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Insurance Nurse Case Manager Jobs in Florida (NOW HIRING)

We are currently seeking candidates for a full-time RN Case Manager opportunity in Vero Beach, FL. The Case Manager is required to primarily work in office but may also be required to perform field ...

Day (United States of America) Nurse Case Manager The purpose of the Nurse Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying ...

Day (United States of America) Nurse Case Manager The purpose of the Nurse Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying ...

Day (United States of America) Nurse Case Manager The purpose of the Nurse Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying ...

Day (United States of America) Nurse Case Manager The purpose of the Nurse Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying ...

Day (United States of America) Nurse Case Manager The purpose of the Nurse Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying ...

As a RN Case Manager, you'll work with a highly skilled team of professionals to advocate for ... Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ...

Nurse Case Manager

Fort Walton Beach, FL ยท On-site

$34 - $47/hr

We are seeking an experienced Registered Nurse Case Manager to join a collaborative healthcare team ... Explain Medicare, insurance benefits, patient rights, and discharge criteria. * Coordinate patient ...

RN Case Manager The RN Case Manager will facilitate the interdisciplinary plan of care with a focus ... home insurance, identity theft protection, legal counseling, long-term care coverage, moving ...

RN - Case Management

Margate, FL ยท On-site

$2.2K/wk

Day Shift Seven Healthcare are seeking an experienced RN Case Manager for a travel assignment in ... Health insurance - comprehensive medical coverage for you and your family * Certification ...

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Insurance Nurse Case Manager information

See Florida salary details

$14

$35

$59

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

As of Aug 23, 2026, the average hourly pay for insurance nurse case manager in Florida is $35.52, according to ZipRecruiter salary data. Most workers in this role earn between $26.39 and $42.93 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 Florida?

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

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

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

Infographic showing various Insurance Nurse Case Manager job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $73,884 per year, or $35.5 per hour.

REGISTERED NURSE - CASE MANAGER

Progeny HR Solutions LLC

Tallahassee, FL โ€ข On-site

Other

Re-posted 9 days ago


Job description

About the job REGISTERED NURSE - CASE MANAGER
JOB RESPONSIBILITIES-
Registered Nurse - Case Manager
RN - NCM
Full-Time
Registered Nurse Case Manager candidates will have the following job responsibilities:

  • The RN CM Care Coordinator will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management.
  • The RN CM Care Coordinator will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
  • The RN CM Care Coordinator will identify potential barriers to patient throughput and quality outcomes and will facilitate appropriate discharge plans.
JOB QUALIFICATIONS-
Registered Nurse - Case Manager
RN - NCM
Full-Time
Registered Nurse Case Manager candidates must meet the following minimum job qualifications:
  • Candidates are required to have a minimum of 3 years of RECENT (Within the last year) Case Manager experience in an acute care setting. The HM is also open to candidates with 3 years of experience on the following units: Med/Surg, Tele, Neuro, ICU, PCU, or ED. *will also consider candidates with Case manager experience in home health or insurance. For home health and insurance, they must have 3 years of acute care experience total and must have at least 1 year of acute care experience within the last 5 years.
  • Associates Degree in Nursing or Diploma in Nursing required
  • Bachelors Degree in Nursing preferred
  • Current FL RN license required or appropriate compact licensure. If compact license held, active FL RN licenserequiredwithin90 days of hire
  • Advanced Practice Registered Nurse license is acceptable for position if current and compliant
  • Certification in Case Management, Nursing, or Utilization Review, preferred