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Care Management Associate/Nurse

Job Location: Ilocos

Job Number: J1982

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- Job description

• Provide administrative support to Nurse Reviewer via case preparation, phone number verification, medical records requests and verbal call out approval notifications
• Obtain intake (demographic) information, process incoming requests, collection of non-clinical information needed from providers, utilize scripts to screen basic and complex requests for pre-certification and/or prior authorization
• Determine contract; verify eligibility and benefits, check benefits for facility-based treatment
• Refer cases requiring clinical review to nurse reviewer. Perform case checks and review to ensure case creation is complete
• Manage incoming/outgoing phone calls and/or faxes, including triage, opening of cases and data entry into client system
• Bachelor’s degree graduate in Nursing (BSN) or General Nursing and Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing or Associate Nursing Degree or Nursing Diploma • Must hold current and unrestricted local (PH) Registered Nurse License • Excellent written and verbal English communication skills • Basic computer knowledge with ability to learn additional computer programs


Accenture is an equal opportunity employer and welcomes applications from all sections of society and does not discriminate on grounds of race, religion or belief, ethnic or national origin, disability, age, citizenship, marital, domestic or civil partnership status, sexual orientation, gender identity, or any other basis as protected by applicable law.

If you would like to be considered for employment opportunities with Accenture, and need special assistance due to a disability or accommodation for a disability, please call us at 0917.545.9341 or send us an email at careersPH@accenture.com

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