Utilization Management Nurse — Non-Bedside UM Expert
8003 Accenture Inc Company
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Job summary
Accenture is seeking an experienced USRN Utilization Management nurse in Metro Manila, Taguig. The role focuses on reviewing medical records, preparing clinical summaries, and supporting clinical-review processes in a non-bedside capacity.
Applicants must hold a US RN license with UM experience and strong English communication. Onsite daily work arrangement in Taguig with potential for a signing bonus based on terms.
Qualifications
- Recognized nursing degree or diploma.
- Current and unrestricted USRN license.
- At least three months (480 hours) of RN direct care experience.
- Minimum three months UM or Utilization Review experience.
- Strong written and verbal English communication.
- Ability to analyze medical records and prepare documentation.
Responsibilities
- Review medical records and clinical documentation for UM cases.
- Evaluate case information per client guidelines and review processes.
- Prepare concise clinical summaries and identify missing information.
- Document findings and actions accurately for management.
- Support medical-necessity, care-management and related review processes.
- Communicate case information to clinical teams and medical directors.
- Manage cases within quality and turnaround targets.
- Protect patient confidentiality and data integrity.
- Participate in quality reviews and continuous improvement activities.
Skills
Education
Tools
Job description
Accenture is seeking an experienced USRN Utilization Management nurse in Metro Manila, Taguig. The role focuses on reviewing medical records, preparing clinical summaries, and supporting clinical-review processes in a non-bedside capacity.
Applicants must hold a US RN license with UM experience and strong English communication. Onsite daily work arrangement in Taguig with potential for a signing bonus based on terms.
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