Utilization Documentation Specialist

Self Regional Healthcare

. Perform utilization documentation specialist duties for Self Regional Healthcare .

Posted 10/22/2026full-timeGreenwood • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Clinical Documentation Integrity and hospital clinical nursing, with a strong understanding of reimbursement requirements and OSHA regulations. Capable of effectively interpreting safety rules and interacting courteously with diverse organizational levels.

Highest-signal resume keywords

Clinical Documentation Integrity (CDI) ExperienceRegistered Nurse License in South CarolinaThree Years of Hospital Clinical Nursing ExperienceKnowledge of OSHA RegulationsKnowledge of Third-Party Reimbursement Requirements

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Documentation IntegrityHospital Clinical NursingReimbursement RequirementsOccupational Health and SafetyErgonomicsWorkers’ CompensationSafety Rules InterpretationPolicy and Procedures Manuals InterpretationAge-Specific Care KnowledgeProblem Solving with Limited Standardization

Soft Skills

Courteous InteractionTactful CommunicationPoised Manner

Certifications & Qualifications

CPR CertificationNational Certification (Preferred)

Industry Keywords

Utilization DocumentationUtilization ReviewerCare CoordinatorCritical Care Experience (Preferred)Emergency Care Experience (Preferred)Surgical Care Experience (Preferred)Baccalaureate Degree in Health-Related Field (Preferred)

About the role

Key responsibilities & impact

Perform utilization documentation specialist duties for Self Regional Healthcare
Work remotely during the 8:30AM–5:00PM, Monday–Friday first shift
Attend on-site orientation and training
Apply hospital clinical nursing and Clinical Documentation Integrity experience to utilization documentation
Interpret safety rules, operating and maintenance instructions, policies, procedures, and other documentation
Address practical problems involving limited standardization
Apply knowledge of reimbursement requirements, occupational health and safety, ergonomics, workers’ compensation, and OSHA regulations
Interact with people at various organizational levels in a courteous, tactful, and poised manner

Requirements

What you’ll need

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 the designated practice area
Clinical Documentation Integrity (CDI) experience
CPR within 1 month of employment
Knowledge of third-party reimbursement requirements
Knowledge of age-specific categories served: infant, pediatric, adolescent, adult, geriatric
Knowledge of occupational health and safety, ergonomics, workers’ compensation, and OSHA regulations
Ability to read and interpret safety rules, operating and maintenance instructions, and policy and procedures manuals
Ability to solve practical problems with limited standardization
Ability to interpret written, oral, diagram, or schedule-based instructions
Ability to interact courteously and tactfully with people at various levels
Preferred: BSN or baccalaureate degree in a health-related field
Preferred: Two years’ experience as a Utilization Reviewer, Care Coordinator, or Clinical Documentation Specialist
Preferred: Practice experience in Critical Care, Emergency Care, or Surgical Care
Preferred: National certification

Benefits

Comp & perks

Full-time employment
Remote work arrangement
On-site orientation/training
First shift schedule, 8:30AM–5:00PM, Monday–Friday