PE Global Healthcare are recruiting for a Pre Authorisation Nurse for a sought after employer based in Cork This opportunity is a Temporary Contract approx 12 months.
It may suit a candidate who would like to gain experience applying clinical skills in a business setting.
The primary function of the RGN will be pre- authorisation of medical treatments and making decisions on claims utilisation following evaluation of medical guidelines and benefit determination.
MAJOR DUTIES AND RESPONSIBILITIES.
Pre-authorisation of requests for Medical Procedures & High cost drugs nationally and internationally Approve requests for treatment in line with the Schedule of Procedures for Professional fees Provide Clinical training to non -clinical personnel as required Provide Clinical advice and support to the Business Liaise with Clinicians and hospital finance teams to manage treatment requests Responsibility for reporting and analysing practice in Claims Pre-authorisation Activity.
REQUIRED: Current Registration with the NMBI Minimum of 5 years acute clinical experience.
Ability to be pro-active and decisive in analysing practice and implementing better ways of working that will create efficiency.. 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 Claire PE Global Healthcare or email ***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 sector.
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Skills: Registered General Nurse Clinical Nurse Manager NMBI