South Carolina Licensed Utilization Nurse

Job Summary

A company is looking for a Utilization Management Nurse I (IOP).

Key Responsibilities

• Conduct initial admission reviews and monitor patient care to ensure appropriateness of services
• Consult with multidisciplinary teams and communicate review results to ensure proper reimbursement
• Collect and compile data in accordance with applicable policies and regulations

Required Qualifications, Training, and Education

• Bachelor's degree in Nursing from an accredited institution
• Five years of nursing experience, including two years in utilization or case management in a hospital setting
• Licensure as a registered nurse in South Carolina or a compact state
• Evidence of committee involvement within a healthcare setting
• Prior leadership experience preferred