Case Management Coordinator

Job overview

The Case Management Coordinator role is onsite in Columbia, SC, at $30 per hour. The schedule is Monday through Friday, generally 8:30 a.m.–5:00 p.m., with two late shifts per month from 11:30 a.m.–8:00 p.m.; the posting also lists 8:00 a.m.–5:00 p.m. as shift hours. The posting describes a contract role with a duration of 3+ months and no stated end date. The role provides telephonic case management and health-management support to members. The coordinator applies clinical expertise and established criteria to assess member needs, coordinate services, and support appropriate, cost-effective care. Through follow-up, education, documentation, and coordination with providers, the role helps members manage health conditions and navigate benefits and care options.

What you'll do

• Review and evaluate medical or behavioral eligibility using clinical criteria and administrative policies
• assess, plan, coordinate, monitor, and evaluate services and medical necessity
• develop and coordinate member-centered action plans and monitor outcomes
• provide telephonic support, education, and coaching for members with chronic, high-risk, or other at-risk conditions
• document clinical information
• conduct medical or behavioral review and authorization processes
• refer cases to appropriate staff
• communicate with members and providers
• support care-management program enrollment and claims-related questions.

What we're looking for

Skills & competencies

case management coordinator

registered nurse

telephonic case management

member education

care coordination

clinical review

columbia sc

us tech solutions

$30/hr

monday–friday

two late shifts monthly

active sc rn license

Work arrangement

• Weekend coverage required

Why this role

$30 per hour; active unrestricted South Carolina registered nurse license and associate degree in nursing required; four years of specified clinical or utilization review/case management experience required.

About the employer

US Tech Solutions, Inc. is hiring for this role. Industry: Temporary Help Services. Sector: 56.