2 Ask Consulting Nursing Jobs Hiring Near You

"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".

Job Title: 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 until 8:00 pm per month, 11:30 am - 8:00 pm, no late shifts on Fridays

Job Description:

Looking for a Customer Service

• Clinical Case Management: Assess, plan, coordinate, monitor, and evaluate member care, medical necessity, benefits, eligibility, and service needs.
• Utilization Review & Authorization: Conduct medical/behavioral reviews and authorize services based on clinical criteria, benefit guidelines, contracts, and medical necessity.
• Clinical Experience: Requires 4 years of recent clinical experience in specialties such as oncology, cardiology, maternity, rehabilitation, mental health, orthopedics, or general medicine/surgery, OR 4 years of utilization review/case management/clinical experience with at least 2 years clinical.
• Required Education & Licensure: Associate Degree in Nursing or accredited nursing program graduate, or applicable Master's degree in Social Work, Psychology, or Counseling, along with an active unrestricted RN, social worker, counselor, or psychologist license as applicable.
• Member Education & Health Management: Provide telephonic support, chronic condition management, patient education, coaching, motivational interviewing, and interventions to improve member engagement and health outcomes.
• Claims, Benefits & Healthcare Knowledge: Apply knowledge of claims, coding, contract language, benefit plans, provider networks, medical necessity, and healthcare delivery systems to support appropriate service decisions and claims adjudication.
• Regulatory & Documentation Compliance: Maintain accurate clinical documentation and comply with applicable regulations and standards, including ERISA, NCQA, URAC, DOI, and DOL requirements.

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.