Remote RN Care Management Supervisor - Maternity/NICU Focus

Southcarolinablues; South Carolina; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

401k retirement plan

Health insurance

Paid Time Off (PTO)

Education Assistance

Job summary

BlueCross BlueShield of South Carolina is seeking a Care Management Supervisor focused on maternity and NICU areas. The role supervises daily RN-led care management functions, ensures quality and compliance, and reports on program metrics.

The position is fully remote with occasional on-site trainings, requires RN licensure in the US, and emphasizes strong leadership and data-driven decision making.

Qualifications

• Active, unrestricted RN license in the US.
• Bachelor's degree not required but a Nursing degree is essential.
• Experience in care management and maternal health preferred.

Responsibilities

• Supervises daily care management activities for RN staff.
• Oversees Utilization Review, Case Management, and related programs.
• Ensures URAC/NCQA compliance and data reporting.
• Coordinates with other departments for effective care delivery.

Skills

Nursing leadership

Healthcare management

Communication skills

Data analysis

Decision making

Education

Associate's degree in Nursing

RN licensure (US)

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a Care Management Supervisor focused on maternity and NICU areas. The role supervises daily RN-led care management functions, ensures quality and compliance, and reports on program metrics.

The position is fully remote with occasional on-site trainings, requires RN licensure in the US, and emphasizes strong leadership and data-driven decision making.