Senior Utilization Management RN – Appeals
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Accenture is seeking a USRN Utilization Management Senior Analyst in the Philippines. The role involves creating complete appeal records, drafting detailed case summaries, and submitting cases for regional reviews.
You will present summaries to the client’s Grievance Team and Medical Directors, ensuring adherence to turnaround times while supporting quality patient care. The role requires nursing credentials, an active USRN license, and clinical RN experience in hospital or clinic settings.
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Senior RN, Utilization Management
2 days ago
Taguig, Metro Manila, Philippines 8000 Accenture Inc Company Full-time ₱420,000 - ₱640,000 ContractAccenture is a leading global professional services company that helps the world’s leading businesses and governments build their digital core, optimize operations, and enhance citizen services. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Accenture Belong.Grow. Thrive. Join a...
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Senior RN — Utilization
3 days ago
Taguig, Metro Manila, Philippines Bravissimo Resourcing Inc. Full-time ₱223,200 - ₱390,600 ContractA healthcare staffing company in Metro Manila seeks a skilled Registered Nurse to create appeal records and case summaries for external reviews. The ideal candidate must possess a valid US RN license and at least 3 months of clinical experience in diverse settings including hospitals and clinics. This position requires effective communication for presenting...
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Utilization Management Senior Analyst
3 days ago
Taguig, Metro Manila, Philippines Bravissimo Resourcing Inc. Full-time ₱223,200 - ₱390,600 ContractResponsibilitiesCreates 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...
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RN: Utilization
4 days ago
Taguig, Metro Manila, Philippines Cognizant Technology Solutions Philippines Inc. Full-time ₱240,000 - ₱420,000 ContractCognizant Technology Solutions Philippines Inc. is seeking a Registered Nurse (RN) based in Taguig, Metro Manila, to support utilization management and appeals workflows.The role targets individuals with healthcare experience and strong attention to detail, complemented by proficient MS Office skills. Ideal candidates will have at least 1 year in coding or...
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Registered Nurse — Healthcare Appeals
2 days ago
taguig, metro manila, Philippines Cognizant Full-timeCognizant, a global technology and services leader, seeks an RN with at least 1 year of coding or healthcare experience in utilization management or appeals to join our patient-care support team in Taguig. The role involves working onsite during training and transitioning to a hybrid schedule as production scales. You will collaborate with cross-functional...
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USRN Utilization Management Senior Analyst
3 days ago
Taguig, Metro Manila, Philippines Accenture Full-time ₱600,000 - ₱900,000 ContractAbout the Role:As a USRN Utilization Management Senior Analyst, you will perform the following duties and responsibilities: 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...
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Taguig, Metro Manila, Philippines Cognizant Consulting Full-time ₱300,000 - ₱540,000 ContractCognizant Consulting in the Philippines invites qualified nurses to join its healthcare programs. This role focuses on utilization management and clinical review, backed by a global leader.Candidates must hold a PH RN license, have at least 1 year in UM/UR/clinical appeals or related operations, and a minimum year of bedside or clinical experience....
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DE033854-USRN Utilization Management Nurse
14 hours ago
Taguig, Metro Manila, Philippines Accenture in the Philippines Full-time ₱420,000 - ₱600,000 Contract---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE---RESPONSIBILITIES:Advance your USRN career with a Signing Bonus of up to ₱200,000.Join our healthcare team and apply your clinical expertise in a rewarding non-bedside career. Available to qualified hires. Terms and conditions apply.The...
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DE033862-USRN Utilization Management Nurse
3 days ago
Taguig, Metro Manila, Philippines Accenture in the Philippines Full-time ₱400,000 - ₱640,000 Contract---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- RESPONSIBILITIES: Advance your USRN career with a Signing Bonus of up to ₱200,000. Join our healthcare team and apply your clinical expertise in a rewarding non-bedside career. Available to qualified hires. Terms and conditions apply....
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DE033853-USRN Utilization Management Nurse
3 days ago
Taguig, Metro Manila, Philippines Accenture in the Philippines Full-time ₱400,000 - ₱600,000 Contract---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE---RESPONSIBILITIES:Advance your USRN career with a Signing Bonus of up to ₱200,000.Join our healthcare team and apply your clinical expertise in a rewarding non-bedside career. Available to qualified hires. Terms and conditions apply.The...