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Insurance Nurse Case Manager Jobs (NOW HIRING)

OSU MEDICAL CENTER

Case Manager

Tulsa, OK · On-site

$18.25 - $23.50/hr

The RN Case Managers function as a liaison with insurers to advocate for patients based on defined needs. There is a significant focus on patient care outcomes and the RN Case Manager oversees the ...

OSU MEDICAL CENTER

Case Manager

Tulsa, OK

$18.25 - $23.50/hr

The RN Case Managers function as a liaison with insurers to advocate for patients based on defined needs. There is a significant focus on patient care outcomes and the RN Case Manager oversees the ...

BrightStar Care API

Registered Nurse Case Manager

Registered Nurse (RN) Case Manager for SB&P Corporation . Join a leader in the home health care and ... Reliable car / auto insurance * Clean background and criminal record Job Type: Part-time

OSU MEDICAL CENTER

Case Manager (Weekends)

Tulsa, OK · On-site

The RN Case Managers function as a liaison with insurers to advocate for patients based on defined needs. There is a significant focus on patient care outcomes and the RN Case Manager oversees the ...

OSU MEDICAL CENTER

Case Manager (Weekends)

Tulsa, OK

The RN Case Managers function as a liaison with insurers to advocate for patients based on defined needs. There is a significant focus on patient care outcomes and the RN Case Manager oversees the ...

OSU Medical Center

Case Manager (Weekends)

Tulsa, OK · On-site

The RN Case Managers function as a liaison with insurers to advocate for patients based on defined needs. There is a significant focus on patient care outcomes and the RN Case Manager oversees the ...

Cunningham Children's Home

Nurse Case Manager

Urbana, IL · On-site

Life Insurance * Holiday Pay * Paid Leave * Garner Health Paytient Card Healthcare Navigation and ... Salary is based on experience for the Nurse Case Manager. Prospective employees will be required to ...

US Government Jobs

Nurse (Case Manager)

Parker, AZ · On-site

Nurse (Case Manager) Nurse (Case Manager) for the Colorado River Service Unit in Parker, AZ. Position will provide professional nursing case management, utilization management, and discharge planning ...

Managed Staffing

Nurse Case Manager

GA · Remote

$36 - $37/hr

Nurse Case Manager II (Remote - Georgia or Compact States) Location: Fully Remote (EST Time Zone Required) Schedule: Monday-Friday, 8 AM-5 PM EST Job Summary The Nurse Case Manager II is responsible ...

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Insurance Nurse Case Manager information

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$19

$47

$80

How much do insurance nurse case manager jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for insurance nurse case manager in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

How does an insurance nurse case manager typically collaborate with claims adjusters and other healthcare professionals?

Insurance Nurse Case Managers work closely with claims adjusters to review medical documentation, assess treatment plans, and ensure that patients receive appropriate care while managing costs. They frequently communicate with healthcare providers, such as physicians and therapists, to coordinate care and gather information critical to case decisions. This collaborative approach helps streamline claims processing and supports positive patient outcomes, making effective communication and teamwork essential skills for success in this role.

What is the difference between Insurance Nurse Case Manager vs Claims Nurse?

AspectInsurance Nurse Case ManagerClaims Nurse
CredentialsRN license, case management certification often preferredRN license, claims processing training
Work EnvironmentHealthcare settings, insurance companies, case management teamsInsurance companies, claims departments, healthcare providers
Employer & IndustryInsurance carriers, healthcare organizationsInsurance carriers, third-party claims organizations

The Insurance Nurse Case Manager and Claims Nurse roles both require RN licensure and involve working within insurance and healthcare settings. However, the Insurance Nurse Case Manager focuses on coordinating patient care and managing case progress, while the Claims Nurse primarily reviews and processes insurance claims. Both roles are essential in the insurance industry, but they differ in daily responsibilities and focus areas.

What are the key skills and qualifications needed to thrive as an insurance nurse case manager, and why are they important?

To thrive as an Insurance Nurse Case Manager, you need a registered nursing license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with case management software, health insurance systems, and certifications such as CCM (Certified Case Manager) are typically required. Exceptional communication, organizational skills, and the ability to advocate for patients while balancing payer requirements are key soft skills in this role. These skills ensure effective coordination of patient care, cost management, and positive outcomes for both patients and insurance providers.

What is an insurance nurse case manager?

Insurance Nurse Case Managers are registered nurses who work for insurance companies or third-party administrators to help manage and coordinate patient care. They assess patients' medical needs, develop care plans, and act as a liaison between patients, healthcare providers, and insurers. Their primary goal is to ensure that patients receive appropriate, cost-effective care while facilitating communication and helping with claims processes. Insurance Nurse Case Managers also provide education and support to patients and families throughout the treatment process.
More about Insurance Nurse Case Manager jobs
What cities are hiring for Insurance Nurse Case Manager jobs? Cities with the most Insurance Nurse Case Manager job openings:
What states have the most Insurance Nurse Case Manager jobs? States with the most job openings for Insurance Nurse Case Manager jobs include:
What job categories do people searching Insurance Nurse Case Manager jobs look for? The top searched job categories for Insurance Nurse Case Manager jobs are:
Insurance Nurse Case Manager jobs near you
Infographic showing various Insurance Nurse Case Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

Nurse Case Manager/Operations

Forthright Case Management Llc

Bozeman, MT • On-site

$70K - $80K/yr

Full-time

Re-posted 2 days ago

Job description

Benefits:
  • Bonus based on performance
  • Flexible schedule

Job DescriptionOperations & Clinical Services Manager (RN)
Forthright Case Management
Position Summary
Forthright Case Management is seeking a dynamic, highly organized, and relationship-focused Registered Nurse (RN) to serve in a dual Operations & Clinical Services role. This position is designed for an experienced nurse who can successfully balance operational leadership, client relations, business development, and administrative responsibilities while maintaining the ability to actively manage a nurse case management caseload as business needs require.
The ideal candidate is a licensed RN with experience in workers' compensation, medical case management, utilization management, occupational health, or catastrophic injury management. They should possess excellent clinical judgment, strong communication skills, and the ability to transition seamlessly between direct case management and operational leadership.
This individual will support Forthright's continued growth by overseeing daily operations, strengthening client relationships, assisting with referral management, supporting recruiting and onboarding, and providing high-quality nurse case management services.
Primary Responsibilities
Clinical Nurse Case Management
  • Manage a caseload of workers' compensation nurse case management files when assigned.
  • Coordinate medical treatment plans with injured workers, physicians, employers, adjusters, attorneys, and rehabilitation professionals.
  • Attend physician appointments when appropriate.
  • Evaluate treatment plans and identify barriers to recovery.
  • Facilitate timely return-to-work planning.
  • Prepare comprehensive case management reports that meet client expectations.
  • Maintain documentation in accordance with state regulations, HIPAA, and client requirements.
  • Provide telephonic and field case management services as needed.
  • Serve as clinical backup for other Nurse Case Managers during vacations, leave, or increased caseloads.
Operations & Client Services
  • Oversee daily administrative and operational workflows.
  • Coordinate new referrals and assign cases appropriately.
  • Monitor case progression and reporting deadlines.
  • Ensure exceptional client service and timely communication with referral sources.
  • Develop and maintain strong relationships with insurance carriers, TPAs, employers, attorneys, and healthcare providers.
  • Support billing, operational reporting, and quality assurance initiatives.
  • Identify opportunities to improve efficiency and clinical outcomes.
Business Development & Growth
  • Represent Forthright Case Management at industry conferences, networking events, and client meetings.
  • Assist with business development initiatives and relationship management.
  • Support marketing efforts, including professional social media engagement and educational content.
  • Strengthen existing client relationships while helping cultivate new referral sources.
Recruiting & Leadership
  • Assist with recruiting, interviewing, onboarding, and mentoring Nurse Case Managers.
  • Support clinical orientation and ongoing professional development.
  • Assist leadership with policy implementation and operational improvements.
  • Promote Forthright's culture of collaboration, professionalism, and clinical excellence.
Required Qualifications
  • Active, unrestricted Registered Nurse (RN) license.
  • Minimum of 3 years of Nurse Case Management experience preferred.
  • Experience in workers' compensation case management strongly preferred.
  • Certified Case Manager (CCM) or willingness to obtain certification preferred.
  • Excellent written and verbal communication skills.
  • Strong clinical assessment and critical thinking abilities.
  • Experience with Microsoft Office and electronic case management systems.
  • Ability to travel locally for field case management and client meetings as needed.
Ideal Candidate
The successful candidate is someone who can comfortably transition between leadership and direct patient advocacy. One day may involve overseeing operations, developing client relationships, and supporting staff, while another may require managing complex catastrophic cases, attending physician appointments, or assisting an injured worker through recovery.
This individual is a compassionate nurse, an organized administrator, a confident communicator, and a proactive leader who is committed to delivering exceptional outcomes for clients and injured workers alike.
Why Join Forthright Case Management?
At Forthright Case Management, we believe excellent clinical care and exceptional client service go hand in hand. This unique hybrid position offers the opportunity to remain clinically engaged while helping shape the operational growth of an expanding organization. If you are looking for a leadership opportunity that combines nursing expertise with business operations and relationship management, we encourage you to apply.