US Registered Nurse (USRN) Role

  • LocationManila, Metro Manila
  • Job typeFull time
Go through a faster and more convenient recruitment process today and be part of one of the biggest and most stable organizations in the world! Apply now and receive up to Php200,000* Signing Bonus!
Duties and Responsibilities:
  • Conduct UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting.
  • Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.
  • Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client's nursing reviewer and/or Client's medical staff for review.
  • Accurately routes cases to client medical staff for further review when a service or admission does not meet medical necessity, place of service, or benefit criteria.
  • Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations.
  • Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to contract.
  • Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process.
  • Collaborate with providers to assess members, needs for early identification of and proactive planning for discharge planning.
  • Facilitate member care transition through the healthcare continuum and refer treatment plans/plan of care to clinical reviewers as required.
  • Determine contract and benefit eligibility; obtain/confirm intake (demographic) information from callers and/or faxes.
  • Conduct a thorough radius search in "Provider Finder" and follow up with provider on referrals given; refers cases requiring clinical review to a nurse reviewer.
  • Process incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for pre-certification and/or prior authorization. Verify benefits and/or eligibility information. Check benefits for facility-based treatment.

  • Graduate of Bachelor of Science in Nursing (BSN)
  • Must have at least 3 months’ work experience as a Registered Nurse in a clinical setting
  • Must have an active USRN License
  • Holds current and unrestricted US Registered Nurse license (state-specific RN licensure)
  • Must be willing to work on a shifting schedule including graveyard shift
  • Temporary work from home, but must be amenable to work in the office once recalled (no definite timeine, dependent on government and project policy)
  • Graduate of Bachelor of Science in Nursing (BSN)
  • Must have at least 3 months’ work experience as a Registered Nurse in a clinical setting
  • Must have an active USRN License
  • Holds current and unrestricted US Registered Nurse license (state-specific RN licensure)
  • Must be amenable to work in Gateway Cubao and Taguig
  • Must be amenable to work on a shifting schedule including graveyard shift

Why join Accenture?*

  • Competitive salary package, company bonuses, and performance incentives
  • Night differential
  • Loyalty, Christmas gift, Inclusion and diversity benefits
  • Paid sick and vacation leaves
  • Expanded maternity leave up to 120 days*
  • HMO coverage (medical and dental) from day 1 of employment
  • Life insurance
  • Employee stock purchase plan
  • Retirement plan
  • Flexible working arrangements
  • Accessible locations
  • Healthy and encouraging work environment
  • Career growth and promotion opportunities
How to apply?
  • Click on "Proceed" and answer the online questionnaire. 


Please Read:  Accenture will process your personal data in accordance with  Accenture Privacy Statement,  Recruiting and Hiring Statement and Data Privacy Act of 2012 for the purpose of facilitating your employment application and relationship with Accenture.I understand and agree that personal data  includes:

  • My Education

Data about my race / ethnicity / religion / disability / gender and self-identified LGBT status, for purposes of government reporting where required, as well as to understand the diversity characteristics of the Accenture workforce will be used for the purposes described above I understand that access to my personal information will be limited to those Accenture employees or vendors who have a need to know the information for the purposes described in this document and its Global Data Privacy Statement. These include, but are not limited to, the following:

  • Accenture Recruitment Team
  • Accenture Human Resources
  • Accenture Marketing + Communications
  • Accenture Global Business Services Network (GBSN) Philippines

In cases where I will need to provide personal information of third parties, I warrant and represent that such person is made aware of the information contained in this privacy statement and that I have obtained  documented consent from them that Accenture can use and process such information. By clicking the PROCEED button, I consent to the use or processing of the information by Accenture as described above.


*Terms and condition apply


About Accenture PH

We are one of the largest and most mature IT companies in the Philippines, with a long and successful track record of delivering complex technology-based solutions and outsourcing capabilities.

Our highly-skilled workforce, strong innovation culture, and industry expertise position us to help clients achieve unparalleled growth.



This interview contains a video response question. The browser you are currently using does not support video messaging. Please download and install Google Chrome to proceed to the interview.

Camera not detected.
Microphone not detected.