Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical ... Two years experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist ...
Quick apply
Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical ... Two years experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist ...
Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical ... Two years experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist ...
Quick apply
Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical ... Two years experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist ...
Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical ... Two years experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist ...
Licensed to practice as a Registered Nurse in South Carolina; Three years of hospital clinical ... Two years experience as Utilization Reviewer/Care Coordinator or Clinical Documentation Specialist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
New
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
New
Managed Care Coordinator UM II
Columbia, SC · On-site
Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay Range : 55,000 - 60,000 We are seeking a dedicated Managed Care Coordinator to join our team.
Managed Care Coordinator UM II
Columbia, SC · On-site
Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay Range : 55,000 - 60,000 We are seeking a dedicated Managed Care Coordinator to join our team.
Utilization Specialist
Lancaster, SC · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
New
Utilization Specialist
Lancaster, SC · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Reviews treatment plans and status of approvals from insurers. Collects and complies data as ... Licensure as a registered nurse by the state of South Carolina or compact state required. If you ...
New
Bed Control, Utilization Review, or Discharge Planning. While the RN-Case Manager may serve in one of these focused areas, the RN-Case Manager may be asked to move to various areas of focus as deemed ...
Bed Control, Utilization Review, or Discharge Planning. While the RN-Case Manager may serve in one of these focused areas, the RN-Case Manager may be asked to move to various areas of focus as deemed ...
Bed Control, Utilization Review, or Discharge Planning. While the RN-CM may serve in one of these focused areas, the RN-CM may be asked to move to various areas of focus as deemed necessary by the ...
Bed Control, Utilization Review, or Discharge Planning. While the RN-CM may serve in one of these focused areas, the RN-CM may be asked to move to various areas of focus as deemed necessary by the ...
Bed Control, Utilization Review, or Discharge Planning. While the RN-CM may serve in one of these focused areas, the RN-CM may be asked to move to various areas of focus as deemed necessary by the ...
Bed Control, Utilization Review, or Discharge Planning. While the RN-CM may serve in one of these focused areas, the RN-CM may be asked to move to various areas of focus as deemed necessary by the ...
One (1) year of professional experience practicing as a Registered Nurse (RN) in a home health or similar setting; previous case management/utilization review experience preferred. What we offer:
One (1) year of professional experience practicing as a Registered Nurse (RN) in a home health or similar setting; previous case management/utilization review experience preferred. What we offer:
One (1) year of professional experience practicing as a Registered Nurse (RN) in a home health or similar setting; previous case management/utilization review experience preferred. What we offer:
One (1) year of professional experience practicing as a Registered Nurse (RN) in a home health or similar setting; previous case management/utilization review experience preferred. What we offer:
One (1) year of professional experience practicing as a Registered Nurse (RN) in a home health or similar setting; previous case management/utilization review experience preferred. What we offer:
One (1) year of professional experience practicing as a Registered Nurse (RN) in a home health or similar setting; previous case management/utilization review experience preferred. What we offer:
... * RN, LMSW Core Job Responsibilities * Complies with established policies and procedures * Complies with regulatory requirements of utilization review and discharge planning * Responsible for ...
... * RN, LMSW Core Job Responsibilities * Complies with established policies and procedures * Complies with regulatory requirements of utilization review and discharge planning * Responsible for ...
... * RN, LMSW Core Job Responsibilities * Complies with established policies and procedures * Complies with regulatory requirements of utilization review and discharge planning * Responsible for ...
... * RN, LMSW Core Job Responsibilities * Complies with established policies and procedures * Complies with regulatory requirements of utilization review and discharge planning * Responsible for ...
Case Manager (PRN)
Spartanburg, SC · On-site
... * RN, LMSW Core Job Responsibilities * Complies with established policies and procedures * Complies with regulatory requirements of utilization review and discharge planning * Responsible for ...
Case Manager (PRN)
Spartanburg, SC · On-site
... * RN, LMSW Core Job Responsibilities * Complies with established policies and procedures * Complies with regulatory requirements of utilization review and discharge planning * Responsible for ...
Utilization Review Rn information
See South Carolina salary details
$19.85 - $23.87
2% of jobs
$23.87 - $27.88
9% of jobs
$30.63 is the 25th percentile. Wages below this are outliers.
$27.88 - $31.90
21% of jobs
The median wage is $35.15 / hr.
$31.90 - $35.91
23% of jobs
$35.91 - $39.93
13% of jobs
$43.05 is the 75th percentile. Wages above this are outliers.
$39.93 - $43.94
10% of jobs
$43.94 - $47.96
8% of jobs
$47.96 - $51.97
5% of jobs
$51.97 - $55.99
5% of jobs
$55.99 - $60
2% of jobs
$60 - $64.02
2% of jobs
$19
$39
$64
How much do utilization review rn jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for utilization review rn in South Carolina is $39.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.01 and $45.05 per hour, depending on experience, location, and employer.
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.
How to get into utilization review as a registered nurse?
To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.
What is a utilization review RN?
A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in South Carolina? The most popular types of Utilization Review Rn jobs in South Carolina are:
What are popular job titles related to Utilization Review Rn jobs in South Carolina? For Utilization Review Rn jobs in South Carolina, the most frequently searched job titles are:
- Clinical Review Nurse Remote
- Remote Medical Review Nurse
- Temporary Utilization Review Nurse
- Remote Utilization Management Nurse
- Contract Utilization Review Nurse
- No Experience Utilization Review Nurse
- Optum Clinical Claim Review Nurse
- Per Diem Utilization Review Nurse
- Flexible Utilization Review Nurse
- Remote Utilization Review Rn
What job categories do people searching Utilization Review Rn jobs in South Carolina look for? The top searched job categories for Utilization Review Rn jobs in South Carolina are:
- Remote Aetna Utilization Review Nurse
- Aetna Utilization Review Nurse
- Per Diem Chart Review Nurse Practitioner
- Fulltime Cigna Utilization Review Nurse
- Retrospective Review Nurse
- Optum Utilization Review Nurse
- Lpn Utilization Review
- Remote Cigna Utilization Review Nurse
- Utilization Review
- Remote Navihealth Utilization Review
What cities in South Carolina are hiring for Utilization Review Rn jobs? Cities in South Carolina with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in SC? For Utilization Review Rn jobs in SC, the most frequently searched job titles are:
Full-time
Re-posted yesterday
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
About Greenwood County Hospital
Sourced by ZipRecruiter
The Greenwood County Hospital group is a critical-access, not-for-profit medical group comprised of the Greenwood County Hospital and Outreach Clinic, as well as two rural health clinics: Eureka Clinic and Howard Clinic. Our 25-bed full-service hospital includes acute care, a rehabilitation center and a home health agency.
Industry
Hospitals
Company size
51 - 200 Employees
Headquarters location
Eureka, KS, US
Year founded
1956