Nurse Case Manager

As a Nurse Case Manager at BlueCross BlueShield of South Carolina, you will have the rewarding opportunity to improve the lives of members and patients by helping them navigate the healthcare system. This vital role requires strong skills in care coordination, critical thinking, and communication. We are looking for a compassionate and organized individual who can provide a positive patient experience while ensuring compliance with quality standards and regulations.The ideal candidate must possess a valid, unrestricted license as a Registered Nurse in the state of South Carolina, and at least three years of nursing experience in a clinical setting. In addition, the successful candidate will be able to demonstrate a thorough understanding of the disease process, quality improvement, utilization review, case management, and managed care principles. A commitment to customer service, excellent interpersonal and communication skills, and the ability to work independently are all essential for this position. If this sounds like you, please apply!

Responsibilities: • Provide high quality nursing care to patients and members of BlueCross BlueShield of South Carolina • Follow all quality standards and regulations related to nursing care • Coordinate care between patients, healthcare providers, and other entities to ensure continuity of care • Utilize critical thinking and problem-solving skills to identify potential issues and provide solutions • Document patient care in a timely and accurate manner • Educate patients and members on their disease process and treatment options • Monitor patient health and compliance with treatment plans • Work with healthcare providers and other entities to ensure timely and efficient delivery of care • Utilize managed care principles to evaluate and approve services • Maintain up-to-date knowledge of current clinical guidelines, changes in regulations, and new treatments • Provide excellent customer service while maintaining professional and ethical standards

According to JobzMall, the average salary range for a Nurse Case Manager in Florence, SC, USA is between $52,086 and $78,295 per year. This salary range is based on factors such as experience, education, and location.

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.