Working as a nurse advisor you will have responsibility for the following:

•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
• Ad hoc duties

Requirements:

• Nursing qualification
• Previous clinical nursing experience.
• Experience within in the insurance industry, ideally in healthcare
• Negotiation experience
• Strong Knowledge of Microsoft Office (Excel, Word)
• Completion or progression towards the Diploma in Private Medical Insurance.

For further information please call Linda at 01 2784671 or email your CV in the strictest confidence to ldunne@thornshaw.com . Log on to www.thornshaw.com for more jobs.

Keywords, Nurse, nursing, nurse advisor, medical advisor, portuguese, brazialian