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Remote Rn Mha 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

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

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

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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 ...

Amerihealth Caritas

Care Manager II

Columbia, SC · Hybrid

... Nurse (RN) license in good standing in South Carolina or a compact state OR LISW, LMSW, or LPC Our Comprehensive Benefits Package: Flexible work solutions include remote options, hybrid work ...

Ourhrconnect

Quality Medical Auditor

Columbia, SC · Remote

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 ...

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Remote Rn Mha information

What is the difference between Remote Rn Mha vs Remote Rn Case Manager?

AspectRemote Rn MhaRemote Rn Case Manager
CredentialsRegistered Nurse (RN), Mental Health Associate (MHA) certification or experienceRegistered Nurse (RN), Case Management certification or experience
Work EnvironmentTelehealth, mental health facilities, hospitalsTelehealth, insurance companies, healthcare organizations
Employer & IndustryHospitals, mental health clinics, telehealth providersInsurance companies, healthcare agencies, managed care organizations

The Remote Rn Mha focuses on mental health assessments and support, often working in telehealth settings to provide mental health services. In contrast, the Remote Rn Case Manager manages patient care plans, coordinates services, and works with insurance providers. Both roles require RN licensure, but their primary responsibilities and work environments differ, catering to distinct aspects of patient care and case management.

What is a remote RN MHA?

A Remote RN MHA is a Registered Nurse (RN) who holds a Master of Health Administration (MHA) degree and works remotely, often in administrative, case management, or telehealth roles. These professionals combine clinical nursing expertise with advanced knowledge of healthcare management and policy, allowing them to oversee operations, manage teams, or coordinate patient care from a distance. Remote RN MHAs may work for hospitals, insurance companies, telemedicine providers, or healthcare consulting firms. This role typically requires strong communication, leadership, and technical skills to effectively manage healthcare services outside of traditional clinical settings.

What are some common challenges faced by remote RN MHA professionals, and how can they be managed effectively?

Remote RN MHA (Registered Nurses with a Master of Health Administration) professionals often encounter challenges such as maintaining effective communication with multidisciplinary teams, ensuring patient privacy during virtual consultations, and managing time efficiently while handling multiple administrative and clinical tasks remotely. To address these, leveraging secure telehealth platforms, setting clear schedules, and participating in regular team meetings can help maintain workflow and collaboration. Additionally, staying current with telehealth best practices and ongoing professional development can enhance both clinical and administrative effectiveness in a remote setting.

What are the key skills and qualifications needed to thrive as a remote RN MHA, and why are they important?

To thrive as a Remote RN MHA, you need a solid foundation in clinical nursing, healthcare administration, and leadership, typically supported by an active RN license and a Master of Healthcare Administration degree. Familiarity with telehealth platforms, EHR systems, and healthcare compliance tools is essential. Strong communication, critical thinking, and self-motivation help you manage patient care and administrative responsibilities remotely. These skills ensure effective leadership, quality patient outcomes, and organizational success in virtual healthcare environments.

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

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

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Remote Rn Mha jobs near you

RN/Case Management Coordinator - Remote

CEI

Columbia, SC • Remote

$30/hr

Full-time

This job post has expired 1 day ago. 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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