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Entry Level Rn Utilization Review Nurse Jobs in Charleston, SC

MUSC

RN Nurse Auditor (Remote)

Charleston, SC · On-site

Summary The RN Nurse Auditor is a key member of the Clinical Appeals team and reports directly to ... Utilization Review, Compliance, and clinical departments to mitigate denial risks, provide ...

Medical City Plano

RN Case Manager PRN

Summerville, SC · On-site

RN Case Manager PRN Opportunity Do you have the PRN career opportunities as a Registered Nurse (RN) ... Certification in Case Management or Utilization Review is preferred. * InterQual experience is ...

New

Mission Hospital

RN Case Manager

Charleston, SC · On-site

Certification in Case Management or Utilization Review is preferred. * InterQual experience is ... RN Case Manager opening. Our team will promptly review your application. Highly qualified ...

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Entry Level Rn Utilization Review Nurse information

See Charleston, SC salary details

$20

$39

$64

How much do entry level rn utilization review nurse jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for entry level rn utilization review nurse in Charleston, SC is $39.57, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $45.43 per hour, depending on experience, location, and employer.
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Infographic showing various Entry Level Rn Utilization Review Nurse job openings in Charleston, SC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $82,302 per year, or $39.6 per hour.

Utilization Review Nurse

Integrated Resources INC

North Charleston, SC

Other

Re-posted 9 days ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.

Job Description

Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services

Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs and referral of members to case management.

Evaluates clinical information submitted by providers against plan review criteria and benefit guidelines

Utilizes clinical information to determine if criteria for medical necessity and benefit guidelines are met

Utilizes professional judgment to determine if additional information is required, then follows through to obtain additional information prior to making a decision

Documents all pertinent case information and dispositions for approvals and denials

Refers all cases failing to meet interqual medical necessity criteria to Medical Director for review and final determination

Communicates with providers to initiate/coordinate outpatient services/discharge planning needs for members

Acts as a liaison to assure services are provided in the least restrictive, most cost effective and clinically appropriate setting

Works with the Utilization Management Manager, the Medical Director and providers to ensure that complete medical information is available to allow utilization management decisions to be made within The Plan's standards for decision making

Identifies potential members who may benefit from case management services and facilitates referral to the program

Identifies and resolves any problems that could interfere with provider's continuity and coordination of care of members and refers unresolved problems to Manager

Creates and maintains monthly reports on inpatient activities

Performs other related duties and projects as assigned

Adheres to ACFC policies and procedures

Supports and carries out our Mission & Values.

Qualifications

Associates RN degree required, Bachelor's degree preferred

Two years of experience in managed care quality assurance or utilization review

RN must have two years of experience in an acute care hospital.

Additional Information

Thanks

Warm Regards

Ricky Bansal

732-429-1925

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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