Top 5 Case coordinator Jobs in West Columbia, Sc

RN/Case Management Coordinator - Remote
Computer Enterprises Inc —Columbia, SC
- $30 an hour
- Contract
- Nursing
- RN License
- Mid-level
Quick Apply
CASA Case Coordinator
Richland County Government —Richland County, SC
- From $26.37 an hour
- Full-time
- Basic math
- Mid-level
- Driver's License
13d
Social Worker / Case Manager
Mental Illness Recovery Center —Columbia, SC
- $55,000 - $65,000 a year
- Full-time
- Adults
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Case Worker - Complex Care Coordinator: OIDD
State of South Carolina —Lexington County, SC
- $52,100 - $60,000 a year
- Full-time
- Current TB test
- Computer literacy
- Pass drug screening
- Paid parental leave
- Paid holidays
Social Worker / Case Manager
MIRCI —Columbia, SC
- $55,000 - $65,000 a year
- Full-time
- Adults
- Mid-level
- Office
- Paid parental leave
- Paid holidays

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CASA Case Coordinator
Richland County Government —Richland County, SC
Performs general administrative / clerical work as required, including attending meetings, preparing reports and correspondence, entering and retrieving…
From $26.37 an hour
13d
Anti-Human Trafficking Project
Richland County Government —Richland County, SC
Performs general administrative / clerical work as required, including attending meetings, preparing reports and correspondence, entering and retrieving…
From $22.78 an hour
9d

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Case Coordinator, Bridges
Ohio Children's Alliance —Columbus, OH
A minimum of an Associate Degree in human services, criminal justice, or related field and experience working in a social service or community-based…
$45,000 - $50,000 a year
Quick Apply
Case Coordinator - MEB (OHARNG)
KSA Integration —Columbus, OH
Accurate, fast data entry and strong organization. KSA Integration LLC provides non-clinical medical case management support to sustain Individual Medical…
5d

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case coordinator jobs near west columbia, sc

RN/Case Management Coordinator - Remote

Computer Enterprises Inc -
Columbia, SC

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Job Details

Contract
$30 an hour

Qualifications

RN License

Full Job Description

Registered Nurse (RN) Care Management Specialist

Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC)
Pay Rate: $30/hour

Schedule

Monday through Friday, 8:30 AM - 5:00 PM
Two late shifts per month: 11:30 AM - 8:00 PM
No late shifts on Fridays
Required onsite training in Columbia, SC during the first week

Required Qualifications

Active, unrestricted Registered Nurse (RN) license in South Carolina
Minimum of 4 years of recent clinical nursing experience
Must live within 2 hours of Columbia, South Carolina
Ability to attend onsite training in Columbia during the first week of employment

Position Overview

We are seeking an experienced Registered Nurse (RN) to support members through clinical review, care management, and health advocacy services. This role is responsible for evaluating medical and behavioral health requests, coordinating care, promoting quality outcomes, and ensuring services meet clinical and benefit eligibility requirements.

Key Responsibilities

Review and evaluate medical and behavioral health requests for eligibility, benefits, and medical necessity using established clinical guidelines and policies.
Assess, plan, coordinate, monitor, and evaluate care for members with chronic, acute, or complex health conditions.
Provide active case management, including assessing service needs, developing care plans, coordinating services, and monitoring progress toward member goals.
Determine appropriate levels of care, benefits eligibility, length of stay, place of service, and medical necessity for requested services.
Maintain accurate and thorough clinical documentation to support medical necessity and benefit determinations.
Deliver telephonic care management and health coaching for members with chronic conditions, high-risk pregnancies, and other at-risk health concerns.
Utilize motivational interviewing, reflective listening, and behavior-change strategies to improve member engagement and health outcomes.
Conduct utilization review and authorization activities to ensure services align with benefit plans and medical necessity criteria.
Collaborate with internal teams and refer cases as appropriate to Medical Directors, Case Managers, Preventive Services, Quality Management, and other specialty departments.
Support clinical data collection and documentation processes to ensure accurate claims adjudication and reporting.
Promote quality, cost-effective healthcare solutions while advocating for members' healthcare needs.
Ensure compliance with all applicable regulatory and accreditation standards, including ERISA, NCQA, URAC, Department of Insurance (DOI), and Department of Labor (DOL) requirements.

#INDGEN #ZR

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case coordinator jobs in west columbia, sc

RN/Case Management Coordinator - Remote

CASA Case Coordinator

Social Worker / Case Manager

Case Worker - Complex Care Coordinator: OIDD

Social Worker / Case Manager

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Registered Nurse (RN) Care Management Specialist

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