We are currently recruiting for a number of Medical Service/Nurse Advisors. Candidates must be a Qualified Nurse/medical professional with fluent English and a second European language preferably French, German or Spanish.
Job Purpose
The position involves pre-authorization of in – patient procedures balancing aggressive cost containment with optimal customer service. The applicant must be able to maintain effective and collaborative relationships with hospitals/physicians whilst being conscious of relationships with brokers, clients and policy holders.
Key Responsibilities
• Preauthorization of in-patient treatment.
• Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation.
• Case management of complex cases.
• Maintain relationships with brokers/clients/providers.
• Medical claims reviews
In line with plans to provide 24 /7 service to our insured members this role will involve working night and weekends on a rotational basis.
Experience Required
• Minimum of 1 years professional clinical experience in a multi-practice operation or hospital.
• Must be Fluent in English and one other European Language, French, German or Italian/Spanish.
For further information please call Linda at 01 2784671 or email your CV in the strictest confidence to ldunne@thornshaw.com .
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