for Utilization Management to review clinical cases, prepare summaries, and coordinate follow-up with clinical teams. This non-bedside role focuses on utilization management and healthcare operations to support timely, evidence-based decisions.

The position emphasizes nursing expertise, documentation accuracy, and strict adherence to client guidelines, with a daily onsite schedule in Taguig and rotating shifts.

Qualifications

• Recognized nursing degree or diploma.
• Current and unrestricted US RN license.
• At least three months/480 hours of direct patient care.
• Minimum three months of Utilization Management/Utilization Review experience.
• Strong written and verbal English communication.
• Ability to analyze medical records and prepare 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

Education

Nursing degree or diploma

US RN license

Tools

MS Office

Job description

Accenture in the Philippines is seeking a USRN for Utilization Management to review clinical cases, prepare summaries, and coordinate follow-up with clinical teams. This non-bedside role focuses on utilization management and healthcare operations to support timely, evidence-based decisions.

The position emphasizes nursing expertise, documentation accuracy, and strict adherence to client guidelines, with a daily onsite schedule in Taguig and rotating shifts.