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Remote Rn Field Case Manager Jobs in Columbia, SC

Varsity Tutors

NCLEX-RN Tutor

Columbia, SC · Remote

$40/hr

Advanced Test Mastery: Deep knowledge of NCLEX-RN content areas including management of care ... Emphasizes developing systematic approaches to case study and select-all-that-apply item formats.

SalvoHealth

Registered Dietitian, Remote

Columbia, SC · Remote

$32 - $43/hr

... nurses, psychologists, and therapists who have developed our evidence-based protocols, for a ... Deliver exceptional care centered around the core pillars of lifestyle change management (nutrition ...

SalvoHealth

Registered Dietitian, Remote

Columbia, SC · Remote

$29 - $38.75/hr

... nurses, psychologists, and therapists who have developed our evidence-based protocols, for a ... Deliver exceptional care centered around the core pillars of lifestyle change management (nutrition ...

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Remote Rn Field Case Manager information

See Columbia, SC salary details

$58.7K

$79.6K

$97.1K

How much do remote rn field case manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for remote rn field case manager in Columbia, SC is $79,586.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,700.00 and $87,900.00 per year, depending on experience, location, and employer.

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

AspectRemote Rn Field Case ManagerRemote Rn Utilization Review Nurse
CertificationsRN license, case management certification often preferredRN license, certification in utilization review or case management beneficial
Work EnvironmentField-based, visiting patients and providers remotelyOffice-based, reviewing cases and medical records remotely
Employer & Industry UsageInsurance companies, workers' comp, healthcare providersInsurance companies, managed care organizations, healthcare payers
Common Search & ComparisonRemote Rn Field Case Manager vs Remote Rn Utilization Review Nurse

The Remote Rn Field Case Manager primarily conducts patient visits and manages cases in the field, while the Remote Rn Utilization Review Nurse focuses on reviewing medical necessity and appropriateness of care remotely. Both roles require RN licensure and related certifications, but differ in work environment and daily responsibilities.

What are popular job titles related to Remote Rn Field Case Manager jobs in Columbia, SC?

For Remote Rn Field Case Manager jobs in Columbia, SC, the most frequently searched job titles are:

What job categories do people searching Remote Rn Field Case Manager jobs in Columbia, SC look for?

The top searched job categories for Remote Rn Field Case Manager jobs in Columbia, SC are:

What cities near Columbia, SC are hiring for Remote Rn Field Case Manager jobs?

Cities near Columbia, SC with the most Remote Rn Field Case Manager job openings:

Remote Rn Field Case Manager jobs near you

RN/Managed Care Coordinator - Remote

Columbia, SC • Remote

CEI
See more jobs at CEIexternal

Full-time

Medical, Dental, Vision, Retirement

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

Job description

Case Management - RN

Job at a Glance
Title: Medical Case Management Nurse
Location: Must live within 2 hours of Columbia, and be willing to work the first week on site for training
Contract: 
Pay: $ 30/hour + optional medical, dental, vision, 401(k) match
Must have an active unrestricted RN license in the State of South Carolina

Overview
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes.

Key Responsibilities

  • Provides active case management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals.
  • Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions.
  • Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits.
  • Provides telephonic support for members with chronic conditions, high risk pregnancy or other at risk conditions that consist of: intensive assessment/evaluation of condition, at risk education based on members’ identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement.
  • Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines.
  • Utilizes allocated resources to back up review determinations.
  • Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.).
  • Participates in data collection/input into system for clinical information flow and proper claims adjudication.
  • Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
  • Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans.
  • May identify, initiate, and participate in on-site reviews.
  • Serves as member advocate through continued communication and education.
  • Promotes enrollment in care
Required Experience - 
Must have at least 4 years recent clinical nursing experience
Licenses - 
Must have an active, unrestricted RN license in the State of South Carolina
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