South Carolina Licensed Utilization Nurse

Job Summary

A company is looking for a Utilization Management Nurse II.

Key Responsibilities

• Conduct utilization reviews to assess the appropriateness of patient care based on illness severity
• Monitor patient charts and treatment plans, ensuring compliance with insurance approvals
• Collect and compile data in accordance with applicable policies and regulations

Required Qualifications, Training, and Education

• Bachelor's degree in Nursing from an accredited school
• Five years of nursing experience, including two years in utilization or case management in a hospital setting
• Prior leadership experience is preferred
• Registered Nurse licensure in South Carolina or a compact state is required
• Evidence of committee involvement within a healthcare setting is needed