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Insurance Case Manager Jobs in Covington, KY (NOW HIRING)

Chnk Behavioral Health

Targeted Case Manager

Covington, KY · On-site

$39K - $44K/yr

Targeted Case Manager OneQuest Health is a Sanctuary Institute certified trauma informed care ... Must have a current driver's license and driver's insurance. * Demonstrates ability to work as an ...

INcompass Healthcare

Family Case Manager

Lawrenceburg, IN

$39K - $52K/yr

Position Summary The Case Manager provides skills training and case management services to the ... Medical, Dental, and Vision Insurance * Prescription Coverage * Company Paid Life , AD amp;D and ...

INcompass Healthcare

Family Case Manager

Lawrenceburg, IN · On-site

$39K - $52K/yr

Position Summary The Case Manager provides skills training and case management services to the ... Medical, Dental, and Vision Insurance * Prescription Coverage * Company Paid Life , AD&D and ...

Valeris

Executive Case Manager (Remote)

Cincinnati, OH · Remote

The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager ...

paradigm

Nurse Case Manager - Dayton, OH

Dayton, OH

The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the ...

Elevance Health

Nurse Case Manager Lead

Mason, OH · On-site

Nurse Case Manager Lead Telephonic Nurse Case Manager Lead Sign on Bonus: $3000. Location: This ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

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Showing results 21-40

All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Covington, KY

Insurance Case Manager information

See Covington, KY salary details

$31.5K

$49.3K

$71.8K

How much do insurance case manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for insurance case manager in Covington, KY is $49,348.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,900.00 and $57,300.00 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?

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.

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.

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.
More about Insurance Case Manager jobs
What job categories do people searching Insurance Case Manager jobs in Covington, KY look for? The top searched job categories for Insurance Case Manager jobs in Covington, KY are:
What cities near Covington, KY are hiring for Insurance Case Manager jobs? Cities near Covington, KY with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Covington, KY as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $49,348 per year, or $23.7 per hour.

Targeted Case Manager

Chnk Behavioral Health

Covington, KY • On-site

$39K - $44K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Targeted Case Manager
OneQuest Health is a Sanctuary Institute certified trauma informed care organization and has certification from the Human Rights Campaign's "All Children All Families" initiative in LGBTQ competencies, and has been certified in Gender Equity through Ellequate.
We are a progressive organization intent on making an impact on our community and not just the lives of our individual clients.
Location: 5th Street Center, Covington
Department: Outpatient Services
Position Reports to: Program Manager of Outpatient Services
Minimum Position Qualifications:
  • BS or BA in social work or in a related behavioral science field such as psychology sociology, education, family studies, etc., with a minimum of one year full time experience working with individuals in a human service setting after completing the BA or BS or be a certified alcohol and drug counselor. A Master's degree in social work or related behavioral health field may be substituted for the one year of experience.
  • Must successfully complete case management training within 6 months of hire and annual continuing education requirements.
  • Organizational skills and basic computer skills.
  • Must have a current driver's license and driver's insurance.
  • Demonstrates ability to work as an effective member of a multi-disciplined team.
  • Demonstrate proven sensitivity to the various cultural and socioeconomic characteristics of OQH clients and staff.

Position Summary:
The Targeted Case Manager is responsible to assist clients and families in accessing behavioral health treatment, medical interventions, educational, social, development, and other support services. Targeted Case Manager advocates for the needs of the clients and families and works closely with our Outpatient clinical team and community partners to ensure the client's needs are being met across settings. Targeted Case Managers focus on linking clients to local resources and enhancing social and emotional functioning and life skills.
Essential Job Duties
ADMINISTRATIVE: 25%
  • Any youth who is considered ineligible for services is referred back to the referral source with recommendations as to a more appropriate course of action or service.
  • To follow the safety guidelines and practices as identified in the program operations manual when providing services and provide a daily itinerary to their supervisor or other assigned person, noting where they will be located at all times throughout the work day.
  • Case Manager will notify parent/legal guardian or other referral agencies of all critical incidents within 24 hours.
  • Attend supervision by a behavioral health professional who has completed case management training at least twice per month with at least one of these supervisory contacts being on an individual basis and face-to-face.
  • Ensure client's needs are fulfilled and follow administrative protocols for request such as vouchers, use of credit cards, training request, etc.
  • Attend case consultation and clinical meetings.

DOCUMENTATION: 25%
  • If contact with the client and family does not occur within the required time frames, the case manager is responsible to document the reason in the case record and will continue to make effort to contact the family via telephone and letter, all of which will be documented in the record.
  • Development of a specific care plan with the client with periodic revisions with specify the goals and actions to address the medical, social, educational, or other services needed.
  • Documentation must adhere to contract requirements following state regulations for case records, case notes, and contain the achievement and progress on goals.
  • Discharge plans must be completed on all clients who have had three or more service contacts.
  • Documentation must follow time frames as stated in the program operations manual.

DIRECT SERVICES: 45%
  • Complete additional releases of information forms with the client, family, and/or legal guardian, in order to have the ability to gather information needed in developing the care plan.
  • A comprehensive assessment and periodic reassessment must be conducted according to the program operations manual to determine the client's need for medical, social, educational, or other services.
  • Assist the client and families with organizing, documenting and scheduling appointments in areas identified in the treatment plan.
  • Provide referral or related activities to help client obtain needed services with medical providers, social providers, educational providers, or other programs and services.
  • Coordinate home visits, discharge planning, and provide monitoring or follow up activities necessary to ensure the client's care plan is implemented and needs are being met .
  • To have contacts with non-recipients who are directly related that have useful input regarding the client's past, or current functioning, symptoms, adherence to treatment, or other information relevant to the client's behavioral health condition and needs for services.
  • Assist with the medical needs of the client, securing guardian approval if needed for medication changes and additions, including phone calls and follow up letters as needed.
  • Ensure enrollment of client in an educational program, attend school meetings and Parent/Teacher conferences and complete documentation accordingly.
  • Ensure client has crisis numbers for case manager, mental health center, psychiatrist or other support that may be needed and information to call 911.
  • Attends meetings and court hearings regarding client's assigned to caseload.
  • Provide transportation for clients to various appointments, court, meetings and home visits, as needed.
  • Position may require services to be rendered in the home of the client at times.

TRAINING/KNOWLEDGE/SKILLS: 5%
  • Knowledgeable of effective coping skills, crisis intervention strategies, motivational interviewing, stages of change, and community resources.
  • Must have the knowledge and awareness of suicide prevention and have the ability to screen for suicide risk.
  • Obtain case management training within 6 months of hire and maintain continuing education requirements pursuant to 908 KAR 2:260.
  • To maintain professional boundaries with client, family members, legal guardians, community resources, referral sources, and community partners at all time.
  • Attend required trainings as assigned.
  • Responsibility to be aware of, and follow, state law and respective professional codes of ethics to notify the individual identified and law enforcement officials when a client has made actual threat of physical violence against an identified victim, or an actual threat of some specific violent act, or made a statement of intent to harm themselves.
  • Responsibility to be aware of, and follow, state reporting laws for dependency, neglect, abuse, or human trafficking.
  • Must be able to perform the essential functions of this position with or without reasonable accommodation.
  • Other duties as assigned by their supervisor.

OQH is an Equal Opportunity Employer
Our full-time associates are eligible for the following benefits to support them as they help us improve the lives of others.
*Thirty-seven paid days off
13 Paid Holidays
18 days of PTO 6 additional days of time off for illness of 3 or more days.
*Four weeks of paid family leave (new child or care for a family member) after 1 year of employment
*Student Loan Repayment Assistance up to $10,000
*Tuition Reimbursement of up to $5,000 per year
*Retirement Plan with 8% employer match
*Medical Plan with Zero Deductible
*Dental, Life, LTD, STD, and Vision
*Flexible Spending Account
*Employee Assistance Program
*Free Parking
*Dog-friendly environment at some locations (bring your pet to work)
OneQuest Health is an Equal Employment Opportunity Employer
Job Type: Full-time
Work Location: In person

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