Health Clinical Services Specialist
Accenture
Taguig City, Metro ManilaPosted 9 days agoJobStreet
Setup
On-site
Type
Full-time
Level
Mid-level
Salary
PHP 45k–60k/mo
Closes
Open
Skills mentioned
NursingCommunication
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About the role
- POSITION TITLE: Health Clinical Services Specialist
- WORK SETUP: Return to Office
RESPONSIBILITIES
- Grievance and 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.
- Need to conduct written communication assessments OTHERS:Project Shift Schedule: Rotation
Project Rest Day: RotationProject/Team Location: Taguig Uptown Bonifacio Tower 3Job Qualifications
Job Qualifications
SKILL AND QUALIFICATIONS
- 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 (doability will be revisited if there's a specific state of RN license needed)
- With at least 3-month UM experience
- With Supervisory experience
Flex
- Open to candidates (without UM experience) with Appeals experience
Sourced from JobStreet · posted 9 days ago · you apply on the original site