The Job Experience of Health Insurance Review Nurses in South Korea

This study attempts to analyze in-depth experiences of health insurance review nurses working at medical institutions in South Korea. The participants were 10 nurses working in the insurance review department of 3 senior general hospitals in Seoul and Gyeonggi-do. Data were collected through focus group interviews. As a result, the core category representing the job experiences of the health insurance review nurses was ‘standing alone as nurse specialist without safeguards’. Four categories and 13 subcategories were derived around the core category. This study provides a comprehensive and holistic understanding of the job experience of health insurance review nurses working at medical institutions in Korean society. Therefore, this will provide new insights into the job of insurance review nurses and serve as the basis to complement the system for securing status. It will also contribute to strategies for job development based on their experiences.