Utilization Management Behavioral Health

The Medical University of South Carolina

Not specified; pyy grade health-28; salary pyy rat...
Registered nurse licensure in south carolina
Three years of rn work experience
Bachelor's degree in nursing from accredited school
The role involves conducting utilization reviews to ensure patients receive care appropriate to their illness or condition

Job Summary

  • The role involves conducting utilization reviews to ensure patients receive care appropriate to their illness or condition.
  • Candidates must possess a Bachelor's degree in Nursing and three years of work experience as a Registered Nurse.
  • The position requires excellent verbal and written communication skills and familiarity with InterQual or Milliman screening criteria is desired.

Matching Summary

The role involves conducting utilization reviews to ensure patients receive care appropriate to their illness or condition.

Salary

Not specified; Pay Grade Health-28; Salary pay rate type

Skills & Requirements

Must-have

  • Registered Nurse licensure in South Carolina
  • Three years of RN work experience
  • Bachelor's degree in Nursing from accredited school

Nice-to-have

  • Prior leadership experience preferred
  • One year case management experience
  • Familiarity with InterQual screening criteria

Key Requirements

  • Licensure as a registered nurse by the state of South Carolina
  • Bachelor's degree in Nursing from an accredited school
  • Three years' work experience as a Registered Nurse

Work Rights

Not specified

Tailored Resume

Cover Letter