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Insurance Case Manager Jobs in Lansing, MI (NOW HIRING)

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Insurance Case Manager information

See Lansing, MI salary details

$33K

$51.6K

$75.1K

How much do insurance case manager jobs pay per year?

As of Aug 28, 2026, the average yearly pay for insurance case manager in Lansing, MI is $51,567.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,600.00 and $59,800.00 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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Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Lansing, MI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 93% In-person, 2% Hybrid, and 5% Remote job distribution, with an average salary of $51,567 per year, or $24.8 per hour.

Regional Case Manager Registered Nurse

Howell Opco LLC

Howell, MI

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Regional Case Manager (RCM) Registered Nurse (RN)
 

Are you ready to reset your case management career with a dynamic and growing healthcare company? If you’re ready for the challenge, YOU could be the right fit for this position! Prestige Healthcare is a leading provider of skilled nursing and rehabilitation services. We are seeking a dynamic remote Regional Case Manager who has a strong work ethic, exceptional organization skills, pays attention to detail, and enjoys working in a fast-paced environment to join our team! 

Can You Answer Yes to the Following Questions? If So, Apply Today!  

  • Are you a Registered Nurse with exceptional Case Management experience in long-term care?
  • Do you consider yourself an expert in Medicaid, Medicare, and MDS?
  • Are you looking for a new challenge and a supportive corporate team?
 

What Benefits Do We Offer You? We understand that our employees work best when they are healthy, happy, and excited about the here and now, as well as the future. For that reason, we offer a wide range of benefits with your well-being in mind, including:   

  • Competitive Salary
  • Affordable Medical, Dental, and Vision Benefits for You & Your Family
  • Employee Benefits Concierge – to Guide You in Maximizing Your Benefits
  • Three Pet Insurance Options for your Furry Friend
  • Tuition Reimbursement
  • Student Loan Repayment Program
  • Company Paid Life Insurance
  • Paid Vacation Days with Rollover Option and Sick Time
  • 401k Retirement with Company Match
  • Health Savings Account (HSA) and Flexible Spending Account (FSA)
  • Unlimited Referral Bonuses and more! 
 
Summary: 
The Regional Case Manager is responsible for maintenance of a case load of managed care patients and to review clinical records, negotiate rates, exclusions, and length of stay with case managers from managed care organizations.  Provides the link between managed care related regional and corporate initiates and partners with Operations, Marketing, Clinical Reimbursement, Therapy, Finance and Billing to implement managed care processes and procedures according to company policies and procedures. 
 
Qualifications:
Education:
  • Registered Nurse preferred.
Experience:
  • Five years of experience with long-term care related managed care.  A background in MDS is preferred.
Job Functions:
  • Review all managed care contracts executed for their facilities.
  • Understand and communicate the needs of the regional and center staff to the Director of Managed Care to assure consistency in direction and execution of managed care.
  • Establish relationships with managed care organization’s Case Managers, specific to region.
  • Review clinical record, identify and negotiate higher levels and exclusions, where applicable.
  • Negotiate all rates, levels and one-time contracts for defined health centers managed care patients.
  • Obtain authorization, re-authorization and notifications for all new managed care patients for health center.
  • Complete all required documentation associated with rates, levels of care, cuts and exhausts as required by managed care organization.
  • Complete and maintain Case Manager Log on a daily basis.
  • Communicate with centers the needed documentation for continued stay and patient cuts.
  • Participate with facilities weekly (telephonically or center visit) to review managed care patients.
  • Participate in monthly triple check meetings for final review of UB statements and billing of negotiated exclusions.
  • Train facility staff on pre-admission case management process specific to their regional contracts.
  • Work collaboratively with Sales and Marketing, Business Office, Therapy, and Clinical team to provide appropriate services needed within the definition of the managed care contract.
  • Assist with any audits by the managed care organizations in conjunction with Medical Review.
  • Performs other duties as assigned. 
Knowledge/Skills/Abilities:
  • Ability to use personal computer and application software such as Excel and Microsoft Word.
  • Functional speech, vision and hearing.
  • Ability to communicate professionally and effectively with referral sources at all levels of the organization both orally and in written form.
  • Strong organizational skills. Ability to organize and prioritize.
  • Able to work independently, self-motivated and goal oriented. Demonstrates self-confidence.