Remote RN Case Manager

HealthCare Support; South Carolina; Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare staffing organization is seeking a skilled RN Telephonic Case Manager for a remote position in South Carolina. The role involves managing care transitions, assisting in discharge planning, and conducting follow-ups post-discharge. Candidates must hold an active RN license and have substantial clinical nursing experience, particularly in case management. The position offers competitive pay and immediate health benefits.

Benefits

Immediate enrollment in Health Insurance

Dental Insurance

Life Insurance

Employee Assistance Program (EAP)

Access to Investment Accounts

Career and educational tools

Qualifications

• Active RN license in South Carolina is required.
• Proficiency in using computer systems and MS Office.
• 2+ years of clinical nursing experience in relevant settings.

Responsibilities

• Manage care transitions for Medicaid members via telephonic outreach.
• Assist facility staff with discharge planning.
• Conduct follow-ups with members post-discharge within 10 business days.

Skills

Clear and active South Carolina RN license

Good computer skills

Experience with InterQual Criteria or Milliman Care Guidelines

2+ years of clinical nursing experience

Experience with discharge planning

Education

Graduate from accredited school of nursing

Tools

MS Office (Outlook, Word, Excel, Teams)

Job description

Overview

HealthCare Support is actively seeking an RN Telephonic Case Manager to fill a remote opening for Managed Care Organization in South Carolina.

Responsibilities

• Transition of Care Case Management for Medicaid members, telephonic outreaches to facilities and members.
• Assist facility staff with discharge planning efforts for members.
• Outreaches to members after discharge from hospitalizations within 10 business days of discharge.
• Location: Remote - candidate must live in SC. May need to travel for visits about 25% of the time
• Shift: M-F 8-5

Qualifications

• Clear and active South Carolina RN license
• Good computer skills – experience working with computer systems, MS office – Outlook, Word, Excel, Teams and EMR's
• Experience using InterQual Criteria or Milliman Care Guidelines (MCG) to determine medical necessity of lower level of care to transition them to
• 2+ years of clinical nursing experience, preferably in case management or from hospital setting in case management, ICU or ER
• Experience with discharge planning (transitioning patients to a lower level of care, ie: from hospital to rehab facility or home)
• Graduate from accredited school of nursing
• Clear and active drivers license, reliable transportation and auto insurance

Benefits

• Immediate enrollment in Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details: $38 – 44/hr (depending on candidate location)

Interested in being considered?

If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to [e-mail] with your phone number, the job title and location, and our recruiters will reach out.

Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.