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Insurance Case Manager Jobs in Ohio (NOW HIRING)

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Community Health Alliance

Case Manager

Hamilton, OH · On-site

$18.75 - $24/hr

As a Case Manager, you will provide direct support to individuals living with mental health ... Comprehensive medical, dental and vision insurance * Company paid Health Reimbursement Arrangement ...

Community Health Alliance-Ohio

Case Manager

Hamilton, OH

$18.75 - $24/hr

As a Case Manager, you will provide direct support to individuals living with mental health ... Comprehensive medical, dental and vision insurance * Company paid Health Reimbursement Arrangement ...

Community Health Alliance-Ohio

Case Manager

Hamilton, OH

$18.75 - $24/hr

As a Case Manager, you will provide direct support to individuals living with mental health ... Comprehensive medical, dental and vision insurance * Company paid Health Reimbursement Arrangement ...

Cardinal Recovery

Driver / Case Manager

Gallipolis, OH · On-site

$11.99 - $14/hr

Qualifications · Valid Ohio driver's license · Active auto insurance · Routing and navigation ... Certified Case Manager · Ability to work mornings, evenings, weekends, and holidays ...

Coleman Health Services

MRSS Case Manager

Akron, OH

$23 - $25/hr

Health, dental, vision insurance * Flex Spending Account * Annual Wellness reimbursement * Accrue ... MRSS Case Managers at Coleman work as a part of a cohesive, multi-disciplinary care team to provide ...

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Showing results 41-60

All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Ohio

Insurance Case Manager information

See Ohio salary details

$30.9K

$48.3K

$70.4K

How much do insurance case manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for insurance case manager in Ohio is $48,335.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,100.00 and $56,100.00 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.
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The top searched job categories for Insurance Case Manager jobs in Ohio are:

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

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

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Ohio as of August 2026, with employment types broken down into 72% Full Time, 14% Part Time, and 14% Contract. Highlights an 100% In-person job distribution, with an average salary of $48,335 per year, or $23.2 per hour.

CASE MANAGER

Premier Health

Dayton, OH • On-site

$19.50 - $25/hr

Full-time

Re-posted 19 days ago

Job description

General Summary/Responsibilities:
Status: Full-time: *40 Hours per week (80 hours per pay period)
Shift: 0830-1700
Facility: Miami Valley Hospital
The Case Manager is a registered nurse responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes in relation to appropriate length of stay, effective use of resources and established guidelines of care. Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs. This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills. Promotes care coordination and effective utilization of resources through the assessment of patient care needs during the hospitalization and across the health care continuum. Success is measured against achievement of targeted goals and outcomes as generated by defined expectations through care team collaboration.
Education: BSN required.
Licensure: Registered Nurse with valid Ohio license.
Certification: Certification in area of clinical specialty preferred.
Experience: Minimum of three years of relevant clinical experience in area of patient population within last five years. Expertise in healthcare reimbursement, transition planning and case management preferred. Experience with a clinical documentation management program preferred, knowledge of performance improvement process preferred.
Skills/Other: Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated Care Team members. Negotiation skills, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required. Basic computer skills required.

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