Utilization Management Nurse (PRN)

MUSC Health is seeking a passionate and dedicated Utilization Management Nurse (PRN) to join our team of healthcare professionals. In this role, you will have the opportunity to use your clinical skills to help ensure that our patients receive the best possible care. As a Utilization Management Nurse, you will work to ensure that our patients are receiving the appropriate services and care according to established clinical guidelines, regulations, and accreditation standards.We are looking for someone who is an experienced Registered Nurse with a deep understanding of medical insurance and utilization review processes. Applicants for this role must have a minimum of a Bachelor?s Degree in Nursing and at least two years of experience in utilization review or a related field. A valid South Carolina Nursing license and current CPR certification are also required.If you are an experienced healthcare professional with a passion for providing quality care to our patients, we invite you to apply today!

Responsibilites:
Utilize clinical skills to ensure that patients receive the best possible care.
Monitor and review services and care to ensure that they meet established clinical guidelines, regulations, and accreditation standards.
Review medical insurance and utilization review processes.
Provide quality care to patients.
Maintain a valid South Carolina Nursing license and current CPR certification.
Participate in continuing education and training as needed.
Document patient care and progress in a timely and accurate manner.
Communicate effectively with patients, their families, and other healthcare professionals.
Adhere to all relevant laws and regulations.
Maintain patient confidentiality.

MUSC Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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