Care Management US RN Voice Sr Analyst

Accenture in the Philippines


Date: 2 weeks ago
City: Taguig
Contract type: Full time
Grievance & Appeals


  • Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.
  • Creates a detailed case summary in narrative format for each appeal.
  • Submits cases as directed for each applicable geographic region.
  • Presents verbal and written case summaries to client’s Grievance Team and client Medical Directors.
  • Completes assignments within client-designated turnaround times.
  • Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma
  • Holds current and unrestricted US Registered Nurse license
  • 3 months clinical experience (480 hours of working experience as a RN)
  • Work experience as an active RN license and providing direct patient care
  • Clinical setting includes inpatient hospital, outpatient hospital or community clinic
  • No state license required
  • For CL 10 role USRN + UM, minimum 1 year of UM experience.
  • Work experience such as TL, QA, Trainer and Claims are preferred and good to have skills only


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