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Utilization Review Rn Jobs in Fort Mill, SC (NOW HIRING)

Acadia Healthcare

Registered Nurse (RN)

Lancaster, SC · On-site

$35 - $43/hr

Looking for RN's for FT Days and Nights Rebound Behavioral Health, a 63 bed inpatient and ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

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Utilization Review Rn information

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$18

$37

$60

How much do utilization review rn jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review rn in Fort Mill, SC is $37.16, according to ZipRecruiter salary data. Most workers in this role earn between $29.38 and $42.69 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 Fort Mill, SC? The most popular types of Utilization Review Rn jobs in Fort Mill, SC are:
What are popular job titles related to Utilization Review Rn jobs in Fort Mill, SC? For Utilization Review Rn jobs in Fort Mill, SC, the most frequently searched job titles are:
What cities near Fort Mill, SC are hiring for Utilization Review Rn jobs? Cities near Fort Mill, SC with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Fort Mill, SC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $77,283 per year, or $37.2 per hour.

Registered Nurse (RN)

Acadia Healthcare

Lancaster, SC • On-site

$35 - $43/hr

Other

Medical, Dental, Vision

Re-posted 28 days ago

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

701st of 887 rated healthcare providers

Job description

Overview
Come join our nursing team at Rebound Behavioral Health!
Looking for RN's for FT Days and Nights
Rebound Behavioral Health, a 63 bed inpatient and outpatient facility, offers the highest quality treatment in the area. Our acute inpatient and partial hospitalization programs for adults provides a safe structure where individuals can focus on healing themselves and working though their issues. All of our patients receive an individualized treatment plan that meets their needs and ensures long lasting recovery. Our goal is to provide individuals the tools and knowledge they need to live a happy, healthy life.
$35 - $43 per hour
AVAILABLE SHIFTS AND HOURS:
FT Schedule - 12 hour shifts (3x12hr) with every other weekend rotation.
Shifts available: 7p-7:30a and 7a-7:30p
Registered Nurse Benefits:
At Acadia Healthcare, we offer a comprehensive benefits package including medical, prescription drug plan, flexible spending accounts, health savings accounts, vision, dental, and voluntary short-term and long-term disability coverage. Additionally, our well-being programs encompass employee assistance programs, financial support, tuition reimbursement, and much more.
  • Competitive hourly rate with shift differentials available
  • Referral Bonus
  • Flexible Scheduling
  • Excellent training program and preceptorship
  • Professional growth opportunities
Responsibilities
REGISTERED NURSE ESSENTIAL FUNCTIONS
  • Provide and coordinate care by assessing patients' physical and behavioral health needs.
  • Develop and implement nursing care plans.
  • Maintain medical records and educate patients and their families about various physical and behavioral health conditions.
  • Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, as well as facility and corporate policies and procedures.
  • Ensure physicians' orders are legible if taken verbally and transcribed appropriately per policy and procedure.
  • Ensure patients' status is assessed on an ongoing basis and pertinent information is gathered and documented.
  • Notify physicians of significant changes in status such as difficulties with detox, medical emergency, change in medical status regarding response to medications, and related challenges.
  • Ensure that initial nursing treatment plans are completed upon admission and that all nursing treatment plans are specific to assessed needs.
  • Demonstrate knowledge and utilization of universal precautions in providing direct patient care.
  • Accurately administer medications per ordered note.
  • Document accurate count of controlled substance medication administration on required documents.
  • Complete admission and discharge processing efficiently and accurately as directed.
  • Exhibit therapeutic rapport with patients by maintaining professional boundaries, respecting personal space, giving patients direct attention, and maintaining rational detachment.
  • Provide direction or coordinate the activities of the unit as directed.
  • Communicate therapeutically and professionally with patients, visitors, co-workers, and others involved inpatient treatment.
Qualifications
EDUCATION/LICENSURE/EXPERIENCE/SKILL REQUIREMENTS
  • Must have graduated from an accredited school of nursing.
  • Must possess a current Registered Nurse (RN) license as required by the state of employment or be eligible to practice nursing in accordance with state requirements
  • One year of nursing experience; previous psychiatric, mental, behavioral, or substance abuse nursing experience a plus
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility requirements.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
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About Acadia Healthcare

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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

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