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Utilization Management Case Manager Rn Jobs in Hemingway, SC

... Registered Nurse to service our patients throughout the Florence area. The role of the Nurse Case ... Management may assign new duties, reassign existing duties, and/or eliminate function(s). Area of ...

New

... Registered Nurse to service our patients throughout the Florence area. The role of the Nurse Case ... Management may assign new duties, reassign existing duties, and/or eliminate function(s). Area of ...

New

... Registered Nurse to service our patients throughout the Florence area. The role of the Nurse Case ... Management may assign new duties, reassign existing duties, and/or eliminate function(s). Area of ...

New

Embrace Community Hospice - Conway, SC: RN Case Manager - full-timeAbout Us:At Embrace Hospice, we ... Information Management:Treats all information and data within the scope of the position with ...

Embrace Community Hospice - Conway, SC: RN Case Manager - full-time About Us: At Embrace Hospice ... Time management * Advanced written and verbal interpersonal communication * Basic math skills ...

Showing results 21-40

Utilization Management Case Manager Rn information

See Hemingway, SC salary details

$16

$39

$66

How much do utilization management case manager rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for utilization management case manager rn in Hemingway, SC is $39.74, according to ZipRecruiter salary data. Most workers in this role earn between $29.52 and $48.03 per hour, depending on experience, location, and employer.

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

AspectUtilization Management Case Manager RnUtilization Review Nurse
CredentialsRN license, certification in case management (e.g., CCM)RN license, often with certification in utilization review
Work EnvironmentInsurance companies, healthcare facilities, case management teamsHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing cases, ensuring appropriate utilizationReviewing medical necessity, approving or denying services
Common TasksAssessing patient needs, developing care plans, liaising with providersEvaluating medical records, making utilization decisions, ensuring compliance

The main difference is that the Utilization Management Case Manager Rn focuses on coordinating patient care and managing cases, while the Utilization Review Nurse primarily reviews medical records to approve or deny services. Both roles require RN licensure and related certifications, but their daily responsibilities and work environments differ slightly.

Are utilization management case managers in demand?

Utilization management case managers are in demand due to the growing need for healthcare cost control and efficient patient care coordination. Employers in healthcare organizations, insurance companies, and managed care plans seek professionals with strong clinical knowledge, certification, and experience in utilization review processes. The role offers stable employment opportunities as healthcare systems focus on cost-effective treatment management.
Infographic showing various Utilization Management Case Manager Rn job openings in Hemingway, SC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $82,651 per year, or $39.7 per hour.

Case Manager, Senior

Kingstree, SC โ€ข On-site

Tidelands Health Rehabilitation Hospital, an affiliate of Encompass Health

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago


Job description

Senior Case Manager Career Opportunity

Recognized for your abilities as a Senior Case Manager
Are you ready for a Senior Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Senior Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.

A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work Forยฎ Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuous education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!

Become the Senior Case Manager you always wanted to be

  • Performs case management duties and tasks at an advanced level.
  • Demonstrates understanding of patient outcomes, hospital goals and the department's impact on both.
  • Analyzes LOS, costs, outliers, and potential discharge planning issues.
  • Assigns patient caseload to department members and self for optimal delivery of Case Management services.
  • Acts as an interdisciplinary team leader and collaborates with other departments, medical staff, and hospital leadership.
  • Acts as a preceptor for new case management staff or students - assists with onboarding, orientation, training.
  • Maintains knowledge and understanding of hospital performance improvement programs, CMS Conditions of Participation, Medicare Coverage Criteria, and relevant Joint Commission standards.
  • Oversees department staff and operations in the absence of the DCM.

Qualifications

  • License or Certification:
    • CCM or ACM certification required.
    • For RN: Must hold a valid, unencumbered license in state where the hospital is located or from an appropriate Nursing Licensure Compact state.
    • For licensed or certified health care professional other than RN: If licensure is available within the state where the hospital is located and is applicable to the individual's educational level (e.g., BSW), the individual must hold a valid, active, unencumbered license.
  • Minimum Qualifications:
    • For RN: Minimum of associate degree in nursing (AND or ASN) required. Bachelor's degree (BSN) preferred. A diploma in nursing is acceptable only in those states whose minimum requirement for RN licensure is a diploma rather than an associate degree.
    • For Licensed or certified health care professional other than RN: Minimum of bachelor's degree in a health or human services-related field. Master's degree preferred.
    • Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.
The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.