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Insurance Case Manager Jobs in Waynesboro, VA (NOW HIRING)

Pacs

Case Manager

Ivy, VA · On-site

$18.75 - $24/hr

... insurers, community resources and other involved parties to develop and implement a plan of care ... Certificate as a certified Case Manager (CCM) a plus. * Must maintain all required continuing ...

Aetna

Case Manager RN

Charlottesville, VA · Remote

JVS Job Title Case Manager RN * POSITION SUMMARY The RN Case Manager utilizes advanced clinical ... Must possess reliable transportation, valid and active driver's license and proof of insurance ...

Aetna

Case Manager RN

Charlottesville, VA · On-site

JVS Job Title Case Manager RN * POSITION SUMMARY The RN Case Manager utilizes advanced clinical ... Must possess reliable transportation, valid and active driver's license and proof of insurance ...

Legacy Hospice

RN Case Manager BONUS

Fishersville, VA · On-site

$80K - $90K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

Legacy Hospice

RN Case Manager BONUS

Fishersville, VA · On-site

$80 - $90/hr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

Legacy Hospice Inc.

RN Case Manager BONUS

Fishersville, VA · On-site

$80K - $90K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

Legacy Hospice Inc.

RN Case Manager BONUS

Fishersville, VA · On-site

$80K - $90K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

Amedisys, Inc.

RN Case Manager

Staunton, VA · On-site

$74K - $93K/yr

Overview Full-time Days Make a difference every day as an Amedisys registered nurse case manager ... Valid driver's license, reliable transportation and liability insurance. * Note - If less than 6 ...

Amedisys, Inc.

RN Case Manager

Staunton, VA · On-site

$74K - $93K/yr

Overview Full-time Days Make a difference every day as an Amedisys registered nurse case manager ... Valid driver's license, reliable transportation and liability insurance. * Note - If less than 6 ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Waynesboro, VA

Insurance Case Manager information

See Waynesboro, VA salary details

$31.3K

$48.9K

$71.2K

How much do insurance case manager jobs pay per year?

As of Aug 27, 2026, the average yearly pay for insurance case manager in Waynesboro, VA is $48,911.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $56,800.00 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.
More about Insurance Case Manager jobs

What job categories do people searching Insurance Case Manager jobs in Waynesboro, VA look for?

The top searched job categories for Insurance Case Manager jobs in Waynesboro, VA are:

What cities near Waynesboro, VA are hiring for Insurance Case Manager jobs?

Cities near Waynesboro, VA with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Waynesboro, VA 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 $48,911 per year, or $23.5 per hour.

Case Manager

Pacs

Ivy, VA • On-site

$18.75 - $24/hr

Part-time

This job post has expired 1 day ago. Applications are no longer accepted.

PACS Group rating

7.8

Company rating: 7.8 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

6th of 244 rated social care providers

Job description

General Purpose

  • Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

Essential Responsibilities

  • Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols.

  • Attends and participates in morning meetings/stand up to facilitate communications with the team.

  • Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care.

  • Monitor and adjust residents' statuses based on changing needs and conditions.

  • Organize and prioritize daily work by assessing new, current and discharging residents' needs in the area(s) of responsibility.

  • Complete documentation as required.

  • Performs utilization review activities to provide resident appropriate, timely and cost-effective care.

  • Coordinate care with resident, care providers, facilities financial services, and third-party payers.

  • Oversee all admissions and discharge activities.

  • Coordinate referrals both to and from our facility.

  • Ability to relate positively, effectively, and appropriately with residents, families, staff and professionals

  • colleagues.

  • Accurate charting and ability to complete necessary paperwork in a timely manner.

  • Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.

  • Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.

  • Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.

  • Intermediate computer skills.

  • Competence in maintaining professional, respectful, honest interactions with residents/families and staff and partners.

  • Perform clinical assessments, care planning, and direct coordination of medical services when required by the role

Supervisory Requirements

This position has no supervisory responsibilities.

Qualification

Education and/or Experience

  • Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable.

  • Two (2) years of clinical nursing experience preferred.

  • Knowledge of Medicare, Medi-cal and Medicaid programs and benefits.

  • PCC Knowledge preferred.

  • Certificate as a certified Case Manager (CCM) a plus.

  • Must maintain all required continuing education/licensing.

  • Must remain in good standing with the Department of Public Health, License and Certification Division at all times.

Physical Demands

  • Primarily sedentary with frequent sitting, computer use, and documentation.

  • Regular walking throughout the facility to meet with residents, families, and staff.

  • Occasional standing during meetings and care conferences.

  • Ability to lift and carry up to 20 pounds (files, binders, supplies).

  • Clear verbal communication and vision required for chart review and resident interaction.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

What PACS Group employees say

Pay

Benefits

Hours and flexibility

Workplace

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About PACS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Farmington, UT, US

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