
Utilization Review Nurse
We are proud to announce an exciting opportunity for an experienced and motivated Utilization Review Nurse at BlueCross BlueShield of South Carolina. This position will give the right candidate a chance to make a meaningful contribution to our organization as they assist us in providing quality healthcare services to our members.The ideal candidate will have a comprehensive knowledge of medical terminology, a strong background in healthcare policy, an understanding of the utilization review and discharge planning processes, and the ability to work well with a diverse range of stakeholders. Additionally, we are looking for a professional who is able to work independently and as part of a team, and who is capable of multitasking and managing a wide variety of tasks.A successful Utilization Review Nurse at BlueCross BlueShield of South Carolina will have a current Registered Nurse license in South Carolina and a minimum of two years’ experience in utilization review and/or discharge planning. A Bachelor’s degree in Nursing is preferred.We are excited to find a candidate who is passionate about healthcare and is ready to take on this important role in our organization. If you think you are the best person for the job, please don’t hesitate to apply.
Responsibilities for Utilization Review Nurse at BlueCross BlueShield of South Carolina:
- Assisting with providing quality healthcare services to members.
- Utilizing a comprehensive knowledge of medical terminology.
- Possessing a strong background in healthcare policy.
- Having an understanding of utilization review and discharge planning processes.
- Ability to work independently and as part of a team.
- Capable of multitasking and managing a wide variety of tasks.
- Maintain a current Registered Nurse license in South Carolina.
- Possess a minimum of two years’ experience in utilization review and/or discharge planning.
- Possess a Bachelor’s degree in Nursing (preferred).
- Passionate about healthcare.
Bachelor's Degree In Nursing
Excellent Customer Service And Communication Skills
Ability To Work Independently And In A Team Environment
Understanding Of Medical Terminology
Current Registered Nurse License In South Carolina
Knowledge Of Healthcare Utilization And Reimbursement Principles
Coding And Review Processes
Knowledge Of Healthcare Services And Resources
Demonstrated Data Analysis And Problem-Solving Skills
Documentation
Research
Communication
Quality
Negotiation
Compliance
Analysis
Organization
Coordination
Problem-Solving
assessment
Interpersonal
Review
Decisiveness
Utilization
Communication
Leadership
Multitasking
Time management
Interpersonal Skills
creativity
Organization
collaboration
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Utilization Review Nurse in Florence, SC, USA is $62,385 - $76,935 per year. This salary range is based on current job postings, salaries reported by current employees and industry averages.
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BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.

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