Find Capabilities manager Jobs in County Cork

Utilisation Review Nurse
AXA —Little Island, County Cork
- Hybrid work
- Clinic
- Analysis skills
- Communication skills
CLM Senior Business Analyst
Citco —Cork, County Cork
- Full-time
- SQL
- Continuous improvement
- Mentoring
11d
Practice Manager / Senior Medical Secretary
Glanmire Family Practice —Glanmire, County Cork
- Part-time
- Clinic
- Contracts
- IT
Quick apply
Assistant Manager – BPO Global Outsourcing
Grant Thornton —Cork, County Cork
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Finance - Accounting Manager
Gilead Sciences —Cork, County Cork
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
6d
Enterprise Program Manager – Ireland (Temporary Position, 18months)
Agilent Technologies Ireland Limited —Cork, County Cork
- Full-time
- Customer service
- English
- Project management
- Employee stock purchase plan
- Annual leave
Project & Senior Project Managers
Tetra Tech —Cork, County Cork
- Hybrid work
- Oracle
- Engineering
- Project management
Bid Manager
Tetra Tech —Cork, County Cork
- Full-time
- Microsoft Office
- Project management
- No degree
Business Development Director – Munster
Ardonagh Europe —Little Island, County Cork
- Customer service
- Business development
- No degree
Material Handler Coordinator / Inventory Management Specialist
Avantor —Cork, County Cork
- Full-time
- Customer service
- Analysis skills
- Project management
Marketing & Communications Manager
Glennon Brothers —Fermoy, County Cork
- Marketing
- Social media management
- Master's degree
Quick apply
Asset Manager
Statkraft —Cork, County Cork
- Full-time
- Hybrid work
- Engineering
- English
- Communication skills
Quick apply
Quality Lead
Perigus Energy —Cork, County Cork
- From €80,000 a year
- Overtime
- Project management
- Flexitime
- Employee assistance program
Quick apply
Production Manager - Fermoy
Glennon Brothers —Fermoy, County Cork
- Full-time
- Management
- Engineering
- Continuous improvement
Quick apply
Senior Manager, Martech Transformation
MongoDB —Cork, County Cork
- Hybrid work
- Azure
- Marketing
- AWS
Deputy Client Account Manager - Water
AECOM —Cork, County Cork
- Full-time
- Hybrid work
- No degree
- Contracts
Swift Software Engineer, Employee Engagement Engineering
Apple —Cork, County Cork
- Computer Science
- Master's degree
- Bachelor's degree
Solution Consultant - Procurement (Remote)
Keelvar —Cork, County Cork
- Remote
- Sales
- No degree
- Communication skills
6d
ERP Workstream Manager – Resource Management Systems, Project Delivery & Operations
PM Group —Cork, County Cork
- Hybrid work
- Oracle
- Management
- Computer Science
Cash Management Specialist
Gilead Sciences —Cork, County Cork
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
8d

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Utilisation Review Nurse

AXA -
Little Island, County Cork

Apply Now

Job details

Permanent

Benefits

On-site gym

Qualifications

Analysis skills
Communication skills

Full job description

Job Description:

Utilisation Review Nurse

Location: Cork
Department: Medical Practice Team
Type: Full-time, Permanent

At Laya Healthcare, we’re committed to delivering exceptional, efficient, and clinically appropriate care for our members. Our Medical Practice Team plays a vital role in ensuring best‑in‑class clinical oversight, cost‑effective care pathways, and strong collaborative relationships with providers. As we continue to evolve and strengthen our medical governance and cost‑management capabilities, we are now hiring a Utilisation Review Nurse — a key role that ensures medical claims are managed in line with best practice, supports our internal teams with clinical insight, and drives high‑quality, efficient care for our members.

This is a unique opportunity to contribute to smarter care delivery, promote evidence‑based practice, and influence clinical decision‑making across the Laya ecosystem.

About the Role

The Utilisation Review Nurse will be responsible for assessing clinical claims, determining the appropriateness of care, and ensuring members receive treatment in the right setting, for the right duration, and in line with evidence‑based guidelines. You will collaborate closely with hospitals, consultants, and internal colleagues to promote efficient patient pathways, identify areas for improved practice, and provide clinical oversight that protects both care quality and cost efficiency.

This role requires strong clinical judgment, analytical ability, confident communication, and the capability to engage with healthcare professionals to support best practice across the continuum of care.

What You’ll Be Doing

Clinical Review & Care Pathway Management

Review medical claims to verify that care was delivered in the appropriate clinical setting, with an appropriate length of stay and appropriate use of resources.
Evaluate claims against medical guidelines, best practice standards, and benefit entitlement criteria.
Establish, maintain, and continuously refine patient care pathways that support efficient, high‑quality care for members.

Provider Engagement & Collaboration

Identify areas of inefficient or inappropriate practice and engage proactively with providers to implement improvements.
Attend meetings with hospital personnel and consultants to educate, communicate outcomes, and influence adherence to best practice.
Liaise with clinicians as required to discuss cases, clarify information, and support collaborative decision‑making.

Data Analysis & Reporting

Assess clinical reports and claims activity to identify trends, risks, and opportunities for improvement.
Update monthly utilisation review reports and highlight key findings.
Collate and track savings achieved through utilisation review processes.
Draft clinical letters, papers, and presentations as required.

Training, Governance & Continuous Improvement

Deliver clinical training to new team members or non‑clinical colleagues where needed.
Maintain awareness of emerging medical trends, care standards, and changes in the healthcare market.
Contribute to process improvements and the overall development of the Medical Practice Team.
Complete ad hoc tasks that support the smooth operation of the team.

About You

Essential

Registered General Nurse (RGN) qualification.
Minimum of 3 years hands‑on clinical experience.
Strong ability to analyse clinical information, interpret data, and make confident decisions.
Excellent communication and presentation skills.
Strong computer literacy and comfort working with clinical and operational systems.
Ability to work under pressure, with high attention to detail and a proactive approach to decision‑making.

Desirable

Experience engaging with clinicians or working within utilisation review, auditing, or clinical governance.
Ability to challenge practice constructively and influence change across clinical environments.

Regulatory Requirements

As part of the Financial Regulator’s Minimum Competency Requirements, you may be required to attain a Certified Insurance Practitioner accreditation or equivalent. If applicable, your Line Manager will confirm this and outline any associated CPD requirements.

Why Join Laya Healthcare?

At Laya, taking care of our people is just as important as taking care of our members.
You’ll enjoy:

Health insurance from day one
Hybrid working options
Competitive salary and annual bonus
Pension contributions
Generous maternity, paternity & adoptive leave
Continuous learning & career development
Access to wellbeing programmes and onsite gym facilities (where applicable)
A culture that values innovation, excellence, and personal growth

If you’re ready to help shape efficient, high‑quality care for Laya members, we’d love to hear from you.
Apply today and help us deliver safer, smarter, and more effective care.

Apply Now

Refine Your Search

capabilities manager jobs in county cork

Utilisation Review Nurse

CLM Senior Business Analyst

Practice Manager / Senior Medical Secretary

Assistant Manager – BPO Global Outsourcing

Finance - Accounting Manager

Enterprise Program Manager – Ireland (Temporary Position, 18months)

Project & Senior Project Managers

Bid Manager

Business Development Director – Munster

Material Handler Coordinator / Inventory Management Specialist

Marketing & Communications Manager

Asset Manager

Quality Lead

Production Manager - Fermoy

Senior Manager, Martech Transformation

Deputy Client Account Manager - Water

Swift Software Engineer, Employee Engagement Engineering

Solution Consultant - Procurement (Remote)

ERP Workstream Manager – Resource Management Systems, Project Delivery & Operations

Cash Management Specialist

I want to receive the latest job alerts for capabilities manager in county cork

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