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Utilization Review Rn Jobs in Columbia, SC (NOW HIRING)

NHC

Registered Nurse RN

West Columbia, SC · On-site

Unencumbered current Registered Nurse license in the state where the HomeCare agency is located or ... For further information, please review the Know Your Rights notice from the Department of Labor.

NHC

Registered Nurse RN

Sumter, SC · On-site

NHC knows that care starts with Registered Nurses who are valued and given advancement ... For further information, please review the Know Your Rights notice from the Department of Labor.

NHC

RN Registered Nurse

Columbia, SC · On-site

Registered Nurse (RN) Are you looking to make a difference in the lives of others by sharing your ... For further information, please review the Know Your Rights notice from the Department of Labor.

NHC

RN Registered Nurse

Columbia, SC · On-site

Registered Nurse (RN) Are you looking to make a difference in the lives of others by sharing your ... For further information, please review the Know Your Rights notice from the Department of Labor.

Pacs

RN

Forest Acres, SC

$35 - $37/hr

🌟 Join Our Team as an RN! 🩺💙 🏡 Forest Acres Post Acute is a beautiful 132-bed skilled ... Periodically review the department's policies, procedure manuals, s, etc. Make recommendations for ...

Forest Acres Post Acute

RN

Columbia, SC · On-site

$35 - $37/hr

... review the department's policies, procedure manuals, s, etc. Make recommendations for revisions to ... and/or registered nurses are available for your tour of duty to ensure that quality care is ...

New

PACS Inc

RN

Columbia, SC · On-site

$35 - $37/hr

... review the department's policies, procedure manuals, s, etc. Make recommendations for revisions to ... and/or registered nurses are available for your tour of duty to ensure that quality care is ...

PACS

RN

Columbia, SC · On-site

$35 - $37/hr

... review the department's policies, procedure manuals, s, etc. Make recommendations for revisions to ... and/or registered nurses are available for your tour of duty to ensure that quality care is ...

Southeastern College

Nursing Faculty-RN

Columbia, SC · On-site

Review the Course Control Document (CCD) * Prepare the course syllabus based on the CCD to meet the ... Meet departmental standards for classroom management, utilization of technology, and records ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Columbia, SC

Utilization Review Rn information

See Columbia, SC salary details

$18

$36

$59

How much do utilization review rn jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for utilization review rn in Columbia, SC is $36.56, according to ZipRecruiter salary data. Most workers in this role earn between $28.89 and $41.97 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?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating 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 Columbia, SC? The most popular types of Utilization Review Rn jobs in Columbia, SC are:
What are popular job titles related to Utilization Review Rn jobs in Columbia, SC? For Utilization Review Rn jobs in Columbia, SC, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Columbia, SC look for? The top searched job categories for Utilization Review Rn jobs in Columbia, SC are:
What cities near Columbia, SC are hiring for Utilization Review Rn jobs? Cities near Columbia, SC with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Columbia, SC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $76,037 per year, or $36.6 per hour.

Registered Nurse RN

NHC

West Columbia, SC • On-site

Full-time

Dental, Vision, Retirement

Re-posted 17 days ago

Job description

"A different kind of care that ensures you're surrounded by people who make a difference in your life"
Position:RN, Registered Nurse - NHC HomeCare Midlands
Licensure:
  • Unencumbered current Registered Nurse license in the state where the HomeCare agency is located or compact state, if applicable.
  • Minimum one (1) year experience as a RN / professional nurse.
  • Experience in home care is desirable.

Position Highlights:
  • Utilizes the nursing process to identify and achieve patient goals: assessment, planning, implementation, and evaluation.
  • Assesses the physical, psychosocial, and environmental factors that affect a patient's health to develop a comprehensive nursing care plan which will attain the patients desired health outcomes in a culturally comfortable way.
  • Collaborates with the interdisciplinary team to assure personal care, medical care and rehabilitation provide for optimal patient health and well-being.
  • Teaches patient/caregiver in various aspects of health care and disease management appropriate to needs/level of education and understanding and documents continuing needs and levels of patients/caregivers understanding.

Benefits:Competitive Wages, Insurance, 401K Match, Dental, Vision (All Optional), Fun, Fast Paced Work Environment
NHC HomeCare Midlands is located at 3227 Sunset Blvd., Suite F-101, West Columbia, SC 29169
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com/locations/homecare-midlands/
We look forward to talking with you!! NHC is an Equal Opportunity Employer.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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