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South Carolina Licensed Utilization Nurse
A company is looking for a Utilization Management Nurse II. Key Responsibilities Conduct utilization reviews to ensure appropriate patient care and treatment intensity Monitor patient charts and treatment plans, and consult with multidisciplinary teams as needed Ensure compliance with regulatory requirements and facilitate accurate reimbursement for hospital resources Required Qualifications Bachelor's degree in Nursing from an accredited institution Five years of nursing experience, including two years in utilization or case management within a hospital setting Licensure as a registered nurse in South Carolina or a compact state Evidence of committee involvement in a healthcare setting Prior leadership experience preferred
A company is looking for a Utilization Management Nurse II.
Key Responsibilities
Conduct utilization reviews to ensure appropriate patient care and treatment intensity
Monitor patient charts and treatment plans, and consult with multidisciplinary teams as needed
Ensure compliance with regulatory requirements and facilitate accurate reimbursement for hospital resources
Required Qualifications
Bachelor's degree in Nursing from an accredited institution
Five years of nursing experience, including two years in utilization or case management within a hospital setting
Licensure as a registered nurse in South Carolina or a compact state
Evidence of committee involvement in a healthcare setting
Prior leadership experience preferred
