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Insurance Case Manager Jobs in Calhoun, GA (NOW HIRING)

RN Case Manager

Ringgold, GA · On-site

$50K/yr

Nurse Case Manager (RNCM) Tapestry Hospice & Palliative Care is family owned and operated - not a ... Valid driver's license, insurance, and reliable vehicle * Excellent time management skills Why ...

Nurse Case Manager (RNCM) Tapestry Hospice & Palliative Careis family owned and operated - not a ... Valid driver's license, insurance, and reliable vehicle * Excellent time management skills Why ...

Nurse Case Manager (RNCM) Tapestry Hospice & Palliative Careis family owned and operated not a big ... Valid drivers license, insurance, and reliable vehicle * Excellent time management skills Why ...

Must be a licensed driver with an automobile that is insured in accordance with state and/or ... Case manages and provides clinical direction to the interdisciplinary team, physician, and family.

Must be a licensed driver with an automobile that is insured in accordance with state and/or ... Case manages and provides clinical direction to the interdisciplinary team, physician, and family.

Communicates efficiently with partners outside the department, such as home health nurses, insurance case managers, and referring physicians. * Manages assigned clinics proactively to provide ...

New

Communicates efficiently with partners outside the department, such as home health nurses, insurance case managers, and referring physicians. * Manages assigned clinics proactively to provide ...

New

Communicates efficiently with partners outside the department, such as home health nurses, insurance case managers, and referring physicians. * Manages assigned clinics proactively to provide ...

New

Communicates efficiently with partners outside the department, such as home health nurses, insurance case managers, and referring physicians. * Manages assigned clinics proactively to provide ...

New

RN Inpatient Wound Ostomy Days

Rome, GA · On-site

$30.40 - $49.93/hr

Communicates efficiently with partners outside the department, such as home health nurses, insurance case managers, and referring physicians. Manages assigned clinics proactively to provide efficient ...

Communicates efficiently with partners outside the department, such as home health nurses, insurance case managers, and referring physicians. Manages assigned clinics proactively to provide efficient ...

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Insurance Case Manager information

See Calhoun, GA salary details

$28.7K

$44.9K

$65.3K

How much do insurance case manager jobs pay per year?

As of Jun 12, 2026, the average yearly pay for insurance case manager in Calhoun, GA is $44,876.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,400.00 and $52,100.00 per year, depending on experience, location, and employer.

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, and why are they important?

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.

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.

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.

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 job categories do people searching Insurance Case Manager jobs in Calhoun, GA look for? The top searched job categories for Insurance Case Manager jobs in Calhoun, GA are:
What cities near Calhoun, GA are hiring for Insurance Case Manager jobs? Cities near Calhoun, GA with the most Insurance Case Manager job openings:
Case Manager (Intensive Case Management)

Case Manager (Intensive Case Management)

Highland Rivers Behavioral Health

Dalton, GA • On-site

$16.25 - $20.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Highland Rivers Behavioral Health rating

6.6

Company rating: 6.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

There is a place for you at Highland Rivers Behavioral Health!

Highland Rivers provides treatment and recovery services to individuals impacted by mental illness; substance use disorders and intellectual developmental disabilities.

Are you ready to make a Difference?

JOB SUMMARY: The Highland Rivers Behavioral Health Intensive Case Management (ICM) Team is a medium intensity Community-Based program for adults with severe and persistent mental illnesses such as Bi-Polar Disorders, Schizoaffective Disorders, and other Sub-Categories of thought disorders.

The Case Manager works with the individual and other supports and service providers to develop an Individual Recovery Plan (IRP) that includes the medical, behavioral, social, educational, vocational, housing, financial and other needs of the eligible individual. Services help individuals develop strategies and support to avoid out-of- home placement and reduce the need for more intensive services, and coordinate access to other needed community services and resources.

Duties and Responsibilities include:

  • Community based position.
  • Provide transportation for the individuals.
  • Must visit individual's homes.
  • Assist individuals with service needs, developing strategies and supportive, social support networks and coordinating rehabilitation services as specified in the individual's Individual Recovery Plan (IRP).
  • Partner with the individual and CORE services provider in the development of the IRP.
  • Provide individual interventions to include identifying service needs; developing strategies and supportive interventions to avoid out of home placement or the need for more intensive services; assisting individuals to increase social support networks to ameliorate life stresses resulting from the individual's condition; and coordinating rehabilitation services as specified in the individual's IRP Partner with the individual and CORE service provider in the development of the individual recovery plan.
  • Link and serve as advocate with other agencies to garner needed resources for individuals.
  • Provides assistance and support in crisis situations.
  • Provides assessment, monitoring, and assistance to individuals.
  • Provides direct service to individuals; completes all necessary paperwork according to policy; ensures individual meet eligibility criteria or refers to appropriate provider in the community.
  • Manages a caseload by ensuring all services are authorized, chart paperwork is complete and current, and individual charts are closed according to policy.
  • Sees a caseload at the frequency defined in the service plan; documents attempts to contact individuals and ISP reviews; completes monthly caseload reports; track appointments and case management.
  • Meet weekly contact and productivity standards
  • Attend treatment team meetings as directed by Program Supervisor.
  • Assist with service-related compliance.
  • Maintain confidentiality for all indirect/direct service in accordance with agency policies and HIPPA policies.
  • Other responsibilities and tasks as may be assigned.

Benefits:

  • Health Insurance through the State Health Benefit Plan of GA
  • Flexible Benefits such as dental, vision, life, critical illness, etc.
  • Retirement Plan with employer matching
  • 4 weeks of Paid Time Off with increase of accruals based on years of service
  • 10 paid holidays
  • 1 personal day
  • Qualifying employer for Public Student Loan Forgiveness
  • NHSC loan forgiveness in qualifying counties.
  • Clinical supervision for candidates on a licensure track.