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Remote Humana Rn Jobs in Lexington, SC (NOW HIRING)

CEI

RN/Case Management Coordinator - Remote

Columbia, SC · Remote

$30/hr

Registered Nurse (RN) Care Management Specialist Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC) Pay Rate: $30/hour Schedule * Monday through Friday, 8:30 AM - 5:00 ...

Amerihealth Caritas

Care Manager II

Columbia, SC · On-site +1

  • Medical

  • Retirement

  • PTO

This position is a remote field based position in the Richland county area. Must have a BSN RN. Will work with the Foster Care program. Responsible for managing and coordinating care, services, and ...

Amerihealth Caritas

Care Manager II

Columbia, SC · On-site +1

  • Medical

  • Retirement

  • PTO

This position is a remote field based position in the Richland county area. Must have a BSN RN. Will work with the Foster Care program. Responsible for managing and coordinating care, services, and ...

CEI

RN/Managed Care Coordinator (Remote

Columbia, SC · Remote

Must have an active, unrestricted RN license in the state of South Carolina Monday-Friday 830-5 Pay - 30/hr Description - * Reviews and evaluates medical or behavioral eligibility regarding benefits ...

ASK Consulting

Be Seen First

Case Management Coordinator/Registered (cur_1_128790@curatelyai.net)

Columbia, SC · Remote

$25 - $30/hr

Case Management Coordinator/Registered Nurse Location: Columbia, SC 29229-Remote Duration: 3 months contract Pay Range is $25-30. on W2 Shift: Monday through Friday, 8:30 am -5:00 pm. Two late shifts ...

New

Amerihealth Caritas

Care Manager II

Columbia, SC · Remote

  • Medical

  • Retirement

  • PTO

Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South ...

Ourhrconnect

Quality Medical Auditor

Columbia, SC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

There is the potential for remote work. What You'll Do: * Determines methodology to identify cases ... Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the ...

All JobsHumana Rn JobsRemote Humana Rn JobsRemote Humana Rn Jobs in Lexington, SC

Remote Humana Rn information

What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?

AspectRemote Humana RnRemote UnitedHealthcare Rn
CredentialsRN license, applicable certificationsRN license, applicable certifications
Work EnvironmentRemote, telehealth settingsRemote, telehealth settings
Employer & IndustryHumana, health insurance industryUnitedHealthcare, health insurance industry
Common Search IntentComparison of remote nursing roles in Humana and similar companiesComparison of remote nursing roles in UnitedHealthcare and similar companies

Both Remote Humana Rn and Remote UnitedHealthcare Rn roles involve providing patient care remotely within the health insurance industry. They require similar credentials, such as an active RN license and relevant certifications. The primary difference lies in the employer and specific company policies, but the work environment and job responsibilities are largely comparable, focusing on telehealth services for members of their respective health plans.

Does Humana offer remote work options?

Remote Humana RNs can often work from home, depending on the specific role and department. The company provides remote work opportunities for qualified healthcare professionals, typically requiring relevant licensure and experience. Availability of remote positions may vary based on current staffing needs and job requirements.

What are popular job titles related to Remote Humana Rn jobs in Lexington, SC?

For Remote Humana Rn jobs in Lexington, SC, the most frequently searched job titles are:

What job categories do people searching Remote Humana Rn jobs in Lexington, SC look for?

The top searched job categories for Remote Humana Rn jobs in Lexington, SC are:

What cities near Lexington, SC are hiring for Remote Humana Rn jobs?

Cities near Lexington, SC with the most Remote Humana Rn job openings:

Remote Humana Rn jobs near you
Infographic showing various Remote Humana Rn job openings in Lexington, SC as of August 2026, with employment types broken down into 50% Full Time, 25% Part Time, and 25% Contract. Highlights an 100% Remote job distribution.

RN/Case Management Coordinator - Remote

CEI

Columbia, SC • Remote

$30/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Registered Nurse (RN) Care Management Specialist

Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC)
Pay Rate: $30/hour
Schedule

  • Monday through Friday, 8:30 AM - 5:00 PM
  • Two late shifts per month: 11:30 AM - 8:00 PM
  • No late shifts on Fridays
  • Required onsite training in Columbia, SC during the first week
Required Qualifications
  • Active, unrestricted Registered Nurse (RN) license in South Carolina
  • Minimum of 4 years of recent clinical nursing experience
  • Must live within 2 hours of Columbia, South Carolina
  • Ability to attend onsite training in Columbia during the first week of employment
Position Overview

We are seeking an experienced Registered Nurse (RN) to support members through clinical review, care management, and health advocacy services. This role is responsible for evaluating medical and behavioral health requests, coordinating care, promoting quality outcomes, and ensuring services meet clinical and benefit eligibility requirements.
Key Responsibilities

  • Review and evaluate medical and behavioral health requests for eligibility, benefits, and medical necessity using established clinical guidelines and policies.
  • Assess, plan, coordinate, monitor, and evaluate care for members with chronic, acute, or complex health conditions.
  • Provide active case management, including assessing service needs, developing care plans, coordinating services, and monitoring progress toward member goals.
  • Determine appropriate levels of care, benefits eligibility, length of stay, place of service, and medical necessity for requested services.
  • Maintain accurate and thorough clinical documentation to support medical necessity and benefit determinations.
  • Deliver telephonic care management and health coaching for members with chronic conditions, high-risk pregnancies, and other at-risk health concerns.
  • Utilize motivational interviewing, reflective listening, and behavior-change strategies to improve member engagement and health outcomes.
  • Conduct utilization review and authorization activities to ensure services align with benefit plans and medical necessity criteria.
  • Collaborate with internal teams and refer cases as appropriate to Medical Directors, Case Managers, Preventive Services, Quality Management, and other specialty departments.
  • Support clinical data collection and documentation processes to ensure accurate claims adjudication and reporting.
  • Promote quality, cost-effective healthcare solutions while advocating for members' healthcare needs.
  • Ensure compliance with all applicable regulatory and accreditation standards, including ERISA, NCQA, URAC, Department of Insurance (DOI), and Department of Labor (DOL) requirements.
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