Managed Care Coordinator

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Managed Care Coordinator (RN / Licensed Clinician)

Pay: Up to $30/hr
Schedule: Monday–Friday, 8:30 AM–5:00 PM

Training: 1 week onsite
After Training: Remote (must live within 2 hours of Columbia, SC)
Equipment Provided

Position Summary
Responsible for reviewing and authorizing medical and/or behavioral health service requests to ensure services meet benefit coverage and medical necessity guidelines. Applies clinical expertise, contract knowledge, and utilization management principles to support quality, cost-effective member outcomes.

Ideal Candidate: A licensed clinician who is detail-oriented, tech-savvy, and comfortable working independently in a remote environment. Strong clinical judgment, time management, and communication skills are essential, along with the ability to prioritize workload and collaborate within a team-centered culture.

Key Responsibilities

Perform medical/behavioral utilization reviews and authorizations
Prioritize and review cases based on due dates and clinical documentation
Compare requests against policy and member contracts
Refer complex cases to Medical Director when needed
Communicate approvals/denials to providers
Ensure accurate documentation and regulatory compliance

Required Qualifications

Associate Degree in Nursing OR Master’s in Social Work, Counseling, or Psychology
Active, unrestricted RN, LMSW, Counselor, or Psychologist license
Minimum 2 years of clinical experience

TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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5 Questions You Should Ask During the Interview

Here are 5 questions we think you could ask during your interview. Use them as a guide to help you write your own questions.

Remember: Always have at least 5 questions prepared for the interview. If you do not, you run the risk of looking unprepared.

What does success look like in this role, and how is it measured?

Why ask this? You want to ensure you have a clear understanding of expectations before accepting the role. Knowing how success is measured helps you hit the ground running and avoid surprises about performance evaluations. It also signals to the employer that you're results-driven.

Can you describe the team dynamic and the company culture?

Why ask this? Skills and experience matter, but if the work environment isn’t a good fit, you won’t be happy or productive. This question helps you gauge whether the company values collaboration, how teams interact, and whether the culture aligns with your work style and values.

What are the biggest challenges facing the person in this role right now?

Why ask this? Every job has challenges, and it’s better to know them upfront. This helps you assess whether the role is a good fit for your strengths and whether the company is realistic about its expectations. If they hesitate to answer, it could be a red flag.

How does the company support work-life balance and employee well-being??

Why ask this? Burnout is real, and some companies expect employees to sacrifice personal time for the job. By asking this, you’ll get a sense of how they value work-life balance, flexibility, and well-being—things that are crucial for job satisfaction and long-term success.

These questions help you make an informed decision while also showing your professionalism and strategic thinking!

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