ZipRecruiter

Log In

2

Remote Rn Case Review Jobs in Anderson, SC (NOW HIRING)

Find Great People

Payroll System Analyst

Greenville, SC · On-site +1

$65K - $96K/yr

This role can be done 100% Remote, however the candidate MUST live in one of the states listed ... Work closely with HR for review of those requiring HR approval * Coordinate with HR, and Financial ...

Varsity Tutors

Series 9 Tutor

Greenville, SC · Remote

$40/hr

... preparing registered representatives for supervisory qualification. * Strategic Test-Taking ... Adapts instruction using practice examinations, regulatory case studies, and compliance scenario ...

next page

Showing results 1-20

People also search for

All JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Anderson, SC

Remote Rn Case Review information

See Anderson, SC salary details

$17

$43

$73

How much do remote rn case review jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote rn case review in Anderson, SC is $43.51, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $52.60 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Rn Case Review jobs in Anderson, SC? The most popular types of Rn Case Review jobs in Anderson, SC are:
What are popular job titles related to Remote Rn Case Review jobs in Anderson, SC? For Remote Rn Case Review jobs in Anderson, SC, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Anderson, SC look for? The top searched job categories for Remote Rn Case Review jobs in Anderson, SC are:
What cities near Anderson, SC are hiring for Remote Rn Case Review jobs? Cities near Anderson, SC with the most Remote Rn Case Review job openings:
Remote Rn Case Review jobs near you
Ancillary Contract Administrator, Corporate Greenville, FT, Day, Remote

Ancillary Contract Administrator, Corporate Greenville, FT, Day, Remote

Prisma Health

Greenville, SC • On-site, Remote

Full-time

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

Prisma Health rating

7.0

Company rating: 7.0 out of 10

Based on 333 frontline employees who took The Breakroom Quiz

401st of 864 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Reviews, negotiates, and manages contracts for ancillary services including but not limited to Ambulatory Surgery Center, Urgent Care, imaging, and infusion. Requires strong financial, analytical, contract language knowledge, and negotiation skills to support the strategic business goals of the organization.
Remote work may be considered for this position.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
  • Negotiates and maintains contracts including but not limited to all ancillary services required by all payer types in which Prisma Health participates. Contributes to the execution of strategic JV initiatives aligned with the organization's goals.
  • Conducts market and competitive data analysis to inform key decision-making and positioning strategies. Monitors and reports on key contractual financial performance indicators. Possesses a strong understanding of healthcare, contract law, and market factors to ensure network compliance, cost savings, and high-quality patient care within specified time frames in collaboration with key stakeholders.
  • Performs detailed analyses of the financial and operational impact of procedural changes implemented by payers. Creates and implements educational presentations for changes being implemented by Payor for organizational departments.
  • Collaborates with and trains department team members in assisting with managing the processing of all ancillary payer contracts and amendments including language, reimbursement methodology review, and contracting. Conducts proactive communication, contract compliance, and educational sessions. Develops and maintains effective relationships with payers and internal customers.
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements
  • Education - Bachelor's degree in Business or a related field. Masters degree in Finance, or Business preferred.
  • Experience - Five (5) years of related experience. 5 years Ancillary Contracting experience in a contracting or provider relations role preferred.

In Lieu Of
  • In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Bachelor's Degree and eight (8) years Managed Care Systems experience in healthcare administration, health insurance, provider contracting, or a related field.

Required Certifications, Registrations, Licenses
  • NA

Knowledge, Skills and Abilities
  • Knowledge of the health-insurance industry, specifically managed-care contracting operations and negotiation techniques
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills (word processing, spreadsheets, database)
  • Mathematical skills
  • Understanding/experience in healthcare/nursing industry, preferably in training and implementation of contract management systems preferred

Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7001 Corporate
Department
70019069 Managed Care Contracting
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

What Prisma Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply