Purpose
The purpose of this study was to identify the factors that influence of medical insurance review nurse‘s job stress and work-family balance conflict on presenteeism.

Method
The data were collected from 173 married medical insurance review nurse, who have worked above 6months, from Four certified tertiary hospital and 30 general hospitals located in Busan, Ulsan and Gyeongsangnam-do, Korea, between January 1st and February 29th. A total of 173 surveys were completed, and 173 surveys were eventually used for the final analysis. The collected data were analyzed using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regressions via SPSS/WIN 23.0 program.

Results
1. The average career of the subjects was more than 10 years, respectively, with a total career of nursing
(74.0%) and a total career of medical insurance review nursing (50.3%).
2. On a scale of 5, the average for job stress was 3.31, and that for work-family conflict was 3.38, family-
work conflict was 2.38. the average for number of health problems was 2.79 and on a scale of 100, the
average for work impairment was 37.79, and that for Perceived productivity was 75.50.
3. The health problem showed statistical significance and positive correlation between job stress
(r=.23,p=.004) and work-family conflict(r=.16, p=.045). The work impairment showed statistical
significance and positive correlation between job stress(r=.37, p<.001), work-family conflict(r=.29, p<.001)
and family-work conflict(r=.37, p<.001). The perceived productivity showed statistical significance and
negative correlation between job stress(r=-.23, p=.002), family-work conflict(r=-.19, p=.010).
4. Factors influencing presentism were observed as follows: Job stress (β=.20, p=.029) was an important
factor influencing health problems; its explanatory power was 5%. Job stress (β=.23, p=.005) and
family-to-work conflict (β=.27 p<.001) were found to be important factors influencing work impairment,
with an explanatory power of 29%. Work-to-family conflict (β=-.19, p<.05) was found to be an
important factor affecting perceived productivity, and its explanatory power was 16%.

Conclusion
Based on the above findings, the government and hospitals should recognize the importance of the role of medical insurance review nurses and the need to improve them so that they can continue their professional insurance review work. This can be done by identifying, in advance, how these factors can affect medical insurance review nurses. Alleviating job stress, work-to family conflict, and presentism among nurses is expected to yield positive results both for the medical insurance review nurses as individuals and for hospitals.

Key words: Occupational stress, Work-family life conflict, Presenteeism