Nurse

• Provide direct nursing care to residents
• Supervise day-to-day nursing activities performed by nursing assistants
• Direct nursing assistants and coordinate shift services, programs, and activities
• Ensure compliance with facility policies, procedures, and applicable federal, state, and local regulations
• Admit, transfer, and discharge residents
• Complete medical forms, reports, evaluations, studies, charting, and incident documentation
• Receive and transcribe physician orders and maintain resident medical records
• Prepare and administer physician-ordered medications and treatments
• Monitor medication supplies, narcotic records, and medication discrepancies
• Participate in staffing, performance evaluations, work assignments, and personnel supervision
• Conduct daily rounds and provide leadership to nursing personnel
• Coordinate resident care with physicians, families, social services, dietary, and other departments
• Review and maintain resident care plans and assessments
• Perform nursing procedures including catheterization, tube feedings, suction, wound dressing changes, colostomy and drainage bag care, specimen collection, vital signs, and range-of-motion exercises
• Monitor residents' physical and emotional status and notify physicians and next of kin of condition changes
• Participate in restorative, rehabilitative, infection-control, safety, sanitation, and quality-assurance programs
• Develop and participate in staff orientation, in-service training, and continuing education
• Maintain adequate supplies and equipment and ensure safe operation
• Provide data to the Quality Assurance & Assessment Committee as requested

LPN providing licensed nursing care and supervising staff at PACS post-acute facility

LPN providing direct resident care and supervising nursing assistants at PACS’s McCormick Post Acute facility. Administering treatments, medications, assessments, and care-plan services in long-term care.

• Complete clinical reviews for appropriateness, medical necessity, and quality
• Apply standardized clinical review criteria to determine medical necessity for service authorization requests
• Refer requests to an appropriate physician peer reviewer when criteria are not clearly met
• Perform pre-service, concurrent, and retrospective reviews
• Process authorization requests for inpatient admissions, rehabilitation, skilled nursing, home care/home infusion, and outpatient or inpatient services
• Document timely decisions and actions in the managed care information system (MCIS)
• Meet contractual timelines for review activities
• Communicate and interact with providers and internal/external partners to coordinate utilization-management activities
• Communicate determinations to providers according to established processes
• Participate in required staff meetings and complex case rounds
• Perform discharge planning to support safe and timely enrollee discharges
• Complete Inter-rater Reliability training, exams, and testing
• Follow utilization-management workflow processes
• Participate in a weekend and holiday coverage rotation
• Perform other duties supporting utilization-management functions

Physical Health Registered Nurse reviewing medical necessity for Vaya Health members

Physical Health Registered Nurse – Vaya

Physical Health Registered Nurse conducting utilization-management reviews for Vaya Health, a behavioral and physical health organization. Determining medical necessity, coordinating authorizations, and supporting safe member discharges.

• Complete clinical reviews for appropriateness, medical necessity, and quality
• Apply standardized clinical review criteria to service authorization requests
• Refer requests to physician peer reviewers when medical necessity criteria are not clearly met
• Review pre-service, concurrent, and retrospective requests
• Process authorization requests for inpatient, rehabilitation, skilled nursing, home care/home infusion, outpatient, and inpatient services
• Document timely decisions and actions in the managed care information system (MCIS)
• Meet contractual timelines for review activities
• Communicate with providers and internal and external partners to coordinate utilization management activities
• Communicate determinations to providers according to established processes
• Participate in staff meetings and complex case rounds
• Perform discharge planning for safe and timely enrollee discharges
• Complete utilization management workflow processes and other assigned UM duties
• Participate in weekend and holiday coverage rotations

Registered Nurse conducting utilization-management reviews for Vaya Health members

Physical Health Registered Nurse – Remote

Registered Nurse conducting utilization-management reviews for Vaya Health members. Processing service authorizations, coordinating provider determinations, and supporting safe discharge planning.

• Serve as the primary point of contact for hospice patients and families during after-hours, weekend, and holiday coverage
• Triage incoming calls, assess patient needs, and provide clinical guidance and interventions by phone
• Resolve or route non-clinical requests involving durable medical equipment, pharmacy, scheduling, and general questions
• Collaborate with physicians, social workers, chaplains, nurses, and other hospice team members
• Make clinical decisions based on patient status and plans of care
• Provide symptom-management instructions for pain, breathing difficulty, nausea, anxiety, and other concerns
• Offer emotional support and guidance to families and caregivers
• Educate patients and families on end-of-life care, medication administration, and comfort measures
• Respond to emergencies, guide caregivers through symptom-control techniques, and dispatch hospice field nurses when necessary
• Coordinate after-hours visits by hospice field nurses or other team members
• Ensure timely ordering and availability of medications and medical supplies
• Document triage interactions and nursing assessments in the electronic medical record (EMR)
• Complete workflow
• Provide detailed reports to registered nurse teams, hospice physicians, and case managers
• Update plans of care to reflect changes in patient status and maintain interdisciplinary communication

Remote registered nurse providing after-hours hospice triage for Affinity Hospice patients

Centralized Triage Registered Nurse, RN

Remote registered nurse providing after-hours hospice triage for Affinity Hospice, a hospice and palliative-care organization.
Assessing symptoms, guiding caregivers, documenting care, and dispatching field nurses when needed.

• Provide direct nursing care to residents
• Supervise day-to-day nursing activities performed by nursing assistants
• Administer medications and treatments
• Accurately document resident care and complete required records, charts, reports, and forms
• Coordinate nursing services with physicians, therapists, CNAs, other nurses, residents, families, and support departments
• Admit, transfer, and discharge residents
• Develop, implement, review, and update care plans and discharge plans
• Monitor residents' physical and emotional status and report changes, accidents, incidents, and discrepancies
• Perform nursing procedures including catheterization, tube feedings, suction, dressing changes, colostomy and drainage-bag care, specimen collection, vital signs, and range-of-motion exercises
• Conduct rounds, inspect care areas, and ensure treatments and care plans are followed
• Lead, assign, train, evaluate, and supervise nursing personnel
• Participate in quality assurance, facility surveys, infection control, safety, emergency preparedness, and staff development programs
• Maintain medication, narcotic, equipment, supply, census, and compliance records
• Provide resident and family support, including admissions, orientation, discharge coordination, and post-mortem procedures

LPN providing skilled nursing care and supervising staff at a South Carolina post-acute facility

LPN delivering direct resident care and supervising nursing assistants at Edgefield Post Acute, a skilled nursing and rehabilitation facility.
Managing medications, documentation, care plans, clinical procedures, and regulatory compliance.

• Provide direct skilled nursing care to residents
• Supervise day-to-day nursing activities performed by nursing assistants
• Administer medications and treatments as ordered
• Monitor residents’ health and communicate changes to physicians and the healthcare team
• Collaborate with physicians, therapists, CNAs, fellow nurses, residents, families, and support departments
• Admit, transfer, and discharge residents
• Complete nursing documentation, charting, reports, forms, and care-plan updates
• Receive and transcribe physician orders
• Perform nursing procedures including catheterization, tube feedings, suction, dressing changes, colostomy and drainage-bag care, specimen collection, vital signs, and range-of-motion exercises
• Make rounds, monitor seriously ill residents, and ensure prescribed treatments are administered
• Coordinate diagnostic, therapeutic, social, activity, restorative, and rehabilitative services
• Provide leadership, staffing support, work assignments, performance feedback, and supervision to nursing personnel
• Participate in quality assurance, facility inspections, staff development, in-service training, infection control, safety, and disaster-preparedness programs
• Maintain adequate medication, equipment, and supply levels
• Review resident care plans and ensure care is provided according to residents’ needs and wishes
• Maintain a clean, safe, sanitary, and caring environment
• Report accidents, incidents, exposures, suspected fraud, unauthorized access, and changes in resident condition as required

Licensed Practical Nurse providing skilled resident care at a Mount Pleasant post-acute facility

Licensed Practical Nurse

Licensed Practical Nurse delivering skilled nursing care at a 176-bed Mount Pleasant post-acute rehabilitation facility. Supervising nursing assistants, administering treatments, and coordinating resident care.

• Monitor and maintain compliance through quality improvement activities
• Analyze, document, and present quality improvement findings
• Recommend corrective actions and improvements
• Conduct quality medical record reviews to monitor quality of care and service
• Track, trend, and investigate quality concerns and complaints
• Coordinate HEDIS data collection
• Perform NCQA accreditation activities
• Conduct specific medical reviews as necessary
• Prepare formal documentation for compliance with applicable standards and regulations
• Participate in an on-call rotation covering weekends

Payment Integrity Nurse reviewing Medicare Advantage quality for South Carolina health insurer

Payment Integrity Nurse – Medicare Advantage

Payment Integrity Nurse reviewing Medicare Advantage quality for South Carolina health insurer. Monitoring compliance, conducting medical reviews, coordinating HEDIS collection, and recommending corrective actions.

• Provide nursing care from initial patient contact until care is relinquished to the accepting medical facility
• Assess, triage, and treat critically ill or injured patients for safe transport
• Maintain thorough patient care documentation
• Participate in ongoing laboratory, clinical, aviation, safety, OSHA, HIPAA, and continuing education training
• Use and routinely maintain aircraft medical equipment and supplies; report failures and initiate repairs
• Maintain adequate onboard supplies and keep aircraft clean and orderly
• Attend pre-mission briefings and debriefings and complete required documentation
• Assist with liftoff checklists and support pilots with radio, navigation, and visual observation activities
• Conduct aircraft safety briefings and comply with safety standards
• Serve as a flight resource to neonatal/pediatric personnel and perform approved advanced procedures
• Participate in patient/referring institution follow-up and outreach marketing and education
• Precept and orient new employees and students as assigned
• Participate in meetings, activities, projects, committees, research, and publishing opportunities
• Be scheduled for at least two 24-hour shifts per week at CBS bases where currently licensed

Flight Nurse providing critical-care air transport across Air Methods’ Southeastern U.S. bases

Flight Nurse, Float

Flight Nurse delivering critical-care air transport for Air Methods across Southeastern U.S. bases. Assessing patients, performing advanced procedures, and supporting aviation safety during missions.

• Support safe Transitions of Care, reduce avoidable emergency department utilization, and improve Medicare Advantage Stars and quality performance
• Analyze clinical data and trends from Athena EMR, DataHub, and related platforms to identify Stars, HEDIS, and post-hospitalization care gaps
• Identify recently discharged inpatient, observation, and emergency department patients and coordinate timely post-discharge follow-up
• Conduct patient and provider outreach by phone, telehealth, and in-clinic visits
• Provide education on preventive care, chronic disease management, medication management, and self-management for diabetes, hypertension, CHF, and COPD
• Perform post-discharge assessment, medication reconciliation, symptom monitoring, and follow-up appointment adherence checks
• Identify and escalate barriers to providers and care teams to prevent readmissions and avoidable ED utilization
• Collaborate with providers, care assistants, center administrators, medical assistants, pharmacy, and quality improvement staff
• Document outreach, clinical interactions, patient encounters, and outcomes accurately and in compliance with organizational and CMS standards
• Participate in center huddles and high-risk rounds
• Participate in quality improvement projects, provider education sessions, and team huddles
• Monitor Stars and Transitional Care Management goals and develop solutions to improve clinical performance and patient engagement
• Support clinic operations through provider collaboration, care coordination, and community education
• Coordinate and facilitate center- and market-based wellness events
• Maintain patient confidentiality in accordance with HIPAA
• Follow safety, infection control, attendance, and other organizational policies
• Travel quarterly within the market to alternative clinics for strategic meetings

Clinical Care RN improving senior patients’ outcomes through transitions, quality, and chronic disease management at CenterWell

Clinical Care Nurse, RN

Clinical Care RN improving senior patients’ outcomes through transitions, quality, and chronic disease management at CenterWell. Coordinating outreach, education, and evidence-based interventions across South Carolina clinics.

• Provide nursing care from initial patient contact until relinquishment to the accepting medical facility
• Assess, triage, treat, and prioritize care for critically ill or injured patients during safe transport
• Maintain thorough patient care documentation and required licensure, certification, training, and clinical records
• Maintain competency through laboratory, clinical, continuing education, and advanced skills experiences
• Operate and maintain medical equipment and supplies; report failures and initiate repairs
• Keep aircraft clean and orderly and maintain adequate onboard supplies
• Attend pre-mission briefings and mission debriefings and complete required documentation
• Assist with liftoff checklists and support pilots with radio, navigation, and visual observation activities
• Conduct aircraft safety briefings and comply with safety standards
• Support neonatal and pediatric specialty transports and perform approved advanced procedures
• Participate in patient and referring-institution follow-up and outreach marketing and education
• Precept and orient new employees and students
• Participate in meetings, activities, projects, committees, research, and publishing opportunities
• Work scheduled 24-hour shifts at CBS bases where currently licensed

Flight Nurse providing critical-care air transport across Air Methods’ Southeast bases

Flight Nurse – Float

Flight Nurse providing critical-care nursing and helicopter transport for Air Methods’ Southeast bases.
Assessing patients, coordinating safe transfers, and supporting aviation safety across multiple licensed states.

• Aids patients in obtaining the correct level of care with the appropriate provider
• Provides advance clinical telephone support to Sutter Health patients
• Assesses patients' needs, dispositions cases, collaborates with clinic and hospital-based providers
• Assists physician partners with message management and communications within the EMR system
• Performs nursing follow-up activities.

Clinical Triage Nurse providing phone support to Sutter Health patients

Clinical Triage Nurse

Clinical Triage Nurse providing telephone clinical support to Sutter Health patients. Assessing needs and collaborating with healthcare providers for optimal patient care.

• Performs clinical utilization reviews using evidenced based guidelines, policies and nationally recognized clinical criteria and internal policies/procedures.
• Identifies potential Third-Party Liability and Coordination of Benefit Cases and notifies appropriate parties/departments.
• Collaborates with healthcare partners to ensure timely review of services and care.
• Provides referrals to Case management, Disease Management, Appeals & Grievances, and Quality Departments as needed.
• Develop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards
• Identifies potential quality of care issues, service or treatment delays and intervenes as clinically appropriate.
• Triages and prioritizes cases and other assigned duties to meet required turnaround times.
• Prepares and presents cases to Medical Director (MD) for medical director oversight and necessity determinations.
• Communicates determinations to providers and/or members in compliance with regulatory and accreditation requirements.
• Duties as assigned.

Utilization Management Nurse performing clinical reviews for health services.

Utilization Management Nurse

Utilization Management Nurse providing evaluations of medical necessity for healthcare services. Collaborates with healthcare partners and handles clinical documentation remotely.

• Track and respond to calls for a multi-state nurse triage telephone service.
• Provide clinical assessment based on established protocols and triage patients by phone or through patient portal.
• Provide administrative support and perform clinical tasks.
• Facilitate referrals and collaborate on addressing prior authorization requests.
• Participate in Remote Patient Monitoring (RPM) initiatives.
• Screen and qualify patients for clinical trials.

Registered Nurse providing remote telephone triage support for various states

RN Telephone Triage Nurse – Compact License, IL, MA, NY, MN, DC

Registered Nurse providing remote telephone triage support. Handling clinical assessments and administrative tasks for multi-state telehealth services.

Nurse jobs in South Carolina

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LPN