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Utilization Review Nurse

Registered Nurse (RN) – Utilization Review

Rock Hill, South Carolina, 29730

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Full Time
Onsite
supports..pdf, .doc, .docx, or .txt file

Job Summary

The role of the Registered Nurse involves enhancing resource coordination to guarantee that patients obtain care that aligns with their medical requirements. This position includes overseeing the authorization procedures, representing patient interests, and educating the healthcare team about the patient’s care journey.

Responsibilities

  • Facilitate coordination of care resources to meet medical necessity for patients.
  • Manage the process of authorization to ensure appropriate care delivery.
  • Advocate for the needs and rights of patients throughout their care experience.
  • Provide education and guidance to the healthcare team concerning patient care progression.

Qualifications

  • Must possess an active Registered Nurse license.
  • A minimum of two years of experience in acute hospital or behavioral health patient care is required.
  • An Associate degree in Nursing is mandatory; a Bachelor of Science in Nursing (BSN) is preferred.
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supports..pdf, .doc, .docx, or .txt file