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Insurance Case Manager Jobs (NOW HIRING)

The Peaks Care Center

Nurse Case Manager

Longmont, CO · On-site

Nurse Case Manager (LPN) About the Role: The Nurse Case Manager is a vital part of our community ... Medical, dental and vision insurance * Health and Dependent Care FSA * Company paid Basic Life ...

Posted today

South Shore Health

RN Case Manager

Weymouth, MA · On-site

$117K - $170K/yr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ...

South Shore Health

RN Case Manager

Weymouth, MA · On-site

$117K - $170K/yr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ...

South Shore Health

Per Diem Case Manager

Weymouth, MA

$59.42 - $86.20/hr

Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

RN Case Manager

Weymouth, MA · On-site

$117K - $170K/yr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ...

South Shore Health

Per Diem Case Manager

Weymouth, MA · On-site

$59.42 - $86.20/hr

Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Per Diem Case Manager

Weymouth, MA

$59.42 - $86.20/hr

Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

Dallas Behavioral Healthcare Hospital

Case Manager

Desoto, TX · On-site

$19.50 - $25.25/hr

Complete insurance bridges as appropriate and communicate with insurance case managers regarding updates, incidences, and discharge planning. * Attend Pre-Flash and Treatment Team meetings and all ...

Dallas Behavioral Healthcare Hospital

Case Manager

Desoto, TX · On-site

$19.50 - $25.25/hr

Complete insurance bridges as appropriate and communicate with insurance case managers regarding updates, incidences, and discharge planning. * Attend Pre-Flash and Treatment Team meetings and all ...

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Insurance Case Manager information

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$74K

How much do insurance case manager jobs pay per year?

As of Jul 19, 2026, the average yearly pay for insurance case manager in the United States is $50,841.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,000.00 and $59,000.00 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, and why are they important?

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.

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 are hiring for Insurance Case Manager jobs? Cities with the most Insurance Case Manager job openings:
Who are the top companies hiring for Insurance Case Manager jobs? The top employers for Insurance Case Manager jobs are:
What states have the most Insurance Case Manager jobs? States with the most job openings for Insurance Case Manager jobs include:
What job categories do people searching Insurance Case Manager jobs look for? The top searched job categories for Insurance Case Manager jobs are:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $50,841 per year, or $24.4 per hour.
Insurance Authorization Specialist - Home Infusion

Insurance Authorization Specialist - Home Infusion

Palmetto Infusion Services, LLC

Columbia, SC

Full-time

Re-posted 26 days ago

Palmetto Infusion rating

5.5

Company rating: 5.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life.

At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.

For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

About the Role:

The Insurance Case Manager functions as an integral member of a multidisciplinary clinical team which manages the care of patients. The Insurance Case Manager will verify patient’s health benefits and coverage for infusion services. The Insurance Case Manager works closely with the Intake Coordinator to process new referrals timely. Ensures accurate and complete verification of insurance benefits. Works closely with Nurse Manager and Reimbursement team in providing and promoting customer service, process flow, operational integrity, quality care and process improvement along with high service standards.

Schedule: Monday – Friday; 8:00 AM – 5:00 PM.

Minimum Qualifications:

Experience/Education:

  • High School Diploma or Equivalent.
  • 2 years of experience managing insurance benefit verifications and authorizations.
  • Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
  • Ability to cope with ambiguous, changing environment while under pressure in a calm manner.
  • Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions:

  • Obtains patient data from referring physician office for support of medical necessity; ensures data integrity.
  • Verifies insurance utilizing both website and phone verifications.
  • Completes the insurance verification form and ensures proper documentation is scanned into the patient medical record.
  • Reviews payer medical policy to determine medical necessity based on payer guidelines and/or FDA indications.
  • Utilizes insurance payers policies and requirements to determine coverage.
  • Provides a comprehensive coverage and benefit summary, documentation, and on-going communication for updates, changes and authorizations.
  • Manages an on-going case load of patients on long-term therapies, including reauthorization as applicable.
  • Coordinates first payment and payment plans when necessary.
  • Obtains signed written orders (SWO) and letters of medical necessity (LMN) when required.
  • Demonstrates ability to maintain calm under pressure.
  • Acts as a primary point of contact on-call for after-hours and holidays as needed.

About the Benefits:

  • Competitive Compensation
  • Comprehensive Medical Insurance
  • Dental and Vision Insurance
  • Company Life Insurance
  • Voluntary Life and Disability Insurance
  • Additional Voluntary Supplemental Plans
  • Flexible Spending Account (Medical and Dependent Care)
  • Health Savings Account
  • 401K Retirement Plan
  • Employee Assistance Program (EAP)
  • Employee Discounts
  • Ramsey SmartDollar Program
  • Referral Program
  • Tuition Assistance
  • Paid Time Off
  • 8 Paid Company Holidays

Patient Advocacy Statement:

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive.

Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

Physical Demands:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

OTHER

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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