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Insurance Case Manager Jobs (NOW HIRING)

Main Line Health

Case Manager, Per Diem

Malvern, PA · On-site

Day Shift Experience: 1. Minimum of two years recent experience in a hospital or rehabilitation facility required. 2. Minimum of two years recent insurance, case management experience preferred.

Main Line Health

Case Manager, Per Diem

Malvern, PA · On-site

Day Shift Experience: 1. Minimum of two years recent experience in a hospital or rehabilitation facility required. 2. Minimum of two years recent insurance, case management experience preferred.

PINNACLE PEAK RECOVERY

Case Manager

Scottsdale, AZ · On-site

$20.25 - $26/hr

Dental insurance * Health insurance * Opportunity for advancement * Paid time off * Vision ... Case Manager Manage clients' cases from intake to discharge, Follow clients' progress, keep ...

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

FT ED Case Manager

Weymouth, MA · On-site

$59K - $140K/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

FT ED 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 ...

Pinnacle Peak Recovery

Case Manager

Scottsdale, AZ · On-site

$20.25 - $26/hr

Dental insurance * Health insurance * Opportunity for advancement * Paid time off * Vision ... Case Manager Manage clients' cases from intake to discharge, Follow clients' progress, keep ...

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

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 ...

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Insurance Case Manager information

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$32.5K

$50.8K

$74K

How much do insurance case manager jobs pay per year?

As of Sep 6, 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 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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What states have the most Insurance Case Manager jobs?

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Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $50,841 per year, or $24.4 per hour.

PDN RN CASE MANAGER

Silver Spring Healthcare Services

Spring, TX • On-site

Other

Re-posted 4 days ago

Job description

Experienced PDN Pediatric/Adult RN Case Manager

Silver-Spring Healthcare Services is the premier provider of Adults and Pediatrics skilled home care. We provide high-quality, compassionate care focus on encouraging independence in the comfort and security of our patient's homes. We are looking for passionate individuals that want to make a difference in our patient's lives and grow with our company.

Immediate opening for an experienced PDN Pediatric/Adult RN Case Manager.

Job Description:

The PDN Case Manager is an integral part of the interdisciplinary care team and as such is responsible for admitting and coordinating appropriate care for each patient and family.

Main job duties include and are not limited to:

  • Oversees assigned patient cases to ensure the highest level of care to patients and families.
  • Functions as a case manager by completing comprehensive initial and ongoing assessments of patient and family to determine needs.
  • Develops and oversees plan of care with patient and family and manages team resources for a positive patient outcome.
  • Provide training to nurses for TRACH, VENT AND G-TUBE care
  • Provide a complete continuum of quality care through close communication with insurance case managers
  • Providing full Case Management services;
  • Assessing needs
  • Establishing a plan of care
  • Service coordination
  • Community resource utilization
  • Implementing the plan of care
  • Evaluating the plan of care for effectiveness
  • Serve as a resource to patients and their families/caregivers
  • Full management of prior authorization requests for PDN & RESPITE
  • Any other duty assigned by the Manager, Director of Clinical Services & Compliance Officer

Apply