US Registered Nurse | Care Management
Accenture in the Philippines
- Taguig, Philippines10th Floor, Barangka Ilaya, Taguig, Metro Manila, PhilippinesTaguigMetro ManilaPhilippinesPhilippines
- Full timeFULL_TIME
Expired a year ago
2023-06-29T16:00:00+00:00Job 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
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About Accenture in the Philippines
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 733,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com.