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Insurance Case Manager Jobs in Gaithersburg, MD (NOW HIRING)

CareMetx

Reimbursement Case Manager

Bethesda, MD · On-site

Reimbursement Case Manager POSITION SUMMARY: Under the general supervision of the operational ... Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub ...

CareMetx

Reimbursement Case Manager

Bethesda, MD · On-site

Reimbursement Case Manager POSITION SUMMARY: Under the general supervision of the operational ... Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub ...

Magnet Medical

RN - Case Manager

Randallstown, MD · On-site

$1.9K/wk

RN,Registered Nurse - Case Manager @ LBH - Northwest Hospital, City: Randallstown, State: Maryland ... We offer Major Medical Insurance on day one of an assignment and supplemental dental, vision, short ...

BTST Services

Adult Case Manager

Lanham, MD · On-site

$48K - $53K/yr

Provision of in-person case management services to adults ages 18+ that have a serious mental ... Health Insurance Benefits with employer contribution * Medical, Dental and Vision * 100% Employee ...

GQR

RN - Case Manager

Randallstown, MD · On-site

$1.6K - $1.7K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Randallstown ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

New

GQR Global Markets

RN Case Manager

Randallstown, MD · On-site

$1.6K - $1.7K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Randallstown ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

New

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Gaithersburg, MD

Insurance Case Manager information

See Gaithersburg, MD salary details

$35.1K

$54.9K

$80K

How much do insurance case manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for insurance case manager in Gaithersburg, MD is $54,932.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,100.00 and $63,700.00 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 job categories do people searching Insurance Case Manager jobs in Gaithersburg, MD look for?

The top searched job categories for Insurance Case Manager jobs in Gaithersburg, MD are:

What cities near Gaithersburg, MD are hiring for Insurance Case Manager jobs?

Cities near Gaithersburg, MD with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Gaithersburg, MD as of August 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $54,932 per year, or $26.4 per hour.

Part Time Entry-Level Case Manager

Addiction Recovery

Laurel, MD • On-site

Part-time

Medical

Posted 6 days ago

Key responsibilities

  • Assist patients with comprehensive psychosocial and resource assessments to identify their needs, strengths, and barriers.

  • Develop and implement individualized case management and discharge plans in collaboration with patients and the clinical team.

  • Connect patients with community resources such as housing, employment, healthcare, and support services, and assist with referrals and documentation.

Job description

Hope House Treatment Center is looking for an entry-level, proactive Case Manager to help out patients with their recovery journey. We seek a caring and resourceful person to help individuals recovering from addiction to reclaim their lives. Come help people from a wide variety of backgrounds get connected to community resources that will help them as Hope House provides Recovery with Unconditional Kindness. 

Bilingual (Spanish) speakers a huge plus!


JOB SUMMARY: The Case Manager plays a critical role in supporting patients throughout their recovery journey by coordinating services, reducing barriers to care, and facilitating successful transitions into the community. This position focuses on connecting patients with community-based resources that promote long-term stability, independence, and sustained recovery while participating in treatment and following discharge.

Working collaboratively with the interdisciplinary treatment team, the Case Manager assists patients in developing individualized discharge and aftercare plans, securing essential resources, and building the skills and support systems necessary for independent living.

CASE MANAGER JOB DUTIES:

  • Assists with comprehensive psychosocial and resource assessments to identify patient needs, strengths, and barriers to successful recovery.
  • Develop individualized case management and discharge plans in collaboration with patients and the clinical treatment team.
  • Connect patients with community resources that support long-term recovery and independence, including:
    • Housing and sober living programs
    • Employment and vocational rehabilitation services
    • Educational and workforce development opportunities
    • Transportation assistance
    • Health insurance and benefits enrollment
    • Primary care and specialty medical providers
    • Mental health providers
    • Peer recovery support services
    • Recovery community organizations
    • Food assistance and other public benefits
    • Legal aid and court-related resources
    • Financial assistance programs
    • Childcare and family support services, when applicable
  • Coordinate referrals and assist patients in completing applications, scheduling appointments, and obtaining required documentation.
  • Collaborate with probation officers, social service agencies, healthcare providers, employers, educational institutions, and other community partners as appropriate.
  • Educate patients on available community resources and empower them to independently access and navigate support systems.
  • Monitor progress toward case management goals and modify service plans as patient needs evolve.
  • Participate in multidisciplinary treatment team meetings and contribute to treatment planning.
  • Maintain timely, accurate, and compliant documentation within the electronic health record.
  • Ensure all case management activities comply with federal, state, accreditation, and organizational standards.
  • Maintain current knowledge of local community resources, recovery support services, and public assistance programs.
  • Assist patients with discharge planning beginning early in treatment to promote continuity of care and reduce risk of relapse or readmission.
  • Advocate for patients by addressing barriers to housing, employment, healthcare access, transportation, and other social determinants of health.
  • Participate in quality improvement initiatives and community outreach efforts if required.
  • Other duties as assigned.

MINIMUM QUALIFICATIONS: 

  • Bachelor’s Degree (Master’s preferred) from an accredited college or university in social work, human services, psychology, counseling, or a related field
  • Preferred: One year of experience in case management, behavioral health, substance use treatment, social services, or a related field.
  • Knowledge of substance use disorders, recovery principles, and community-based support services.
  • Strong organizational, communication, and interpersonal skills.
  • Ability to establish rapport with individuals from diverse backgrounds.
  • Proficiency with computers and Microsoft Office applications.
  • Valid driver's license and acceptable driving record.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand and walk.