Job Requirements Position Summary The Registered Nurse, under the direction of the Director of ... utilization of paging system * Assists Supervisors, Director of Nursing, and Charge Nurse with ...
Job Requirements Position Summary The Registered Nurse, under the direction of the Director of ... utilization of paging system * Assists Supervisors, Director of Nursing, and Charge Nurse with ...
Job Requirements Position Summary The Registered Nurse, under the direction of the Director of ... utilization of paging system * Assists Supervisors, Director of Nursing, and Charge Nurse with ...
Job Requirements Position Summary The Registered Nurse, under the direction of the Director of ... utilization of paging system * Assists Supervisors, Director of Nursing, and Charge Nurse with ...
Job Requirements Position Summary The Registered Nurse, under the direction of the Director of ... utilization of paging system * Assists Supervisors, Director of Nursing, and Charge Nurse with ...
Job Requirements Position Summary The Registered Nurse, under the direction of the Director of ... utilization of paging system * Assists Supervisors, Director of Nursing, and Charge Nurse with ...
Registered Nurse
Greenville, SC · On-site
$30/hr
Registered Nurse All Ways Caring HomeCare is seeking a Registered Nurse to provide direct and ... Completes supervisory visits based on compliance and regulations to include review of plan of care ...
Registered Nurse
Greenville, SC · On-site
$30/hr
Registered Nurse All Ways Caring HomeCare is seeking a Registered Nurse to provide direct and ... Completes supervisory visits based on compliance and regulations to include review of plan of care ...
BH RN staff members may also provide care to lower acuity medical patient that present to the ... utilization, computer resources * Communicates the patient/family's need for education/teaching to ...
BH RN staff members may also provide care to lower acuity medical patient that present to the ... utilization, computer resources * Communicates the patient/family's need for education/teaching to ...
Registered Nurse (RN) Physician Practice St. Francis Breast Health Specialist
Greenville, SC · On-site
Registered Nurse (RN) - Carolina Surgical Associates Delivers patient care utilizing the nursing ... Understanding and utilization of office and clinical technologies * Compassionate, relationship ...
Registered Nurse (RN) Physician Practice St. Francis Breast Health Specialist
Greenville, SC · On-site
Registered Nurse (RN) - Carolina Surgical Associates Delivers patient care utilizing the nursing ... Understanding and utilization of office and clinical technologies * Compassionate, relationship ...
Travel Medical-Surgical Telemetry RN - $2,002 per week
Greer, SC · On-site
$2.0K/wk
Discipline: RN * Start Date: 08/17/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... reviews from leading Travel Nurse Agencies across the United States, so you can compare travel ...
Travel Medical-Surgical Telemetry RN - $2,002 per week
Greer, SC · On-site
$2.0K/wk
Discipline: RN * Start Date: 08/17/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... reviews from leading Travel Nurse Agencies across the United States, so you can compare travel ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...
... review * Administer medication as prescribed by the patient's physician * Educate patients and ... Current state license as an RN * Proof of current CPR certification * Compassionate, friendly ...
... review * Administer medication as prescribed by the patient's physician * Educate patients and ... Current state license as an RN * Proof of current CPR certification * Compassionate, friendly ...
Case Manager
$18.75 - $24.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...
Case Manager
$18.75 - $24.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...
Utilization Review Rn information
See Greenville, SC salary details
$20.12 - $24.19
2% of jobs
$24.19 - $28.25
9% of jobs
$31.04 is the 25th percentile. Wages below this are outliers.
$28.25 - $32.32
21% of jobs
The median wage is $35.62 / hr.
$32.32 - $36.39
23% of jobs
$36.39 - $40.46
13% of jobs
$43.62 is the 75th percentile. Wages above this are outliers.
$40.46 - $44.53
10% of jobs
$44.53 - $48.60
8% of jobs
$48.60 - $52.67
5% of jobs
$52.67 - $56.73
5% of jobs
$56.73 - $60.80
2% of jobs
$60.80 - $64.87
2% of jobs
$20
$39
$64
How much do utilization review rn jobs pay per hour?
As of Aug 6, 2026, the average hourly pay for utilization review rn in Greenville, SC is $39.76, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $45.67 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 Greenville, SC? The most popular types of Utilization Review Rn jobs in Greenville, SC are:
What are popular job titles related to Utilization Review Rn jobs in Greenville, SC? For Utilization Review Rn jobs in Greenville, SC, the most frequently searched job titles are:
- Utilization Review Nurse
- Remote Utilization Review Nurse
- Remote Utilization Review Rn
- No Experience Hedis Review Nurse
- Remote Hedis Review Nurse
- Freelance Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Overnight Utilization Review Nurse
- Entry Level Utilization Management Nurse
- Evening Optum Health Utilization Review
What job categories do people searching Utilization Review Rn jobs in Greenville, SC look for? The top searched job categories for Utilization Review Rn jobs in Greenville, SC are:
- Aetna Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
- Online Utilization Review
- Utilization Review Manager
- Remote Occupational Therapy Utilization Review
- Optum Utilization Review Nurse
- Cigna Utilization Review Remote
- Senior Rn Utilization Review Nurse
- Volunteer Rn Utilization Review Nurse
- Volunteer Aetna Utilization Review Nurse
What cities near Greenville, SC are hiring for Utilization Review Rn jobs? Cities near Greenville, SC with the most Utilization Review Rn job openings:
Registered Nurse (RN) - PRN - Skilled Nursing - Woodruff Manor
Woodruff, SC • On-site
Other
Re-posted 8 days ago
Spartanburg Regional Healthcare System rating
6.7
Based on 117 frontline employees who took The Breakroom Quiz
532nd of 887 rated healthcare providers
Job description
Job Requirements
Position Summary
The Registered Nurse, under the direction of the Director of Nursing, utilizes knowledge and skills at a competent level to provide direct age-specific and culturally appropriate resident care through the use of the nursing process of assessment, planning, implementation, evaluation, along with the Resident Assessment Instrument (RAI) process. Additionally, serves as a clinical resource and preceptor, participates in resident, family, and staff education, demonstrates leadership skills, and collaborates with other professional disciplines to ensure effective and efficient resident care delivery and the achievement of desired resident outcomes. The Nurse must be able to provide and understand the specific communication, developmental, and treatment needs of residents, families, and visitors ranging in age from early adult to late adult.
Minimum Requirements
Education
Preferred Education
Clerical:
Position Summary
The Registered Nurse, under the direction of the Director of Nursing, utilizes knowledge and skills at a competent level to provide direct age-specific and culturally appropriate resident care through the use of the nursing process of assessment, planning, implementation, evaluation, along with the Resident Assessment Instrument (RAI) process. Additionally, serves as a clinical resource and preceptor, participates in resident, family, and staff education, demonstrates leadership skills, and collaborates with other professional disciplines to ensure effective and efficient resident care delivery and the achievement of desired resident outcomes. The Nurse must be able to provide and understand the specific communication, developmental, and treatment needs of residents, families, and visitors ranging in age from early adult to late adult.
Minimum Requirements
Education
- Nursing, Associates Degree
- Strong computer skills with accuracy in typing; ability to coordinate and file (electronically and paper) alphabetically; excellent professional communication skills
- Licensed from an approved nursing program (Registered Nurse)
Preferred Education
- Nursing, Associates Degree
- N/A
- Registered Nurse License
Clerical:
- Responsible for communicating and reporting to supervisor
- Greets and directs residents, family, caregivers and guests in a professional and respectful manner
- Uses the correct telephone protocol in answering calls; direct calls to the appropriate persons in a timely manner; ensure phone messages are legible and distribute promptly; adheres to the policy for utilization of paging system
- Assists Supervisors, Director of Nursing, and Charge Nurse with other duties (i.e., filing, updating manuals, etc.)
- Positively and professionally assists as a resource person and liaison for physicians and other departments
- Positively and professionally assists as a resource person to the Director of Nursing, Nursing Home Administrator, Supervisors in obtaining resident diagnostic tests results.
- Ensures reports are filed accurately
- Monitors and controls noise at desk to ensure professional conduct and appearance;
- Maintains a clean, neat, and organized desk area to facilitate workflow, ensuring confidential and PHI information is properly secured
- Attends all annual competencies
- Skilled in data entry - Microsoft Word, PowerPoint, and Excel
- Skillfully operate and maintain computer, printer, and fax machines; telephone system
- Routinely maintains standards of the Long-Term Care. CMS Medicare and Medicaid Services and other licensing and regulatory agencies
- Demonstrates practice to maintain a safe environment and reports safety issues for residents, visitors, co-workers, and self
- Recognizes risk management situations and reports them in a timely manner
- Promptly reports equipment malfunction to appropriate personnel; uses chain of command when reporting problems/concerns
- Demonstrates compliance with policies regarding HIPAA and resident confidentiality, confidentiality of facility information and residents - rights and responsibilities; demonstrates knowledge of the purpose of the Ethics Committee, including referral process
- Successfully completes initial orientation and annual required computerized training, competencies and annual health evaluation
- Attends unit staff meetings, applying knowledgeable of facility's policies and procedures, medical terminology and specific services of departments
- Coordinates policies and procedures pertaining to associate education.
- Identifies and actively supports positive relations within team and across department lines; maintains an open and positive attitude by a willingness to participate in new initiatives
- Analytical - Synthesizes complex or diverse information.
- Resident/Customer Service - Manages difficult or emotional resident/customer situations; responds promptly to resident needs; solicits resident feedback in an attempt to achieve an optimum level of resident care; treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.
- Interpersonal Skills - Focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to the ideas of others; and is willing to try new solutions and options; demonstrates knowledge of EEO policy; shows respect and sensitivity for cultural differences; respectfully helps to educate others on the value of diversity; promotes a harassment-free environment.
- Quality - Looks for ways to improve and promote quality; demonstrates accuracy, thoroughness, excellence and attention to detail; applies feedback to improve performance; monitors own work to ensure quality and excellence.
- Safety and Security - Observes safety and security procedures; determines appropriate action beyond guidelines; reports potentially unsafe conditions; uses equipment and materials properly.
- Organizational Support - Follows policies and procedures; completes administrative tasks correctly and in a timely manner; supports the goals and values of the organization; benefits organization through outside activities and representation of the company; supports affirmative action and respects diversity; prioritizes and plans work activities; uses time efficiently.
- Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to the views of others; gives and welcomes feedback; contributes to building a positive team spirit; puts the success of the team above his/her own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.
- Oral and Written Communication - Speaks clearly and persuasively in positive or negative situations; listens for and seeks proper clarification; responds well to questions asked; demonstrates excellent group presentation skills; participates in meetings and enrichment discussions; writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet appropriate needs; presents numerical data effectively and legibly; and is able to read and interpret written information.
What Spartanburg Regional Healthcare System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Spartanburg Regional Healthcare System
Sourced by ZipRecruiter
Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.
Industry
Recruiting and staffing services
Company size
5,001 - 10,000 Employees
Headquarters location
Spartanburg, SC, US
Year founded
1921