BlueCross BlueShield of South Carolina

Charleston, SC, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Nurse Case Manager at BlueCross BlueShield of South Carolina is a highly rewarding position that requires a passion for delivering exceptional patient care. As a Nurse Case Manager, you will be responsible for managing the care of a caseload of members with complex medical needs, ensuring that their health care needs and goals are met in an efficient and cost-effective manner. You will be a key member of our team, working collaboratively with other healthcare professionals to provide compassionate and comprehensive care. The ideal candidate must have a current Registered Nurse (RN) license in the state of South Carolina, and a minimum of two years of clinical experience in an acute care setting. You must have an excellent understanding of managed care and the ability to work collaboratively with members and their families, as well as other healthcare professionals. If you possess these qualifications and have a genuine desire to make a difference in the lives of our members, then we encourage you to apply for this position.

Responsibilities:

  1. Manage a caseload of members with complex medical needs, ensuring that their health care needs and goals are met in an efficient and cost-effective manner.
  2. Collaborate with other healthcare professionals to provide compassionate and comprehensive care.
  3. Maintain a current Registered Nurse (RN) license in the state of South Carolina.
  4. Utilize an excellent understanding of managed care.
  5. Work collaboratively with members and their families, as well as other healthcare professionals.
  6. Provide members with information and resources that can help them make informed decisions about their health care.
  7. Stay up to date with changes in the healthcare industry and healthcare policy.
  8. Monitor and evaluate the quality of care provided to ensure that it meets standards and guidelines.
  9. Follow up with members to ensure that their health care needs are being met.
  10. Document patient care activities and other relevant information.
Where is this job?
This job is located at Charleston, SC, USA
Job Qualifications
  • Bachelor's Degree In Nursing

  • Certified Rn License

  • Current Cpr Certification

  • Prior Experience As A Nurse Case Manager

  • Ability To Work With Computers And Software Programs

  • Knowledge Of Medical Insurance Policies

  • Excellent Interpersonal Communication Skills

  • Ability To Multi-Task And Prioritize Tasks

Required Skills
  • Documentation

  • Insurance

  • Planning

  • Communication

  • Nursing

  • Negotiation

  • Leadership

  • Case management

  • education

  • Coordination

  • Problem-Solving

  • advocacy

  • assessment

  • Interpersonal

  • Medication

Soft Skills
  • Communication

  • Customer Service

  • Leadership

  • Problem Solving

  • Time management

  • creativity

  • Organization

  • flexibility

  • Critical thinking

  • Teamwork

Compensation

According to JobzMall, the average salary range for a Nurse Case Manager in Charleston, SC, USA is $53,000 to $77,000 per year. This range can vary depending on experience, qualifications, and other factors.

Additional Information
BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 29th, 2023
Apply BeforeJune 21st, 2025
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About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.

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