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Remote Rn Field Case Manager Jobs in Columbia, SC

Remote Staff Psychologist

Columbia, SC ยท Remote

$95K - $115K/yr

DESCRIPTION: Psychological Dimensions is a growing, innovative, and industry-leading Atlanta-based police and public safety and risk management forensic consulting firm looking for a Hybrid/Remote

: Principal Medical Writer The Principal Medical Writer independently plans and prepares a range of regulatory documents and medical communications to support all phases of product development. The

Ruby on rails Developer

Columbia, SC ยท Remote

$94K - $130K/yr

Qualifications This is a 12 month contract to update and expand an existing Ruby on Rails application and incorporate new features requested by the client. Work will include front end development,

Field Service Technician

Columbia, SC ยท On-site +1

$62K - $85K/yr

Company Description Job Description Who will you be working with? You will be working directly with our Customers and Sales teams to ensure all machines are meeting our customer expectations. How

New

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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 13, 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:

Clinical Analyst & Coding Specialist - Contract - Columbia, SC

Columbia, SC โ€ข Remote

Contractor

Re-posted 25 days ago


Job description

Clinical Analyst & Coding Specialist Location: Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Experience Required: 10+ Years Candidate location: Candidate MUST be a SC resident. No relocation allowed.

Project Scope: Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives. The consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Key Responsibilities: Coordinate annual and quarterly ICD-10, CPT, and HCPCS code updates.

Review and analyze coding changes to determine business and operational impacts. Prepare code change documentation for stakeholder review. Collaborate with business users, stakeholders, and technical teams to implement coding and policy updates.

Participate in meetings related to healthcare systems modernization initiatives. Serve as a Subject Matter Expert (SME) for medical coding methodologies and Medicaid-related processes. Research business rules, requirements, and workflows to develop recommendations.

Maintain business rules, process documentation, and requirements repositories. Support process documentation, knowledge transfer, and training activities. Review medical records against established criteria to determine medical necessity when required.

Assist with additional healthcare and project-related initiatives. Required Skills & Experience: 10+ years of experience in healthcare insurance, medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payer environment.

5+ years of medical coding experience in a payer environment. 3+ years of clinical experience in a healthcare environment. Strong knowledge of ICD-10, CPT, and HCPCS coding methodologies.

Strong knowledge of anatomy, physiology, pharmacology, and medical terminology. Experience gathering business requirements and documenting business processes. Excellent analytical, communication, and stakeholder management skills.

Preferred Skills: Experience with healthcare policy remediation. Claims processing systems experience. Microsoft Office Suite proficiency.

Experience with Optum Encoder or other medical coding software. Medicaid and healthcare payer systems experience. Experience supporting healthcare system modernization initiatives.

Education Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN). Certification: Active, unrestricted Registered Nurse (RN) license. Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification.

ICD-10 proficiency certification or ability to obtain certification within one year.