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Insurance Case Manager Jobs in Charleston, SC (NOW HIRING)

Sevita Health

Foster Care Case Manager

Charleston, SC · On-site

$37K - $45K/yr

Foster Care Case Manager $41,000-$43,500 Everybody needs a job but only extraordinary people work ... Current driver's license, car registration, and auto insurance. * Licensure and training as ...

NHC

Case Manager / Social Worker

Charleston, SC · On-site

Case Manager/Social Worker NHC HealthCare Charleston is looking for a Case Manager/Social Worker to ... insurance 401k with generous company contributions Competitive Pay Tuition Reimbursement ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Charleston, SC

Insurance Case Manager information

See Charleston, SC salary details

$30.4K

$47.6K

$69.3K

How much do insurance case manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for insurance case manager in Charleston, SC is $47,578.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,500.00 and $55,200.00 per year, depending on experience, location, and employer.

What is an insurance case manager?

An insurance case manager’s duties are to ensure the delivery of health care benefits or other forms of insurance and related services to their clients and to oversee their clients’ cases. As an insurance case manager, you can work in a variety of settings but usually for insurance carriers and HMOs. Your responsibilities differ depending on who your employer is and the type of insurance you work with. For example, if you work for a life insurance company, your duties involve assessing risk, processing new application paperwork, and other tasks similar to that of an underwriter.

What does an insurance case manager do?

An Insurance Case Manager coordinates and manages insurance claims on behalf of clients, ensuring that cases are processed efficiently and accurately. They review claims, gather necessary documentation, communicate with policyholders, healthcare providers, and insurance companies, and advocate for the best possible outcomes. Their role often involves assessing coverage, resolving issues, and helping clients understand their insurance benefits and options. By serving as a liaison, they streamline the claims process and support clients throughout their case.

What are the key skills and qualifications needed to thrive as an insurance case manager?

To thrive as an Insurance Case Manager, you need a solid understanding of insurance policies, case management practices, and regulatory compliance, often supported by a bachelor’s degree in a related field and relevant certifications such as Certified Case Manager (CCM). Familiarity with claims management software, customer relationship management (CRM) systems, and medical terminology is typically required. Strong communication, organizational, and problem-solving skills help you effectively coordinate between clients, providers, and insurers. These competencies are crucial for ensuring accurate case evaluations, timely claims processing, and high-quality client service.

How does an insurance case manager typically collaborate with other departments to ensure smooth claim processing?

Insurance Case Managers frequently work with underwriters, claims adjusters, customer service representatives, and sometimes medical professionals to gather necessary information and resolve complex cases. They act as a central point of communication, ensuring all parties are aligned and that documentation is complete and accurate. This collaboration helps streamline claim evaluations, address any discrepancies swiftly, and deliver timely resolutions for clients. Strong teamwork and clear communication are essential for success in this role.

What is the difference between Insurance Case Manager vs Claims Adjuster?

AspectInsurance Case ManagerClaims Adjuster
CredentialsCertifications like CPCU or ARM often preferredAdjuster licenses required by state
Work EnvironmentOffice-based, client interaction, case managementField or office-based, claims investigation
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentManaging claims, coordinating benefitsEvaluating and settling claims

While both roles work within the insurance industry, Insurance Case Managers focus on coordinating benefits and managing ongoing cases, often requiring certifications like CPCU. Claims Adjusters primarily investigate and settle claims, often working in the field. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

Is an insurance case manager a stressful job?

Insurance case managers often handle complex cases involving claims, requiring strong organizational and communication skills. The job can be stressful due to tight deadlines, high workload, and the need to manage multiple stakeholders, but it also offers opportunities for problem-solving and professional growth. Stress levels vary depending on workload, employer support, and individual resilience.
More about Insurance Case Manager jobs

What job categories do people searching Insurance Case Manager jobs in Charleston, SC look for?

The top searched job categories for Insurance Case Manager jobs in Charleston, SC are:

What cities near Charleston, SC are hiring for Insurance Case Manager jobs?

Cities near Charleston, SC with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Charleston, SC as of August 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 100% In-person job distribution, with an average salary of $47,578 per year, or $22.9 per hour.

RN Case Manager PRN

HCA Healthcare Summerville Hospital

Summerville, SC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Do you have the PRN career opportunities as a Registered Nurse (RN) Case Manager you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare Summerville Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

As a RN Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

  • Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
  • Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
  • Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
  • Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
  • Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
  • Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 
What qualifications you will need:
  • Must be a graduate from an accredited school of Nursing: Associate’s Degree in Nursing or higher is required. BSN is highly preferred.
  • Must be licensed as a Registered Nurse in the state which you practice and/or hold an active Compact/Multi-State RN license.
  • 1-3 years of clinical, hospital nursing experience is required.
  • Prior experience in Case Management is required for the PRN role.
  • Certification in Case Management or Utilization Review is preferred.
  • InterQual experience is preferred.
Benefits

HCA Healthcare Summerville Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location and position. 

Trident Medical Center – Facility Overview

Founded in 1975, Trident Medical Center has been serving patients and families throughout Berkeley, Charleston, and Dorchester Counties for 50 years. As a 320+ bed Level II Trauma Center, Trident provides comprehensive healthcare services, advanced specialty care, and 24/7 emergency treatment, earning recognition as the #1 Trauma Center in the Lowcountry.

Key Highlights

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  • Award-winning Heart Center
  • Home to the South Carolina Institute for Robotic Surgery
  • Comprehensive breast health services through the Trident Breast Care Center
  • Features the Joseph M. Still Burn Clinic, the region’s only outpatient burn clinic for patients of all ages
  • Provides 24/7 Hospitalist and Intensivist coverage
  • Healthgrades Five-Star recipient for cardiovascular care, neurosciences, critical care, and patient safety outcomes

Expanded Emergency Access
In addition to emergency departments at Trident Medical Center and Summerville Medical Center, the health system operates four freestanding emergency rooms (FSERs) offering 24/7 emergency care:

  • Brighton Park Emergency (Summerville)
  • Centre Pointe Emergency (North Charleston)
  • James Island Emergency (Charleston)
  • Moncks Corner Medical Center (Berkeley County)
  • Long Point Free Standing ED coming soon!

Together, these facilities provide convenient, around-the-clock access to emergency services across the greater Charleston region.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

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