Admin permission to post... ACCENTURE Mass Hiring positions for NURSE [PM your resume for REFERRAL, EXAM & INTERVIEW TIPS] *******SEND YOUR RESUME to danjen.v.baricante@accenture ***** -- Nurse / Care Management Analyst -- Pharmacist -- Care Management US RN ** Nurse / Care Management Analyst Job description As a Care Management Support Analyst, he/she will be responsible for managing incoming healthcare service requests via multiple channels. The Care Management Support Analyst will coordinate the analysis and fulfillment of these requests in a timely and accurate manner. ** Pharmacist Job Description We are looking for qualified Philippine licensed pharmacists who can work in a BPO setting who can handle medical-related transactions for our Healthcare/Medical accounts. Required Qualification: • Philippine Licensed Pharmacist with at least 1 year retail experience • Excellent written and oral communication skills • Must possess strong critical thinking and analytical skills, attention to detail and precision • Computer-related skills is a must ** Care Management US RN Voice Sr Analyst Job Description - Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. - Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and may steer members to appropriate providers, programs or community resources. - Works with medical directors in interpreting appropriateness of care. Required Qualification: • BS Nursing graduate with active local and USRN license. • A minimum of 2 years clinical nursing experience is preferred • 1 year of customer service or call-center experience, preferred • Working knowledge and experience with computers and internet • Related outsourcing operations experience preferred • Claim reviews/audit experience a plus • Data entry experience preferred **** PM ME FOR REFERRALS, EXAM AND INTERVIEW TIPS ****
Posted on: Tue, 28 Oct 2014 14:50:41 +0000
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