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

Visiting Nurse

Blythewood, SC · On-site

  • Medical

  • Retirement

  • PTO

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

Visiting Nurse

Blythewood, SC · On-site

  • Medical

  • Retirement

  • PTO

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

Visiting Nurse

Ridgeway, SC · On-site

  • Medical

  • Retirement

  • PTO

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

Visiting Nurse

Blythewood, SC · On-site

  • Medical

  • Retirement

  • PTO

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

Visiting Nurse

Winnsboro, SC · On-site

  • Medical

  • Retirement

  • PTO

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

Licensed Practical Nurse - Home Health

Rock Hill, SC

$22.75 - $30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... case manager, and families of changes in client's medical condition and needs * Coordinating or ordering supplies, medications, and feedings as needed to insure adequate amounts are always on hand

Licensed Practical Nurse - Home Health

Rock Hill, SC · On-site

$22.75 - $30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... case manager, and families of changes in client's medical condition and needs * Coordinating or ordering supplies, medications, and feedings as needed to insure adequate amounts are always on hand

Claims Consultant

Blythewood, SC · On-site

$48K - $55K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

To provide Absence case management and claim adjudications, based on medical documentation and the ... Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ...

Care Manager II

Lancaster, SC · Remote

  • Medical

  • Retirement

  • PTO

... insurance products and benefits, community resources and programs, and applicable regulatory, state ... At least 3 years of case management experience is preferred * Proficiency in MS Office (Word, Excel ...

Care Manager II

Lancaster, SC · On-site

  • Medical

  • Retirement

  • PTO

... insurance products and benefits, community resources and programs, and applicable regulatory, state ... At least 3 years of case management experience is preferred * Proficiency in MS Office (Word, Excel ...

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Showing results 1-20

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 Aug 13, 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 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.

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.

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.

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.

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 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:

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.

Hospice RN Case Manager - Lancaster/Rock Hill, SC

Patriot Healthcare

Lancaster, SC • On-site

$63K - $79K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Job description

Join Patriot Healthcare – Where Compassion Meets Excellence in Hospice Care

Are you a dedicated Registered Nurse looking to make a real difference in the lives of patients and families? At Patriot Healthcare, we believe in putting care back in healthcare. As a premier hospice organization, we are driven by compassion, integrity, and a deep commitment to quality of life. We are currently seeking exceptional RN Case Managers to join our collaborative, mission-driven team. Here, you won’t just find a job – you’ll find a purpose. Our Registered Nurses are at the heart of our care model, working closely with interdisciplinary teams to provide comfort, dignity, and support at life’s most important moments.

Why Join Patriot Healthcare?

✔ A team-first culture that values your expertise and input
✔ Supportive leadership and clear communication
✔ Flexible Scheduling
✔ Competitive Pay
✔ 401(k) Retirement Plan with 4% Company Matching to secure your future
✔ Company Paid Life Insurance with options for additional Life Insurance
✔ Mileage Reimbursement (for qualifying positions)
✔ Perks at Work Discount Program
✔ Comprehensive Health, Dental, and Vision Insurance
✔ Flexible Spending and Health Savings Accounts
✔ A generous time-off package with 15 days of Paid Time Off (PTO) and Holidays to rest and recharge
✔ Wellness & Discount Programs to help you lead a healthy and balanced life

The Hospice RN Case Manager provides, coordinates, and directs the provision of hospice services according to physician’s orders and patient plan of treatment based on hospice policies and procedures, through the application of the nursing process.

Duties and Responsibilities RN Case Manager

· Registered Nurse will Steward the philosophy/mission of PH Healthcare which focuses on the overriding values of human dignity and respectful response to the needs of persons with life threatening/terminal and/or chronic illnesses.

· Registered Nurse will Serve as a member of the Interdisciplinary Team (IDT) and attends meetings.

· Registered Nurse will Follow the Nursing Standards of PH Healthcare.

· Registered Nurse will Demonstrate familiarity with policies of the hospice, state, and federal regulations pertaining to hospice and general nursing services.

· Registered Nurse will Implement hospice nursing care in accordance with current rules, regulations, and guidelines.

· Registered Nurse will Make written and oral reports/recommendations to the Director of Clinical Services as necessary/required, concerning the operation of the nursing service department.

· Registered Nurse will Participate in the hospice quality assurance program as directed by the Director of Clinical Services.

· Registered Nurse will Build effective relationships with contracted facility nursing staff to ensure that the hospice care service is well integrated into the facility plan of care for hospice patients.

· Registered Nurse will Full and appropriate documentation of direct patient care services to support successful professional billing of these services.

· Registered Nurse will Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

· Registered Nurse will Supervise Hospice Aide care.

· Registered Nurse will Supervise CNA schedules.

· Registered Nurse will Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the hospice’s policies and procedures governing accidents and incidents.

RN Case Manager Nursing Functions

· Accept responsibility for the coordination of the physical care of the patient by teaching primary caregivers, volunteers and family members as necessary.

· Maintain up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur.

· Inform hospice and facility staff of unusual or potentially problematic patient and/or family issues.

· Provide appropriate support at time of death.

· Provide the Director of Clinical Services with information relative to the nursing needs of the patient.

· Initiate communication with hospice physician, attending physician, other hospice staff members, facility staff, and other agencies as needed to coordinate care and use of resources for the patient and family.

· Maintains regular communication with facility nursing staff to review care including attending SNF care plan meetings.

· Assign personal care tasks to Hospice Aides according to the plan of care.

· Maintains a liaison with the patient, their families, support departments, etc., to adequately plan for the patients’ needs.

Qualifications RN Case Manager

Must possess, as a minimum, a Nursing Degree from an accredited college or university and be licensed as a Registered Nurse in the State of South Carolina. 1 year of experience as a nurse in a hospital, long-term care facility, or other related health care facility is preferred. Hospice experience also preferred.

Job Type: Full-time