Medical Case Manager

Now Hiring: RN Case Manager - Columbia, SC Region

Work from home + local field travel
Salary: Competitive & commensurate with experience
Quarterly Bonus Opportunities
Free CEUs for licenses & certificates
License & Certification Reimbursement

We're looking for an RN with a passion for case management to join our team!
✨ RN degree required
✨ National Certification preferred (CCM, CRC, COHN, CRRN)
✨ Workers' Comp Case Management experience a plus

✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines.

You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management.

This is your chance to grow your career, earn great rewards, and enjoy true work-life balance.

Apply today and make an impact in the community!


* Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.


* Minimum of 1-3 years diverse clinical experience and one of the below:


* Certification as a case manager from the URAC-approved list of certifications (preferred);


* A registered nurse (RN) license.


* Must be compliant with state requirements regarding national certifications.


* General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.


* Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.


* Excellent analytical and customer service skills to facilitate the resolution of case management problems.


* Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.


* Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.


* Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.


* Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.


* Demonstrated leadership ability with a basic understanding of supervisory and management principles.


* Active RN home state licensure in good standing without restrictions with the State Board of Nursing.


* Must meet specific requirements to provide medical case management services.


* Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred.

If not attained, must plan to take certification exam within proceeding 36 months.


* National certification must be obtained in order to reach Senior Medical Case Management status.


* Travel may entail approximately 70% of work time.


* Must mainta...