Utilization Documentation Specialist

Self Regional Healthcare•Greenwood, SC
•Onsite

About The Position

This role requires a qualified professional to manage utilization documentation. The position operates on a standard Monday-Friday schedule from 8:30 AM to 5:00 PM. Key responsibilities include interpreting documents, understanding age-specific care needs, and applying knowledge of occupational health and safety regulations. The specialist must be able to solve practical problems and interact effectively with various individuals.

Requirements

  • 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 a designated practice area.
  • CPR certification within 1 month of employment.

Nice To Haves

  • BSN or Baccalaureate degree in a health-related field.
  • Two years of experience as a 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.

Responsibilities

  • Interpret documents such as safety rules, operating and maintenance instructions, and policy and procedures manuals.
  • Provide age-specific care for infant, pediatric, adolescent, adult, and geriatric populations.
  • Apply knowledge of occupational health and safety, ergonomics, workers’ compensation, and OSHA regulations.
  • Solve practical problems and deal with a variety of concrete variables in situations with limited standardization.
  • Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Interact with people at various levels in a courteous, tactful, and poised manner.
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