ZipRecruiter

Log In

1

Insurance Case Manager Jobs in Nevada (NOW HIRING)

CCMSI

Nurse Case Manager Senior

Carson City, NV · On-site

$90K - $100K/yr

Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ... successful Nurse Case Managers stand out through: * Quality clinical assessments and ...

ISYS SOLUTIONS INC

RN, Case Manager

Sun Valley, NV · On-site

$90K - $120K/yr

RN, Case Manager (Field based position servicing Reno, NV and surrounding areas) Feel the Value of ... insurance carriers, healthcare providers, ancillary vendors, employers, and attorneys. Make a ...

ISYS SOLUTIONS INC

RN, Case Manager

Reno, NV · On-site

$90 - $120/hr

... insurance carriers, healthcare providers, ancillary vendors, employers, and attorneys. Make a ... Provide field-based case management services (within the worker's compensation industry) by ...

previous page

Showing results 41-60

All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Nevada

Insurance Case Manager information

See Nevada salary details

$33.1K

$51.8K

$75.4K

How much do insurance case manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for insurance case manager in Nevada is $51,772.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $60,100.00 per year, depending on experience, location, and employer.

What is an insurance case manager?

An insurance case manager’s duties are to ensure the delivery of health care benefits or other forms of insurance and related services to their clients and to oversee their clients’ cases. As an insurance case manager, you can work in a variety of settings but usually for insurance carriers and HMOs. Your responsibilities differ depending on who your employer is and the type of insurance you work with. For example, if you work for a life insurance company, your duties involve assessing risk, processing new application paperwork, and other tasks similar to that of an underwriter.

What does an insurance case manager do?

An Insurance Case Manager coordinates and manages insurance claims on behalf of clients, ensuring that cases are processed efficiently and accurately. They review claims, gather necessary documentation, communicate with policyholders, healthcare providers, and insurance companies, and advocate for the best possible outcomes. Their role often involves assessing coverage, resolving issues, and helping clients understand their insurance benefits and options. By serving as a liaison, they streamline the claims process and support clients throughout their case.

What are the key skills and qualifications needed to thrive as an insurance case manager?

To thrive as an Insurance Case Manager, you need a solid understanding of insurance policies, case management practices, and regulatory compliance, often supported by a bachelor’s degree in a related field and relevant certifications such as Certified Case Manager (CCM). Familiarity with claims management software, customer relationship management (CRM) systems, and medical terminology is typically required. Strong communication, organizational, and problem-solving skills help you effectively coordinate between clients, providers, and insurers. These competencies are crucial for ensuring accurate case evaluations, timely claims processing, and high-quality client service.

How does an insurance case manager typically collaborate with other departments to ensure smooth claim processing?

Insurance Case Managers frequently work with underwriters, claims adjusters, customer service representatives, and sometimes medical professionals to gather necessary information and resolve complex cases. They act as a central point of communication, ensuring all parties are aligned and that documentation is complete and accurate. This collaboration helps streamline claim evaluations, address any discrepancies swiftly, and deliver timely resolutions for clients. Strong teamwork and clear communication are essential for success in this role.

What is the difference between Insurance Case Manager vs Claims Adjuster?

AspectInsurance Case ManagerClaims Adjuster
CredentialsCertifications like CPCU or ARM often preferredAdjuster licenses required by state
Work EnvironmentOffice-based, client interaction, case managementField or office-based, claims investigation
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentManaging claims, coordinating benefitsEvaluating and settling claims

While both roles work within the insurance industry, Insurance Case Managers focus on coordinating benefits and managing ongoing cases, often requiring certifications like CPCU. Claims Adjusters primarily investigate and settle claims, often working in the field. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

Is an insurance case manager a stressful job?

Insurance case managers often handle complex cases involving claims, requiring strong organizational and communication skills. The job can be stressful due to tight deadlines, high workload, and the need to manage multiple stakeholders, but it also offers opportunities for problem-solving and professional growth. Stress levels vary depending on workload, employer support, and individual resilience.
More about Insurance Case Manager jobs

What are popular job titles related to Insurance Case Manager jobs in Nevada?

For Insurance Case Manager jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Insurance Case Manager jobs in Nevada look for?

The top searched job categories for Insurance Case Manager jobs in Nevada are:

What cities in Nevada are hiring for Insurance Case Manager jobs?

Cities in Nevada with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $51,772 per year, or $24.9 per hour.

Nurse Case Manager Senior

CCMSI

Carson City, NV • On-site

$90K - $100K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Key responsibilities

  • Manage medical-only Workers' Compensation cases through the case management process

  • Conduct utilization review activities in accordance with Nevada regulations, clinical guidelines, and program requirements

  • Collaborate with adjusters, providers, employers, and injured workers to support positive claim outcomes

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Overview
Senior Nurse Case Manager - Workers' Compensation
Location: Carson City, NV (Remote)
Schedule: Monday - Friday, 8:00 AM - 4:30 PM (PST)
Salary Range: $90,000 - $100,000 annually
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with clients to solve complex risk management challenges through innovative claim solutions, collaborative problem-solving, and an unwavering commitment to service excellence.
As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work® and an employee-owned company where every employee has the opportunity to make a meaningful impact.
Job Summary
The Senior Nurse Case Manager is responsible for providing medical case management and utilization review services for a dedicated Nevada Workers' Compensation program. This role serves as a clinical resource to claims professionals, injured workers, employers, and medical providers, while promoting quality care, appropriate treatment, cost-effective medical management, and timely return-to-work outcomes.
The successful candidate will manage a caseload of approximately 30 medical-only Workers' Compensation claims, while also performing utilization review activities and providing clinical guidance on treatment plans, medical necessity, and evidence-based care recommendations.
This position is ideal for an experienced Registered Nurse who combines strong clinical knowledge with Workers' Compensation, utilization review, and case management expertise. Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred.
Responsibilities
At CCMSI, we look for clinicians who combine compassion, critical thinking, and sound medical judgment. Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance quality patient outcomes with effective claim management and return-to-work strategies.
What You'll Do
  • Manage medical-only Workers' Compensation cases through the case management process
  • Conduct utilization review activities in accordance with Nevada regulations, clinical guidelines, and program requirements
  • Review medical records, treatment plans, provider recommendations, and clinical documentation
  • Assess medical necessity, appropriateness of care, and treatment progress
  • Develop and document individualized case management action plans
  • Collaborate with adjusters, providers, employers, and injured workers to support positive claim outcomes
  • Monitor treatment progress and identify opportunities to facilitate return-to-work and maximum medical improvement
  • Provide recommendations regarding treatment options, specialty referrals, second opinions, independent medical evaluations, and other medical services
  • Support adjusters with clinical insight regarding treatment plans, diagnoses, and medical management strategies
  • Maintain accurate documentation and timely case management reporting
  • Assist with provider resource development and clinical education efforts when needed
  • Promote cost-effective treatment while ensuring quality care and compliance with program standards
  • Maintain compliance with applicable regulations, clinical standards, and CCMSI service expectations

Qualifications
Required Qualifications
  • Current Registered Nurse (RN) license required
  • Nevada nursing license required, or ability to obtain and maintain Nevada licensure
  • Previous Nurse Case Management experience required
  • Utilization Review experience required
  • Strong knowledge of medical terminology, treatment planning, and clinical documentation review
  • Experience reviewing medical records and determining medical necessity
  • Strong written and verbal communication skills
  • Ability to collaborate effectively with medical providers, adjusters, employers, and injured workers
  • Excellent organizational, time-management, and documentation skills
  • Ability to work independently in a remote environment
  • Proficiency with Microsoft Office applications, including Outlook, Word, and Excel
  • Reliable attendance during established business hours

Preferred Qualifications
  • Workers' Compensation Nurse Case Management experience
  • Utilization Review certification or designation
  • Experience using ODG Guidelines
  • BSN preferred
  • Clinical background in one or more of the following:
    • Orthopedics
    • Occupational Medicine
    • Medical-Surgical Nursing
    • Rehabilitation
    • Trauma Care
  • Government program experience
  • CCM or other case management certifications

Why You'll Love Working Here
  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)+ 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

How We Measure Success
At CCMSI, successful Nurse Case Managers stand out through:
  • Quality clinical assessments and recommendations
  • Effective utilization review decisions
  • Positive return-to-work outcomes
  • Appropriate medical management and treatment coordination
  • Cost-effective claim resolution
  • Strong documentation and reporting
  • Client and stakeholder satisfaction
  • Compliance with clinical and regulatory requirements

Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed.

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #NurseCaseManager #SeniorNurseCaseManager #UtilizationReview #WorkersCompensation #WorkersCompNurse #RNJobs #RegisteredNurse #CaseManagement #ClinicalReview #ODGGuidelines #RemoteNursingJobs #NevadaJobs #InsuranceCareers #MedicalManagement #LIRemote #IND123

What CCMSI employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply