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Insurance Case Manager Jobs in Great Falls, SC (NOW HIRING)

MUSC

Nurse Case Manager

Lancaster, SC · On-site

South Carolina State Health Insurance * South Carolina State Retirement * Competitive pay * Paid Parental Leave * Advancement Opportunities * Certification Recognition The Case Manager's primary ...

Your Health

Visiting Nurse (team1)

Ridgeway, SC · On-site

The Nurse Case Manager will be required to travel to patients homes, long-term care facilities, etc ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...

Your Health

Visiting Nurse (team1)

Blythewood, SC · On-site

The Nurse Case Manager will be required to travel to patients homes, long-term care facilities, etc ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Great Falls, SC

Insurance Case Manager information

See Great Falls, SC salary details

$29.6K

$46.3K

$67.4K

How much do insurance case manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for insurance case manager in Great Falls, SC is $46,308.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,500.00 and $53,700.00 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 Great Falls, SC look for?

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

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

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

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Great Falls, SC as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $46,308 per year, or $22.3 per hour.

Nurse Case Manager

MUSC Health & Medical University of SC

Lancaster, SC • On-site

Full-time

Medical, Retirement

Posted 13 days ago

MUSC Health rating

7.0

Company rating: 7.0 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Job Description Summary
Nursing Case Managers strives to promote a seamless transitions between different healthcare settings, such as hospitals, rehabilitation facilities, and home care services. By coordinating communication and information sharing among providers, they help prevent gaps in care and reduce the risk of medical errors.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC001460 LAN - Case Management (LMC)
Pay Rate Type
Salary
Pay Grade
Health-28
Scheduled Weekly Hours
40
Work Shift
Job Description
Benefits:
  • South Carolina State Health Insurance
  • South Carolina State Retirement
  • Competitive pay
  • Paid Parental Leave
  • Advancement Opportunities
  • Certification Recognition

The Case Manager's primary function is to help patients navigate their healthcare journey by coordinating their care, advocating for them, and ensuring they receive the best care possible. Responsible for functions such as Utilization Review, Discharge Planning, Social Services, and Resource Management.
Duties include but are not limited to:
  • Review of patient's medical record, health history, and needs to create a care plan that helps them achieve their goals.
  • Develop, document, and implement plans, which provide appropriate resources to address the social, physical, mental, emotional, spiritual, and supportive needs of the patient.
  • Review criteria to assess and document the appropriateness of admission, continued stay, and level of care
  • Assists patients, their families, and physicians with post-acute placement
  • Advocate for patients ensuring they are receiving the best care in a cost-effective way.
  • Refers cases that do not meet admission and/or continued stay criteria to the designated Physician
  • Educate patients and families about treatment options and health status
  • Performs additional assignments and tasks as assigned by Case Management Department Head.

Will be required to be ON CALL at times. Must be able to follow directions and perform work under limited supervision according to department standards when no direction is given. Must be emotionally mature and able to function effectively under stress.
Experience: 1 year of case management and/or utilization review work experience preferred.
Additional Job Description
Education: Graduate from an accredited school of nursing and a minimum of one year of work experience as a Registered Nurse required. Bachelor of Nursing degree preferred.
License: Licensed as a Registered Nurse by the South Carolina Board of Nursing or a compact state. Case Management certification is preferred. Basic Life Support (BLS) with the American Heart Association (AHA) is required.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

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About MUSC Health

Sourced by ZipRecruiter

MUSC is located in Charleston, SC, frequently named one of the best places in America to live. If charming, historic, vibrant, cultural, and coastal are adjectives that you find appealing, it's all here. In Charleston, you might find yourself dining at a world class restaurant tonight and relaxing on a boat as you explore our many waterways tomorrow. You might stroll along cobblestone streets, amidst centuries old homes by day and attend a jazz concert by night. Charleston is a place where you can live your life to its fullest.

Industry

Hospitality services

Company size

10,000+ Employees

Headquarters location

Charleston, SC, US

Year founded

1824

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