Find Systems engineer/linux systems engineer, managed Jobs in Cork, C

Utilisation Review Nurse
AXA —Little Island, County Cork
- Hybrid work
- Clinic
- Analysis skills
- Communication skills
HR Operation Specialist
Catalyx —Cork, County Cork
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Office
- No degree
Quick apply
14d
Resident Civil Engineer
Tetra Tech —Cork, County Cork
- Microsoft Excel
- Supervising experience
- IT
Salesforce Developer
Quest Software —Cork, County Cork
- From €70,600 a year
- Full-time
- Azure
- Computer Science
- Salesforce
- Annual leave
1d
Senior Software Engineer, Windows/Desktop Applications - Cork, Ireland
Speechify —Cork, County Cork
- €30,000–€120,000 a year
- Remote
- Doctoral degree
- Windows
- C++
4d
Senior EHS Advisor
PJ Hegarty & Sons —Cork, County Cork
- Full-time
- Microsoft Excel
- Microsoft Office
- No degree
Quick apply
Senior Executive Engineer
Local Government Jobs Ireland —Cork, County Cork
- €80,680–€100,692 a year
8d
EHS Advisor / Lead
Fohntech Group —Cork, County Cork
- Full-time
- Computer skills
- Communication skills
Health & Safety Manager
Sisk —Cork, County Cork
- Full-time
- Construction experience
- In-person
- Leadership
- Annual leave
Healthcare Advisor
Boots —Cork, County Cork
- Part-time
- Employee discount
Director - Wealth Management (Cork)
Goodbody —Cork, County Cork
- Hybrid work
- No degree
- In-person
- Banking
13d
Guest Relations Executive
Hayfield Manor Hotel —Cork, County Cork
- €14.50–€15.50 an hour
- Full-time
- Management
- Customer service
- English
- Free parking
- Employee assistance program
Quick apply
12d
Senior Electrical Engineer
PM Group —Cork, County Cork
- Project management
- Electrical Engineering
- Communication skills
Building Maintenance Manager
Mezzino (Ireland) Ltd —Cork, County Cork
- €28,000–€33,000 a year
- Weekend availability
- Carpentry
- Customer service
- Maintenance
Quick apply
Patient Care coordinator and Dental Nurse
Cube Dental Co Ltd —Little Island, County Cork
- €16–€20 an hour
- Weekend availability
- Customer service
- English
- Microsoft Office
- Employee discount
Quick apply
6d
CSA Quantity Surveyor (Belgium)
PM Group —Cork, County Cork
- Full-time
- English
- Bachelor's degree
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Senior Ecologist – Freshwater / Aquatic Specialist
Tetra Tech —Cork, County Cork
- Master's degree
Project Manager
Turner & Townsend —Cork, County Cork
- Full-time
- Project management
- No degree
- Budgeting
Quick apply
7d
Staff Grade Physiotherapist (Paediatrics)
Horizons —Cork, County Cork
- €45,514–€65,068 a year
- Full-time
- Clinic
11d
Inside Sales Director, EMEA
WatchGuard Technologies, Inc. —Cork, County Cork
- Full-time
- Communication skills
Quick apply

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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

systems engineer/linux systems engineer, managed jobs in cork, c

Utilisation Review Nurse

HR Operation Specialist

Resident Civil Engineer

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Director - Wealth Management (Cork)

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Patient Care coordinator and Dental Nurse

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Project Manager

Staff Grade Physiotherapist (Paediatrics)

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