Utilization Management US RN Sr Analyst

This job is with Accenture, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Grievance & 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.QualificationsBachelor 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 DiplomaHolds current and unrestricted US Registered Nurse license3 months clinical experience (480 hours of working experience as a RN)Work experience as an active RN license and providing direct patient careClinical setting includes inpatient hospital, outpatient hospital or community clinicNo state license requiredFor CL 10 role USRN + UM, minimum 6 months of UM experience.Work experience such as TL, QA, Trainer and Claims are preferred and good to have skills only