Utilisation Review Nurse - Health Insurance Company

Location Cork
Job-type Contract
Salary Negotiable DOE
Contact Louise Byrne
Email email Louise
Reference J358856
Date Published 23 days ago
TTM Healthcare have partnered with one of Ireland's leading Health Insurance company's to recruit a Utilization Review Nurse.
This is a full time permanent role working 38.5 hours per week. The role offers the successful candidate the opportunity to work up to 4 days from home or alternatively they can work full time onsite.
The Role:
•Retrospective Clinical Evaluation of Claims to ensure treatment was carried out efficiently in the appropriate setting with appropriate Length of Stay and appropriate services provided
•Provide Clinical advice and support to the Business
•Attendance at internal team meetings and with hospital and consultants when required
•Liaise regularly with Clinicians
•Responsibility for reporting and analysing practice in Claims Activity.
•Update monthly reports on utilisation review.
•Draft letters, papers and presentations in relation to the clinical area as required.
•Awareness to market changes in the medical field
•Completion of any ad hoc duties which may be requested as part of the daily running of the Medical Practice Team
•Temp position covering maternity leave
•Base salary of €45K + opportunity to earn up to 10% bonus based on performance related pay
•21 annual leave days + 10 Public Holidays + 2 Company days (Good Friday & Christmas Eve)
•Health Insurance cover from commencement date of employment (up to Health Secure Plus) for team member, spouse/partner & dependent children up to the age of 25 when in full time education
•DC Pension (auto enrolled from 6 months LOS) double the contributions up to a max of 10%
•Flexi time (giving 5 flexi days per calendar year)
•Hybrid working
•Up to €250 Gym refund annually
•Subsidised restaurant onsite in our Cork office
•A registered General Nurse with a minimum of 3 years hands on clinical experience.
•Needs to have Computer skills and Presentation Skills, have the ability to be pro-active and decisive in analysing practice and implementing better ways of working creating efficiencies.
•BSC in Nursing at minimum
For more information call Louise on 015136740 or click APPLY with your most recent CV today

TTM Healthcare Solutions is an Equal Opportunities Employer