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Insurance Case Manager Jobs in Rifle, CO (NOW HIRING)

Grand River Health Main Campus

Audiologist

Rifle, CO · On-site

Provides case management services and makes client referrals to other social or health service ... Vision and Dental insurance * Medical and dependent care flexible spending accounts * PTO accrual ...

Grand River Health Main Campus

Audiologist

Rifle, CO

Provides case management services and makes client referrals to other social or health service ... Vision and Dental insurance * Medical and dependent care flexible spending accounts * PTO accrual ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Rifle, CO

Insurance Case Manager information

See Rifle, CO salary details

$34.5K

$53.9K

$78.4K

How much do insurance case manager jobs pay per year?

As of Aug 8, 2026, the average yearly pay for insurance case manager in Rifle, CO is $53,898.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,300.00 and $62,500.00 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 cities near Rifle, CO are hiring for Insurance Case Manager jobs? Cities near Rifle, CO with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Rifle, CO as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $53,898 per year, or $25.9 per hour.

Admissions/ Discharge Case Manager (RN)

Grand River Health Main Campus

Rifle, CO • On-site

$29.42 - $42.02/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Job description

Admissions/ Discharge Case Manager (RN)
Quality and Risk Management
FT
Grand River Health | Rifle, CO
At Grand River, we are more than a hospital - we are neighbors taking care of neighbors proudly serving residents of Western Colorado and beyond. Our supportive culture is built on respect, friendliness, and a shared commitment to exceptional patient care.
What You'll Do
The RN Case Manager coordinates patient care from admission through discharge by collaborating with providers, healthcare teams, patients, families, and community partners to ensure safe, efficient, and patient-centered transitions. This role evaluates patient needs, develops discharge plans, and supports quality outcomes through effective care coordination and resource management.
  • Coordinate interdisciplinary care plans, admissions, discharge planning, and transitions of care to support positive patient outcomes.
  • Collaborate with providers, nursing staff, therapy, social services, outside agencies, and community resources to address patient needs and barriers to care.
  • Assess patient needs, including social determinants of health, and connect patients and families with appropriate resources and support services.
  • Monitor length of stay, discharge barriers, readmission risks, and opportunities to improve quality, efficiency, and continuity of care.
  • Maintain accurate documentation, participate in care coordination rounds, and support compliance with hospital policies, regulatory requirements, and nursing standards.
  • Performs a variety of tasks and other duties as assigned

Who We're Looking For
We are seeking an experienced Registered Nurse with strong clinical knowledge and care coordination skills to support patients throughout their healthcare journey. The ideal candidate is organized, collaborative, and committed to improving patient outcomes through effective communication, advocacy, and transition planning.
  • Current Colorado Registered Nurse DORA license required; BSN or equivalent preferred, along with a current American Heart Association BLS certification.
  • Minimum of 5 years of nursing experience preferred, with case management or discharge planning experience highly desired.
  • Strong knowledge of professional nursing practices, patient care standards, safety principles, and healthcare regulations.
  • Skilled in communication, collaboration, and building effective relationships with patients, families, providers, and interdisciplinary teams.
  • Proficient in electronic health records, utilization review systems, Microsoft Office, and other computer applications used to support patient care.

What We Offer
Our total rewards package includes
  • Pay Range: $29.42 - $42.02/hour (based on experience)
  • Comprehensive Benefits: Medical, dental, vision, PTO from day one, extended illness time, retirement plan with match, and more
  • Perks: Payroll deductions for hot springs, gyms, ski passes, pet insurance, access to outdoor recreation, and more!

Compensation may vary outside this range depending on a number of factors, including a candidate's qualifications, skills, competencies and experience.
Position is open until filled unless posted otherwise.
Why Join Grand River Health?
As a special taxing district, we are accountable to our community, allowing us to prioritize exceptional patient-centered care over financial bottom lines. Our main hospital campus is located in picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population.
OUR MISSION:
To improve the health and well-being of the communities we serve.
OUR VISION:
To be our communities' first choice in quality healthcare.

Apply