Claims Utilisation Nurse CNM1 Clinical Nurse Manager

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 087 2951493 for a confidential chat & please email your full CV as a word attachment to md@headhuntinternational.com Keywords: Staff Nurse, Nurse, Clinical Nurse Manager, CNM, Dublin, Hospital,Claims Utilisation Nurse