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Clinical Nurse Manager Cnm1 Claims Utilisation Nurse

Last update 2024-12-08
Expires 2024-12-07
ID #2480070955
Free
Clinical Nurse Manager Cnm1 Claims Utilisation Nurse
Ireland, Dublin, Dublin,
Modified November 30, 2024

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 for a confidential chat & please email your full CV as a word attachment to Keywords: Staff Nurse, Nurse, Clinical Nurse Manager, CNM, Dublin, Hospital, Claims Utilisation Nurse Skills: CNM1 Clinical Nurse Manager Claims Utilisation Nurse Part time NMBI Hospital Benefits: excellent

Job details:

Job type: Full time
Contract type: Permanent
Salary type: Monthly
Occupation: Clinical nurse manager cnm1 claims utilisation nurse

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