Posted 3w ago

Utilization Documentation Specialist, Resource Pool

@ Self Regional Healthcare
Greenwood, South Carolina, United States
OnsiteFull Time
Responsibilities:Reviewing documentation, Interpreting healthcare policies, Coordinating with care teams
Requirements Summary:Registered Nurse (SC) with 3+ years hospital clinical nursing; CPR within 1 month; BSN or related health degree preferred; experience in utilization review or care coordination; knowledge of third-party reimbursement; Certification preferred.
Technical Tools Mentioned:CPR Certification, Nursing Knowledge, Utilization Review Tools
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Job Description

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. 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 interact with people at various levels in a courteous, tactful and
poised manner