Remote RN Case Management Supervisor

001 BlueCross and BlueShield of South Carolina

South Carolina

Hybrid

USD 85,000 - 110,000

Full time

11 days ago

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Benefits offered by this job

Health insurance
401k retirement plan
Paid Time Off (PTO)
Education Assistance

Job summary

BlueCross BlueShield of South Carolina is seeking a Case Management Supervisor to oversee case management, utilization review, and quality management programs. This remote role includes potential on-site training follow-ups and requires strong leadership, data analysis, and a solid understanding of health insurance operations.

The ideal candidate has significant experience in healthcare management and will supervise staff, coordinate program implementation, and drive performance metrics while

Qualifications

  • Associate's degree in a job-related field; RN or related clinical licensure may be required.
  • 5+ years in health promotion, health education, health insurance, or related healthcare roles; leadership experience preferred.
  • Strong knowledge of insurance/benefit programs and care management processes.

Responsibilities

  • Supervises day-to-day activities for assigned staff and manages performance reviews.
  • Identifies training needs and ensures accurate, efficient workflow across teams.
  • Oversees specialty programs (wellness, disease management) and data collection.
  • Develops procedures, audits, and documentation to improve quality and compliance.
  • Prepares weekly/monthly management reports and coordinates with other departments.

Skills

Staff supervision
Healthcare operations
Quality improvement
Data analysis
Communication skills

Education

Associate's degree in related field

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a Case Management Supervisor to oversee case management, utilization review, and quality management programs. This remote role includes potential on-site training follow-ups and requires strong leadership, data analysis, and a solid understanding of health insurance operations.

The ideal candidate has significant experience in healthcare management and will supervise staff, coordinate program implementation, and drive performance metrics while

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