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Health Clinical Services Sr Analyst

775000 $ per day
Full-time

Accenture

---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Health Clinical Services Sr Analyst WORK SETUP: Hybrid RESPONSIBILITIES: • Conduct thorough review of patient’s Plan of Care for completeness, accuracy, and alignment with clinical protocols and patient-specific needs. • Performs Admissions Plan of Care & OASIS Assessment Review to include appropriate coding of Home Health services • Provide Recertification of plan of care review-based client’s process guideline on recertification of home health services • Perform resumption of care and one-time visit based on plan of care review considering the client guidelines and procedures. • Serve as a clinical liaison between nurses, clinicians, case managers, and physicians to verify alignment on the patient’s care goals and treatment plan • Promote patient safety and continuity of care by actively participating in process improvements and audits related to Plan of Care quality and turnaround time. • Adhere to applicable regulations (e.g., CMS guidelines), internal policies, and quality standards related to home health documentation and care coordination • Facilitate corrected Plan of Care routing for physician approval within required timeframes. OTHERS: Project Shift Schedule: Night Shift Project Rest Day: Weekends Off Project/Team Location: Quezon Cyberpark Tower 3

SKILL AND QUALIFICATIONS: • Bachelor of Science Nursing (BSN) degree • Holds current and unrestricted US Registered Nurse license • 3 months clinical experience (480 hours of working experience as a RN) in a hospital setting • Work experience as an active RN license and providing direct patient care • Clinical setting includes inpatient hospital, outpatient hospital clinic • No state license required (doability will be revisited if there's a specific state of RN license needed)

Quezon City

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Vacancy posted 2 days ago
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