Lead RN Case Review, Utilization Review, Full Time, First Shift

Self Regional Healthcare; Greenwood (SC); On-site; USD 70,000 - 80,000; Full time

Job summary

Join a reputable healthcare organization as a Lead RN focusing on case review and utilization review, working full time on the first shift. This role requires significant experience in acute care and a passion for clinical excellence, providing an opportunity to lead and enhance patient care pathways.

Qualifications

• Licensed as a Registered Nurse in South Carolina.
• 5 years of acute care clinical experience required.
• 2 years of Utilization Review or Clinical Documentation Integrity experience.

Responsibilities

• Work independently on multiple tasks while meeting deadlines.
• Manage clinical documentation integrity.
• Conduct performance appraisals and manage staff training.

Skills

Communication

Presentation skills

Independent task management

Education

ADN

BSN or Baccalaureate degree in health related field

Tools

Database programs

Spreadsheet programs

Word processing programs

Job description

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Required

Special Qualifications

ADN

Licensed to practice as a Registered Nurse in South Carolina

CCM, ACM or CCDS

5 years of acute care clinical experience

2 years of Utilization Review or Clinical Documentation Integrity experience

Works independently to effectively manage multiple tasks, activities and responsibilities while meeting deadlines

Exemplary communication and presentation skills

Preferred

BSN or Baccalaureate degree in health related field

One year of supervisory experience managing employees as evidenced by conducting performance appraisals, participating in staff

selection, training and scheduling

Proficiency with database, spreadsheet, and word processing programs

Knowledge of licensing, accrediting, and third party payer requirements strongly preferred

Experience with diagnosis and procedure coding

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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