Concierge Care Manager

BlueCross BlueShield of South Carolina

Concierge Care Manager responsible for high-touch case management of health insurance members in South Carolina. Coordinates clinical services and participates in team training and quality assurance efforts.

Posted 7/17/2026full-timeRemote • South Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, including coordination of treatment plans and quality improvement processes, while effectively managing high-risk patient populations. Proficient in communication, negotiation, and organizational skills to ensure optimal member management and compliance with regulatory standards.

Highest-signal resume keywords

Active RN LicensureCase Management ExperienceQuality Improvement ProcessesCustomer Service SkillsAnalytical Thinking Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementTreatment Plan CoordinationQuality ImprovementContract Language KnowledgeWord Processing Software

Soft Skills

Organizational SkillsPresentation SkillsOral Communication SkillsWritten Communication SkillsNegotiation Skills

Certifications & Qualifications

Nationally Recognized Case Management Certification

Industry Keywords

High-Risk Patient ManagementHealth Insurance EnvironmentConfidential Information HandlingContinuing Medical EducationExternal Audits

About the role

Key responsibilities & impact

Directs day-to-day, high-touch member management to include implementation of program goals, coordination of treatment plans and benefit coordination for high-risk patient populations and/or those with complex conditions
Coordinates clinical services with external sources to include: providers, vendors, facilities, social workers/case managers and/or community services
Participates in team training and continuing medical education
Prepares for external audits and quality assurance efforts

Requirements

What you’ll need

Associate’s degree in Nursing; OR Graduate of Accredited School of Nursing; OR Master's degree in Social Work, Psychology, or Counseling (Div. 75 and 6B) only
5 years' case management experience or 2 years’ case manager experience in a health insurance environment
Working knowledge of word processing software
Knowledge of quality improvement processes and demonstrated ability with these activities
Knowledge of contract language and application
Ability to work independently, prioritize effectively, and make sound decisions
Demonstrated customer service, organizational, and presentation skills
Demonstrated proficiency in spelling, punctuation, and grammar skills
Demonstrated oral and written communication skills
Ability to persuade, negotiate, or influence others
Analytical or creative thinking skills
Ability to handle confidential or sensitive information with discretion
Active, unrestricted RN licensure from the United States and in the state of hire; OR active, compact, multistate, unrestricted RN license as defined by the Nurse Licensure Compact (NLC); OR active licensure as a social worker, psychologist, or counselor in state of hire (Behavioral Health positions only)
Nationally recognized Case Management certification to be obtained within 2 years of hire as a Case Manager

Benefits

Comp & perks

Subsidized health plans
Dental and vision coverage
401 k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more