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Insurance Case Manager Jobs in Rancho Cucamonga, CA

AHMC Healthcare

Case Manager RN

Riverside, CA · On-site

$47 - $61.03/hr

Answers, directs and records departmental phone calls from a variety of sources (Insurance ... The Case Manager Registered Nurse is primarily responsible for the preparation, recording and ...

AHMC Healthcare

Case Manager RN

Riverside, CA · On-site

$47/hr

Overview The Case Manager Registered Nurse is primarily responsible for the preparation, recording ... Answers, directs and records departmental phone calls from a variety of sources (Insurance ...

AHMC Healthcare

Case Manager RN

Riverside, CA

Overview The Case Manager Registered Nurse is primarily responsible for the preparation, recording ... Answers, directs and records departmental phone calls from a variety of sources (Insurance ...

WelbeHealth

Case Manager, RN

Riverside, CA · On-site

The Case Manager, RN directly guides participant care as a crucial voice on the interdisciplinary ... Medical insurance coverage (Medical, Dental, Vision) * Work/life balance - We mean it! 17 days of ...

CityNet

Case Manager (Homeless Outreach)

Riverside, CA · On-site

$23 - $29/hr

For insurance purposes, drivers need to be at least 21 years old, must have a valid drivers ... Case management experience with City Net's target populations (people affected by homelessness ...

CityNet

Case Manager (Homeless Outreach)

Corona, CA · On-site

$23 - $29/hr

For insurance purposes, drivers need to be at least 21 years old, must have a valid drivers ... Case management experience with City Net's target populations (people affected by homelessness ...

CityNet

Case Manager (Homeless Outreach)

Riverside, CA · On-site

$23 - $29/hr

For insurance purposes, drivers need to be at least 21 years old, must have a valid drivers ... Case management experience with City Net's target populations (people affected by homelessness ...

Genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

... paperwork for the insurance company, state, or other regulatory bodies. • Maintains ... Prior case management experience preferred. MINIMUM QUALIFICATIONS: • A current, unrestricted ...

genex

Medical Nurse Case Manager (RN)

Anaheim, CA

Seeking a qualified Nurse Case Manager residing in the Orange County area. Individual will be ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

Seeking a qualified Nurse Case Manager residing in the Orange County area. Individual will be ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

Welbehealth

Case Manager, RN

Riverside, CA

$55.29 - $68.05/hr

The Case Manager, RN directly guides participant care as a crucial voice on the interdisciplinary ... Medical insurance coverage (Medical, Dental, Vision) * Work/life balance - We mean it! 17 days of ...

Intercare Therapy

ABA Case Manager

Riverside, CA · On-site

A Behavioral Health or (ABA) Program Manager serves in the field as the onsite case supervisor and ... Medical, Dental, and Vision insurance * Generous time off policy (vacation, sick time, and holidays)

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Rancho Cucamonga, CA

Insurance Case Manager information

See Rancho Cucamonga, CA salary details

$33.2K

$52K

$75.6K

How much do insurance case manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for insurance case manager in Rancho Cucamonga, CA is $51,956.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,900.00 and $60,300.00 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 Rancho Cucamonga, CA look for? The top searched job categories for Insurance Case Manager jobs in Rancho Cucamonga, CA are:
What cities near Rancho Cucamonga, CA are hiring for Insurance Case Manager jobs? Cities near Rancho Cucamonga, CA with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Rancho Cucamonga, CA as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $51,956 per year, or $25 per hour.

Manager Case Management

Amaya Staffing Consultants LLC

Anaheim, CA • On-site

$140K - $214K/yr

Full-time

Re-posted 8 days ago

Job description


Job Title: Manager Case Management

Location: On-site, near Anaheim, CA

Salary Range: $140,000 - $214,000 + Relocation Assistance

Schedule: Full-Time – Admin Hours – Rotating Weekends


Company Information:


Our client is a respected hospital committed to delivering exceptional, patient-centered care in the community. They are currently seeking a full-time, permanent Manager for Case Management to join their dynamic team. This is a fantastic opportunity for a seasoned professional to lead and shape the case management department while contributing to the hospital’s overall success.


Job Summary:


We are looking for an experienced and motivated Manager Case Management to oversee and coordinate case management operations at an acute care facility. This role requires strong leadership skills and comprehensive knowledge of case management protocols and healthcare reimbursement systems.


Key Responsibilities:


  • Provide leadership and direction to the case management department.
  • Ensure compliance with federal and non-federal program rules and regulations regarding case management.
  • Develop and implement department policies and procedures to enhance patient care and efficiency.
  • Oversee staff training and development, fostering a collaborative and high-performing team.
  • Review and analyze case management practices, ensuring alignment with hospital goals and industry standards.
  • Maintain working knowledge of InterQual and Milliman & Robertson criteria.
  • Collaborate with interdisciplinary teams to address patient needs effectively.
  • Manage hospital reimbursement strategies across payers, including Medicare, Medi-Cal, Managed Care, and private insurance plans.


What Qualifications You Will Need:


  • Bachelor’s Degree in Nursing (BSN) required; Master’s Degree (MSN) preferred.
  • Current California Licensed Registered Nurse (RN) certification.
  • Minimum of 5 years of case management experience in an acute care hospital setting or nursing management experience in such environments.
  • In-depth knowledge of case management principles as defined by federal and non-federal programs.
  • Proficiency in using InterQual and M&R guidelines.
  • Solid understanding of hospital reimbursement mechanisms for various payer types.


Apply here today and send your resume to alex@amayastaffing.com