Lead RN Case Review, Utilization Review, Full Time, First Shift

Special Qualifications

Required:

ADN

Licensed to practice as a Registered Nurse in South Carolina

CCM, ACM or CCDS

5 years of acute care clinical experience

2 years of Utilization Review or Clinical Documentation Integrity experience

Works independently to effectively manage multiple tasks, activities and responsibilities while meeting deadlines

Exemplary communication and presentation skills

Preferred:

BSN or Baccalaureate degree in health related field

One year of supervisory experience managing employees as evidenced by conducting performance appraisals, participating in staff

selection, training and scheduling

Proficiency with database, spreadsheet, and word processing programs

Knowledge of licensing, accrediting, and third party payer requirements strongly preferred

Experience with diagnosis and procedure coding