Registered Nurse Case Manager / Utilization Review Nurse Calling all Registered Nurse Case Managers. Have immediate openings for Registered Nurse Case Managers and Utilization Review Nurses in ...
Registered Nurse Case Manager / Utilization Review Nurse Calling all Registered Nurse Case Managers. Have immediate openings for Registered Nurse Case Managers and Utilization Review Nurses in ...
RN Case Manager
Columbia, SC · On-site
This RN Case Manager will be assisting members that have dual enrollment which means age 65 and over and have low income and resources This RN Case Manager is a field case management position about ...
RN Case Manager
Columbia, SC · On-site
This RN Case Manager will be assisting members that have dual enrollment which means age 65 and over and have low income and resources This RN Case Manager is a field case management position about ...
RN Case Manager
Sumter, SC · On-site
$78K - $83K/yr
Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...
RN Case Manager
Sumter, SC · On-site
$78K - $83K/yr
Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...
RN Case Manager
Sumter, SC · On-site
$70K - $80K/yr
Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...
RN Case Manager
Sumter, SC · On-site
$70K - $80K/yr
Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Nurse Case Manager's perform visits in patients' homes and facilities (ALF and ILF's) in their ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Nurse Case Manager's perform visits in patients' homes and facilities (ALF and ILF's) in their ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Hospice RN Nurse Case Manager
Sumter, SC · On-site
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Nurse Case Manager's perform visits in patients' homes and facilities (ALF and ILF's) in their ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...
Nurse Case Manager's perform visits in patients' homes and facilities (ALF and ILF's) in their ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Nurse Case Manager (RN)
Columbia, SC · On-site
The Nurse Case Manager will support a culture of compliance with all applicable federal and state regulations. This position works closely and collaboratively with the members of the care group and ...
Nurse Case Manager (RN)
Columbia, SC · On-site
The Nurse Case Manager will support a culture of compliance with all applicable federal and state regulations. This position works closely and collaboratively with the members of the care group and ...
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.
Insurance Nurse Case Manager information
See Sumter, SC salary details
$17.13 - $22.05
3% of jobs
$22.05 - $26.97
6% of jobs
$31.44 is the 25th percentile. Wages below this are outliers.
$26.97 - $31.90
17% of jobs
$31.90 - $36.82
20% of jobs
The median wage is $37.81 / hr.
$36.82 - $41.75
16% of jobs
$41.75 - $46.67
11% of jobs
$47.72 is the 75th percentile. Wages above this are outliers.
$46.67 - $51.59
7% of jobs
$51.59 - $56.52
6% of jobs
$56.52 - $61.44
5% of jobs
$61.44 - $66.37
4% of jobs
$66.37 - $71.29
3% of jobs
$17
$42
$71
How much do insurance nurse case manager jobs pay per hour?
As of Aug 24, 2026, the average hourly pay for insurance nurse case manager in Sumter, SC is $42.33, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $51.15 per hour, depending on experience, location, and employer.
What is an insurance nurse case manager?
Insurance Nurse Case Managers are registered nurses who work for insurance companies or third-party administrators to help manage and coordinate patient care. They assess patients' medical needs, develop care plans, and act as a liaison between patients, healthcare providers, and insurers. Their primary goal is to ensure that patients receive appropriate, cost-effective care while facilitating communication and helping with claims processes. Insurance Nurse Case Managers also provide education and support to patients and families throughout the treatment process.
How does an insurance nurse case manager typically collaborate with claims adjusters and other healthcare professionals?
Insurance Nurse Case Managers work closely with claims adjusters to review medical documentation, assess treatment plans, and ensure that patients receive appropriate care while managing costs. They frequently communicate with healthcare providers, such as physicians and therapists, to coordinate care and gather information critical to case decisions. This collaborative approach helps streamline claims processing and supports positive patient outcomes, making effective communication and teamwork essential skills for success in this role.
What are the key skills and qualifications needed to thrive as an insurance nurse case manager, and why are they important?
To thrive as an Insurance Nurse Case Manager, you need a registered nursing license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with case management software, health insurance systems, and certifications such as CCM (Certified Case Manager) are typically required. Exceptional communication, organizational skills, and the ability to advocate for patients while balancing payer requirements are key soft skills in this role. These skills ensure effective coordination of patient care, cost management, and positive outcomes for both patients and insurance providers.
What is the difference between Insurance Nurse Case Manager vs Claims Nurse?
| Aspect | Insurance Nurse Case Manager | Claims Nurse |
|---|---|---|
| Credentials | RN license, case management certification often preferred | RN license, claims processing training |
| Work Environment | Healthcare settings, insurance companies, case management teams | Insurance companies, claims departments, healthcare providers |
| Employer & Industry | Insurance carriers, healthcare organizations | Insurance carriers, third-party claims organizations |
The Insurance Nurse Case Manager and Claims Nurse roles both require RN licensure and involve working within insurance and healthcare settings. However, the Insurance Nurse Case Manager focuses on coordinating patient care and managing case progress, while the Claims Nurse primarily reviews and processes insurance claims. Both roles are essential in the insurance industry, but they differ in daily responsibilities and focus areas.
Do insurance nurse case managers make more money?
Insurance nurse case managers typically earn higher salaries than staff nurses due to their specialized role in coordinating care and managing claims. Their compensation can vary based on experience, certifications, and geographic location, with some earning additional benefits such as bonuses or overtime pay. Overall, their advanced responsibilities often lead to higher earning potential compared to general nursing positions.
What job categories do people searching Insurance Nurse Case Manager jobs in Sumter, SC look for?
The top searched job categories for Insurance Nurse Case Manager jobs in Sumter, SC are:
What cities near Sumter, SC are hiring for Insurance Nurse Case Manager jobs?
Cities near Sumter, SC with the most Insurance Nurse Case Manager job openings:
Full-time
Medical, Dental, Vision
Re-posted 23 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Location: Columbia, SC
Job Title: Registered Nurse Case Manager / Utilization Review Nurse
Calling all Registered Nurse Case Managers. Have immediate openings for Registered Nurse Case Managers and Utilization Review Nurses in Columbia, SC. Now is your time to apply and work for a Fortune 125 company. Will take clinical nurses.
Take advantage of flexible hours, a competitive salary, and be a RN Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a RN Case Manager or Utilization Review Nurses who can provide a high level of service and attention to their patients. If you are a RN Case Manager and you meet the qualifications listed below, please click apply below for consideration!
Daily Responsibilities:
- This RN Case Manager will be assisting members that have dual enrollment which means age 65 and over and have low income and resources
- This RN Case Manager is a field case management position about 40% field the remainder of the time will be reporting to the North Charleston office if need be to perform assessments on members that have just signed up with the Medicare or Medicare plan
- This RN Case Manager will also be responsible for assessing, planning and coordinating all medical services especially MMT (Medicare Medical Transportation services) and supporting services across the continuum of care for select members to promote quality, cost effective car
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socioeconomic needs of clients
Advantages of this Opportunity:
- Competitive salary
- Benefits offered, Medical, Dental, and Vision
- Growth Opportunity
- Fun and positive work environment
- Interested in being considered?
If you are interested in being considered for the RN Case Manager position, please click the Apply button below!
Qualifications
Requirements:
- 1+ years of clinical nursing experience in an acute care setting
- 1+ years of case management experience with the adult and geriatric population in a managed care, home health, Hospital, or Hospice setting
- Knowledge of utilization management principles and healthcare managed care
- Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs
Additional Information
Interested in being considered for this great Registered Nursing Opportunity?
If you are interested in being considered for the RN Case Manager position, please click the Apply button below! Seeking Multiple RN Case Managers and Utilization Review Nurses!
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003