Ophthalmic Nurse

PE Global (UK); Kildare; Hybrid; EUR 60,000 - 80,000; Full time

Job summary

A healthcare recruitment agency is looking for a Utilisation Review Nurse to join a leading Healthcare Insurance Company in Cork. This role involves clinical evaluations of claims and collaboration with hospital personnel. Candidates should have a current NMBI registration and at least 3 years of acute clinical experience. The position offers a hybrid work model with benefits including health insurance and a performance-related bonus.

Benefits

Flexi hours

Health insurance

Pension

10% performance related bonus

Qualifications

• Minimum of 3 years acute clinical experience.
• Ability to analyze practice and implement efficiencies.
• Confidence in addressing issues with clinicians.

Responsibilities

• Evaluate claims to ensure efficiency in treatment.
• Identify inefficient practices and collaborate for improvement.
• Analyze claims activity and interrogate reports.

Skills

Clinical evaluation

Proactive analysis

Effective communication

Decision-making

Education

Current Registration with the NMBI

Job description

Overview

PE Global Healthcare are recruiting for a Utilisation Review Nurse for a leading Healthcare Insurance Company based in Cork

This opportunity is a Temporary Contract (12 months)

The primary function of the Utilisation Review Nurse will be reviewing claims to ensure efficiency and cost containment and making decisions on claims utilisation following evaluation of medical guidelines and benefit determination. Attend meetings to communicate and educate hospital personnel and consultants on the importance of managing patients efficiently in line with best practice.

Responsibilities

• Clinical Evaluation of claims to ensure treatment was carried out in the appropriate setting with an appropriate length of Stay and resources
• Identify areas of inefficient practice and arrange engagement and collaboration with providers to implement change
• Responsible for interrogating reports and analysing Claims Activity to identify and highlight areas for improvement in practice
• Attendance at internal team meetings and with hospital and consultants when required
• Liaise regularly with clinicians
• Update monthly reports on utilisation review
• Draft letters, papers and presentations in relation to the clinical area as required
• Awareness of market changes in the medical field

Required

• Current Registration with the NMBI
• Minimum of 3 years acute clinical experience
• The ability to be pro-active and decisive in analysing practice and implementing better ways of working creating efficiencies
• Be confident when addressing issues with clinicians

Benefits

• Monday to Friday hours with extra benefit of Flexi Hours
• Hybrid: 40% in office / 60% remote
• 10% Performance related bonus
• Health insurance
• Pension

Please call Brenda at PE Global Healthcare on 083 4102611 or email [e-mail]

***Please note our clients cannot assist with any visa sponsorship, and candidates must have the correct visa to live and work in Ireland***

PE Global Healthcare specialises in providing contract and permanent Healthcare professionals to the private and public sectors. PE Global Healthcare finds jobs for Healthcare Staff in all specialities in Ireland.

To view all PE Global Healthcare roles, visit https://www.peglobal.net/healthcare

Register today to keep your finger on the Job Opportunity Pulse.