Accenture Philippines
Accenture Philippines

US Registered Nurse | Care Management  

Accenture Philippines

 
  • Taguig, Philippines
    10th Floor, Barangka Ilaya, Taguig, Metro Manila, Philippines
    Taguig
    Metro Manila
    Philippines
    Philippines
  • Full timeFULL_TIME

Expired a year ago

2023-06-29T16:00:00+00:00
Job closed.

Job Description

Permanent Work From Home after three (3) months of onsite training!

**Get hired and receive up to PHP200,000* Joining Bonus! Submit your application now and receive a call within 1 to 2 working days!**

Accenture in the Philippines is currently looking for US Registered Nurse Analyst who will be responsible in performing the following day-to-day tasks:

  • Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client's nursing reviewer and/or Client's medical staff for review.
  • Accurately routes cases to client medical staff for further review when a service or admission does not meet medical necessity, place of service, or benefit criteria.
  • Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations.
  • Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process.
  • Complete required clinical education hours needed to maintain active licensure/certification.

Fixed Weekends Off

Minimum Qualifications

What are we looking for?

  • Graduate of Bachelor of Science in Nursing (BSN)
  • Must have an active, unrestricted United State (US) registered nurse license
  • Must have at least three (3) months of prior working experience as a registered nurse in a clinical setting

Jobs Summary

Job Level
Entry Level / Junior, Apprentice
Job Category
Health and Medical
Educational Requirement
Bachelor's degree graduate
Office Address
Uptown Tower 2, BGC Taguig, Metro Manila, Philippines
Industry
Information Technology / IT
Vacancy
100 openings
Website
https://www.accenture.com/ph-en

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About Accenture Philippines

Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. We help organizations maximize their performance and achieve their vision. We develop and implement technology solutions to improve our clients’ productivity and efficiency — and may run parts of their operations on their behalf. Ultimately, we enable our clients to become high-performance businesses and governments. With approximately 442,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives.

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