Healthcare Professional | US Registered Nurse | Work From Home
Accenture Philippines
- Mandaluyong, PhilippinesGround Floor, Barangka Ilaya, Mandaluyong, Metro Manila, PhilippinesMandaluyongMetro ManilaPhilippinesPhilippines
- Toàn thời gianFULL_TIME
Công việc đã đóng.
Miêu Tả Về Công Việc
Permanent Work From Home after three (3) months of onsite training!
Are you ready to accent on the future? Apply now and be part of Accenture’s growing organization of empowered people!
Accenture in the Philippines is currently looking for US Registered Nurse Senior 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.
Trình độ tối thiểu
Qualifications:
- 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
Tóm tắt công việc
- Trình Độ Công Việc
- Phó Giám Sát/Giám Sát
- Ngành Nghề
- Health and Medical
- Yêu cầu học vấn
- Tốt nghiệp Cử nhân
- Địa chỉ văn phòng
- CG1 Recruitment Center, Cybergate Street, Mandaluyong City
- Ngành nghề
- Information Technology / IT
- Vị trí đang tuyển
- 100 vị trí tuyển dụng mới
- Trang web
- https://www.accenture.com/ph-en
Về 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.