Utilization Management Nurse

Job overview

The Utilization Management Nurse role is onsite in Murrells Inlet, SC, with 32 scheduled hours per week. Compensation is not specified. MUSC Community Physicians provides healthcare to patients across South Carolina’s rural health network. The nurse reviews patient care and records to assess whether services are appropriate to the patient’s illness or condition. By reviewing treatment plans, insurer approvals, and relevant data, the role supports care coordination and compliance with applicable policies and regulations.

What you'll do

• Conduct utilization reviews
• monitor patient charts and records during treatment
• review treatment plans and insurer approval status
• collect and compile data according to policies and regulations
• consult with physicians as needed.

What we're looking for

Skills & competencies

utilization management nurse

registered nurse

utilization review

patient records

treatment plans

insurance approvals

32 hours weekly

murrells inlet sc

musc

nursing license required

Work arrangement

• Weekend coverage required

Benefits & perks

• Health, dental, vision, and life insurance
• employer-sponsored retirement plan
• paid time off and extended sick leave
• paid parental leave
• disability insurance options
• professional and clinical training
• tuition reimbursement
• flexible schedule options
• certification incentives
• wellbeing resources
• employee perks and discounts
• and referral program.

Why this role

Requires a bachelor’s degree in nursing, three years of Registered Nurse experience, and licensure as an RN in South Carolina or a compact state. Case management or utilization management experience is preferred.

About the employer

MUSC is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.