Utilization Documentation Specialist

Self Regional Healthcare; Greenwood (SC); Remote; USD 70,000 - 90,000; Full time

Job summary

Self Regional Healthcare in Greenwood, SC is seeking a Registered Nurse with utilization review experience to support clinical documentation integrity and care coordination across hospital services. The role emphasizes thorough chart review, home-care readiness, and collaboration with care teams to optimize patient outcomes.

The ideal candidate holds SC RN licensure, CDI familiarity and at least 3 years of hospital nursing. BSN is preferred and CPR is required within one month of employment.

Qualifications

• Graduate of an accredited school of nursing.
• Licensed to practice as a Registered Nurse in South Carolina.
• Three years of hospital clinical nursing experience in designated practice area.
• Clinical Documentation Integrity (CDI) experience.
• CPR within 1 month of employment.

Skills

Utilization review

Care coordination

Clinical documentation

CPR certification

Hospital nursing

Education

Licensed RN in South Carolina

BSN preferred

Job description

Self Regional Healthcare
Greenwood, SC 29646, USA

Description

8:30AM-5:00PM, Monday-Friday

Special Qualifications
Required: Graduate of an accredited school of nursing; Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical nursing experience in designated practice area; Clinical Documentation Integrity (CDI) experience. CPR within 1 month of employment.

Preferred: BSN or Baccalaureate degree in health-related field; Two years' experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist with knowledge of third party reimbursement requirements; Practice experience in Critical Care, Emergency Care or Surgical Care. National certification.

Knowledge, Skills & Abilities
Demonstrated ability to read and interpret documents such as safety rules, operating and maintenance instructions and policy and procedures manuals. Knowledge of and trained in age-specific categories being served: infant, pediatric, adolescent, adult, geriatric. Knowledge of occupational health and safety, ergonomics, workers’ compensation, and OSHA regulations. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Demonstrated ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Demonstrated ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Demonstrated ability to interact with people at various levels in a courteous, tactful and poised manner.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.