South Carolina Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse II - Surgical.

Key Responsibilities

• Review and evaluate surgical cases for medical necessity and appropriateness of care
• Collaborate with healthcare providers to ensure optimal patient outcomes
• Maintain accurate documentation and reporting of utilization management activities

Required Qualifications

• Active nursing license in the state of practice
• Experience in utilization management or related nursing field
• Knowledge of healthcare regulations and standards
• Certification in utilization management preferred
• Bachelor's degree in nursing or related field