Case Manager – Utilization Management

McLeod Health

Case Manager overseeing patient care processes at McLeod Health, coordinating care and facilitating discharge planning effectively.

Posted 5/13/2026full-timeRemote • South Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Oversee the process of care delivered to patients.
Coordinate/facilitate patient care progression throughout the continuum of care.
Assure the plan of care and services provided are patient focused, high quality, efficient and cost effective.
Meet directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
Monitor length of stay and ancillary resource use on an ongoing basis and take actions to achieve continuous improvement in both areas.
Communicate information to the Utilization Management or Case Management team to aid in appropriate level of care determination and reimbursement by third party payors.
Monitor patient flow through multidisciplinary rounds and aid in implementation of processes for improvement to decrease delays.
Serve as patient advocate to ED population by identifying needs, coordinating services and resources for the management of complex patients to facilitate quality care and cost efficient outcomes.
Ensure that all elements critical to the plan of care have been communicated to the patient/family as well as members of the healthcare team.

Requirements

What you’ll need

1-2 years of recent acute care hospital experience required.
Data entry/computer experience required.
Licenses and Certifications: Registered Nurse

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account McLeod Health Website LinkedIn All Job Openings 10,000+ employees Founded over a century ago ⚕️ Healthcare Insurance Healthcare Insurance McLeod Health is a healthcare organization providing a wide range of medical services in multiple locations, including Florence, Cheraw, Clarendon, Dillon, Loris, Seacoast, and Carolina Forest. It offers specialized care across various departments such as behavioral health, cancer treatment, cardiology, orthopedics, neurology, emergency and trauma services, as well as children's and women's healthcare. McLeod Health is committed to community involvement and offers wellness programs, occupational health, and patient support services. The organization is recognized for its dedication to patient safety and advanced healthcare services, including telehealth options, rehabilitation, and a variety of outpatient services. It also supports medical education through physician employment and residency programs. Case Manager – Utilization Management 🔥 11 minutes ago 🌴 South Carolina – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 👔 Manager Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Oversee the process of care delivered to patients.
Coordinate/facilitate patient care progression throughout the continuum of care.
Assure the plan of care and services provided are patient focused, high quality, efficient and cost effective.
Meet directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
Monitor length of stay and ancillary resource use on an ongoing basis and take actions to achieve continuous improvement in both areas.
Communicate information to the Utilization Management or Case Management team to aid in appropriate level of care determination and reimbursement by third party payors.
Monitor patient flow through multidisciplinary rounds and aid in implementation of processes for improvement to decrease delays.
Serve as patient advocate to ED population by identifying needs, coordinating services and resources for the management of complex patients to facilitate quality care and cost efficient outcomes.
Ensure that all elements critical to the plan of care have been communicated to the patient/family as well as members of the healthcare team. 🎯 Requirements
1-2 years of recent acute care hospital experience required.
Data entry/computer experience required.
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ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

patient carecare coordinationindividualized care planlength of stay monitoringancillary resource managementdata entryutilization managementcase managementmultidisciplinary roundspatient advocacy

Soft Skills

communicationcollaborationproblem-solvingorganizational skillsinterpersonal skillsleadershipcritical thinkingempathyadaptabilityattention to detail

Certifications

Registered Nurse