Utilization Documentation Specialist, Resource Pool
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Self Regional Healthcare
Greenwood, SC, US
Summary
The specialist will perform utilization review and clinical documentation tasks to ensure compliance with reimbursement requirements. They will also interpret clinical policies and procedures while providing care coordination across various patient age groups.
Job Description
Special Qualifications
Required: 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 designated practice area. CPR within 1 month of employment.
Preferred: BSN or Baccalaureate degree in health-related field; Two years experience as 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.
\ Knowledge, Skills & Abilities
Demonstrated ability to read and interpret documents such as safety rules, operating and maintenance instructions and
policy and procedures manuals. Knowledge of and trained in age-specific categories being served: infant, pediatric,
adolescent, adult, geriatric. Knowledge of occupational health and safety, ergonomics, workers’ compensation, and
OSHA regulations. Ability to solve practical problems and deal with a variety of concrete variables in situations where
only limited standardization exists. Demonstrated ability to interpret a variety of instructions furnished in written, oral,
diagram, or schedule form. Demonstrated ability to interact with people at various levels in a courteous, tactful and
poised manner
Self Regional Healthcare is an independent not-for-profit, regional referral hospital that provides care to 300,000 residents of Greenwood, Abbeville, Laurens, Saluda, McCormick, Edgefield and Newberry counties. The health system’s services include acute care and tertiary care, cancer care, neurosurgery, heart and vascular surgery, NICU, orthopedics, genetics, and prevention and wellness services. Self Medical Group is Self Regional’s employed physician affiliate network of 25 primary and specialty care practices and more than 75 physicians.
The 450-bed hospital is located in the city of Greenwood, tucked between the Upstate and Midlands of South Carolina. Greenwood is well known for the acclaimed Festival of Flowers that attracts visitors from all regions of the country every year and for its historically rich and progressive Uptown area.
A recipient of the Gallup “Great Workplace” award for eight consecutive years, the Self Regional team is dedicated to delivering the best experience possible to patients, and is passionate about quality and safety. That dedication is evident in the organization’s mission, vision and purpose statement:
Mission: Our hearts, hands and minds are leading our communities to better health.
Vision: The care, experience and value we provide will be superior for all the communities we are entrusted to serve.
Purpose: Always create the best experience.
Founded
1951
Company size
1,001-5,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Greenwood, SC
Self Regional Healthcare is an independent not-for-profit, regional referral hospital that provides care to 300,000 residents of Greenwood, Abbeville, Laurens, Saluda, McCormick, Edgefield and Newberry counties. The health system’s services include acute care and tertiary care, cancer care, neurosurgery, heart and vascular surgery, NICU, orthopedics, genetics, and prevention and wellness services. Self Medical Group is Self Regional’s employed physician affiliate network of 25 primary and specialty care practices and more than 75 physicians.
The 450-bed hospital is located in the city of Greenwood, tucked between the Upstate and Midlands of South Carolina. Greenwood is well known for the acclaimed Festival of Flowers that attracts visitors from all regions of the country every year and for its historically rich and progressive Uptown area.
A recipient of the Gallup “Great Workplace” award for eight consecutive years, the Self Regional team is dedicated to delivering the best experience possible to patients, and is passionate about quality and safety. That dedication is evident in the organization’s mission, vision and purpose statement:
Mission: Our hearts, hands and minds are leading our communities to better health.
Vision: The care, experience and value we provide will be superior for all the communities we are entrusted to serve.
Purpose: Always create the best experience.
Founded
1951
Company size
1,001-5,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Greenwood, SC
