South Carolina RN Concierge Care Manager

Job Summary

Providing high-touch case management for members with complex health conditions, the full-time remote South Carolina RN Concierge Care Manager will coordinate treatment plans, educate members on care adherence, and facilitate healthcare services for over 2 million members.

Key responsibilities

• Directs day-to-day member management, implementing program goals and coordinating treatment plans for high-risk patient populations
• Coordinates clinical services with external providers, vendors, and community services to ensure comprehensive care
• Participates in team training and prepares for external audits and quality assurance efforts

Required qualifications

• Associate's degree in nursing or graduate of an accredited school of nursing, or a master's degree in social work, psychology, or counseling
• 5 years of case management experience as an RN or 2 years in a health insurance environment
• Active, unrestricted RN licensure in the United States or a compact, multistate RN license
• Nationally recognized Case Management certification to be obtained within 2 years of hire
• Working knowledge of Microsoft Office software