- Pay
- €55000.0 - 65000.0 Per year
- Job level
- Deputy Home Manager, Manager, Other Qualified Professional
- Hours
- Part time
- Type
- Contract
- Posted
- 29 Nov 2024
- Closes
- 27 Dec 2024
- Pay
- €55000.0 - 65000.0 Per year
- Hours
- Part time
- Contract
- Contract
- Role
- Deputy Home Manager, Manager, Other Qualified Professional
- Posted
- 29 Nov 2024
- Closes
- 27 Dec 2024
Job Description
CNM1
Clinical Nurse Manager 1
Claims Utilisation Nurse
Fixed Term
Part time
Our client a well-established Hospital in North Dublin wishes to recruit a CNM1 Claims Utilisation Nurse. This is a part time position, fixed term.
Key Duties and Responsibilities:
* Provides on-going completion of Consultant clinical documentation to ensure timely claim form submissions within agreed target guidelines.
* Completion of supporting consultant documentation to ensure billing is completed accurately and in line with consultant contract.
* Review part paid claims and completion of appeal letters where claim has not been paid in full.
* Develop relationships with consultants, hospital departments, including IT to identify potential improvement opportunities.
* Establish and maintain review meetings with Consultants or their supporting staff to discuss and improve KPIs, denial trending and any documentation issues.
* Communicates in a way that promotes trust and credibility between the revenue cycle functional teams and consultants and hospital leadership and strives to strengthen local and facility relationships for positive outcomes.
* Develop and maintain relationships with NTPF Co-ordinator, NTPF, referring hospitals liaison offices and Consultant medical staff and their secretaries.
* Assist the NTPF coordinator with the interpretation of clinical referral data and advise the co-ordinator on the appropriate referral pathways.
* Assist the NTPF co-ordinator with the description and definition of outliers and provide advice on the clinical justification of same.
Essential:
* Qualified RGN
* 3-5 years general nursing experience
Desirable Experience
* 3-5 years' experience in Hospital billing, Consultant billing, or Insurer claims processing.
Essential Skills
* Excellent communication skills with clear presentation and reporting ability
* Strong and demonstrated analytical and problem-solving abilities
* Demonstrated proficiency Microsoft Excel, and other Microsoft Office Suite applications.
* Service-oriented and proactive team player
* Ability to develop strong co-operative working relationships
* Able to motivate and challenge team members
Excellent Salary & benefits for the right candidate
For more information & full job spec Please Call Maria O' Dwyer to on Applyfor a confidential chat & please email your full CV as a word attachment to Apply
Keywords: Staff Nurse, Nurse, Clinical Nurse Manager, CNM, Dublin, Hospital,Claims Utilisation Nurse
Ref: 77478 M291124
Get new jobs like this by email
We'll send you jobs that match this search
You're consenting to receive job alert emails. Unsubscribe at any time. Also you can 'Join' to create a full account to edit your preferences. Read our privacy policy for more details.
Get new jobs by email
We'll send jobs that match this searchYou're consenting to receive job alert emails. Unsubscribe at any time. Later you can 'Get Hired' to create a full account to edit your preferences. Read our privacy policy for more details.
Similar Jobs
Similar Jobs
Dublin North, Dublin, Ireland€70000.0 - 80000.0 Per year9th December 2024
Dublin North, Dublin, Ireland€70000.0 - 80000.0 Per year29th November 2024
Dublin North, Dublin, Ireland€70000.0 - 80000.0 Per year9th December 2024
Dublin North, Dublin, Ireland€55000.0 - 65000.0 Per year14th November 2024
Dublin North, Dublin, Ireland€70000.0 - 80000.0 Per year26th November 2024
Dublin North, Dublin, Ireland€70000.0 - 80000.0 Per year13th November 2024
Dublin North, Dublin, Ireland€70000.0 - 80000.0 Per year21st November 2024
Dublin North, Dublin, Ireland€45000.0 - 58000.0 Per year18th November 2024
Dublin North, Dublin, Ireland€50000.0 - 65000.0 Per year21st November 2024
Dublin North, Dublin, Ireland€45000.0 - 58000.0 Per year14th November 2024