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Insurance Nurse Case Manager Jobs in California (NOW HIRING)

Abode Services

Nurse Case Manager

San Leandro, CA · On-site

$54 - $68/hr

Nurse Case Manager Abode Services, one of the largest and effective nonprofits working to end ... Work with program psychiatrists/psychiatric Nurse Practitioner, pharmacies, insurance companies ...

TNAA TotalMed RN

Travel Case Manager RN

Pasadena, CA · On-site

Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ... Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up ...

New

TNAA TotalMed RN

Travel Case Manager RN

Eureka, CA · On-site

Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ... Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up ...

TNAA TotalMed RN

Travel Case Manager RN

Burbank, CA · On-site

Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ... Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up ...

TNAA TotalMed RN

Travel Case Manager RN

Eureka, CA · On-site

Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ... Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up ...

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Insurance Nurse Case Manager information

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$18

$46

$78

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

As of Aug 27, 2026, the average hourly pay for insurance nurse case manager in California is $46.91, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $56.68 per hour, depending on experience, location, and employer.

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.

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 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 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.

Do insurance nurse case managers make more money?

Insurance nurse case managers typically earn higher salaries than staff nurses due to their specialized role in coordinating care and managing claims. Their compensation can vary based on experience, certifications, and geographic location, with some earning additional benefits such as bonuses or overtime pay. Overall, their advanced responsibilities often lead to higher earning potential compared to general nursing positions.

What are popular job titles related to Insurance Nurse Case Manager jobs in California?

For Insurance Nurse Case Manager jobs in California, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse Case Manager jobs in California look for?

The top searched job categories for Insurance Nurse Case Manager jobs in California are:

What cities in California are hiring for Insurance Nurse Case Manager jobs?

Cities in California with the most Insurance Nurse Case Manager job openings:

Insurance Nurse Case Manager jobs near you
Infographic showing various Insurance Nurse Case Manager job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $97,574 per year, or $46.9 per hour.

Nurse Case Manager

Sacramento, CA • On-site

Forthright Case Management Llc
See more jobs at Forthright Case Management Llcexternal

$70K - $80K/yr

Other

Medical, Dental, Retirement, PTO

Re-posted 8 days ago

Job description

Benefits:

401(k)

Bonus based on performance

Company parties

Competitive salary

Dental insurance

Health insurance

Paid time off

Training & development

🎯 We’re Hiring! RN Case Manager/Operations –Northern Cali

Location: Northern Cali (Hybrid – Part Remote, Part In-Person) Type: Full-Time Salary: $70,000–$80,000/year + Bonus Potential 💰

🌟 About the Role

Tired of hospital shifts and craving flexibility, autonomy, and a role where your work really makes an impact? You’re in the right place.

Forthright Case Management is looking for a Registered Nurse Leader (RN) to join our team! You'll be helping injured workers navigate their recovery journey: coordinating care, attending appointments, and being their go-to support system. You will also be a leader to other nurses while building our local Montana presence. No nights, no weekends, no holidays. Just purposeful work and a balanced schedule.

🩺 What You'll Be Doing

Be the trusted advocate for injured workers supporting them every step of the way.

Coordinate care with doctors, therapists, employers, attorneys, and adjusters.

Visit medical facilities, attend appointments, and manage treatment plans.

Set up services like home health, therapy, DME, or even home modifications.

Keep everyone in the loop with timely communication and documentation.

Work from home with local travel throughout Reno and surrounding areas.

✅ Must-Haves

Current California RN license

Valid driver’s license and auto insurance

Comfortable with Microsoft Word and Excel

1+ year of nursing experience (Required)

Case management experience? Even better!

Willing to travel locally (about 50-75% of the time)

🎁 Perks & Benefits

💸 Competitive salary + bonus program

🚗 Mileage reimbursement

💻 Company laptop + phone provided

🕐 Flexible schedule

🗓 Schedule

Monday–Friday

8-hour shifts

Enjoy your evenings and weekends

✨ Join a Nurse-Led Team That Gets It

We’re growing fast and looking for the right RN to join our mission. If you're ready to step into a flexible, meaningful role where your experience matters, apply today. Let’s make a difference, together.

Flexible work from home options available.

Apply