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Insurance Nurse Case Manager Jobs in Georgia (NOW HIRING)

Loyal Source

Nurse Case Manager

Savannah, GA · On-site

Nurse Case Manager Responsibilities The Nurse Case Manager shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications The contractor shall have ...

Spark Recruiting

RN Case Manager, Duluth

Duluth, GA · On-site

$40 - $43/hr

A valid drivers license, reliable transportation, and automobile insurance * At least 1 year of ... Hospice Nurse Case Manager, Hospice Case Manager, Registered Nurse (RN) Care Manager, RNCM ...

Loyal Source

Nurse Case Manager

Columbus, GA · On-site

Nurse Case Manager Responsibilities * The Nurse Case Manager shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications * The contractor shall have ...

Spark Recruiting

RN Case Manager, Athens

Athens, GA · On-site

$40 - $43/hr

A valid drivers license, reliable transportation, and automobile insurance * At least 1 year of ... Hospice Nurse Case Manager, Hospice Case Manager, Registered Nurse (RN) Care Manager, RNCM ...

Spark Recruiting

RN Case Manager- Kennesaw

Kennesaw, GA · On-site

$40 - $43/hr

A valid drivers license, reliable transportation, and automobile insurance * At least 1 year of ... Hospice Nurse Case Manager, Hospice Case Manager, Registered Nurse (RN) Care Manager, RNCM ...

Spark Recruiting

RN Case Manager, Newnan

Newnan, GA · On-site

$40 - $43/hr

A valid drivers license, reliable transportation, and automobile insurance * At least 1 year of ... Hospice Nurse Case Manager, Hospice Case Manager, Registered Nurse (RN) Care Manager, RNCM ...

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All JobsInsurance Nurse Case JobsInsurance Nurse Case Manager JobsInsurance Nurse Case Manager Jobs in Georgia

Insurance Nurse Case Manager information

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$16

$40

$67

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

As of Aug 18, 2026, the average hourly pay for insurance nurse case manager in Georgia is $40.14, according to ZipRecruiter salary data. Most workers in this role earn between $29.86 and $48.51 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 Georgia?

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

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

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

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

Cities in Georgia 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 Georgia as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 19% Part Time, 9% Contract, and 3% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $83,483 per year, or $40.1 per hour.

Nurse Case Manager

Loyal Source

Savannah, GA • On-site

Other

Re-posted 17 days ago

Job description

Nurse Case Manager

Responsibilities

The Nurse Case Manager shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.

The Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations.

The Case Manager shall assess patient via the telephone, using established protocols, in order to provide appropriate and cost effective care.

The Case Manager shall establish priorities for patient care monitor and evaluate progress toward the stated goals in order to provide coordinated, efficient, effective health care to its beneficiaries.

The Case Manager shall oversee discharge-planning activities in order to ensure ideal timing and sequencing of patient care.

The Case Manager provides professional assistance to health care finders in order to identify patient's needs for referrals to appropriate health care providers or facilities.

The Case Manager shall negotiate, write, finalize, and administer product/service agreements to insure mutual compliance in meeting care goals.

Qualifications

The contractor shall have demonstrated skill in understanding diagnoses in order to assist patients to optimize their level of function and self-care.

The contractor shall possess demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to enhance patient adherence to individualized treatment plans and train peers and staff.

The contractor shall have a minimum of two years nursing experience and shall be certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management Certification or American Nurse Credentialing Center.

The contractor shall possess the ability to seek feedback from peers, professional colleagues, clients, and outcomes research, in order to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues.

The contractor shall have the skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products in order to obtain client services and support.

Contractor may be required to receive and maintain clinical practice privileges.

The contractor shall maintain credentialing requirements in good standing at a local MTF.

Experience

The contractor shall have a minimum of two years nursing experience.

Licensure

Current, full, active, and unrestricted license as a Registered Nurse in one of any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands.

All HCPs shall have and maintain current certification in Basic Cardiac Life Support (BCLS) as certified by the American Heart Association. Documentation of such training shall be provided to the COR. The front and back of the BCLS shall be provided to the Credentialing Department of the MTF they are credentialed through.

About Loyal Source

Loyal Source provides healthcare and technology solutions designed to improve outcomes and support mission-critical operations. Guided by innovation and purpose, we help organizations achieve success across complex challenges worldwide. Loyal Source is a military friendly employer and proud partner of the Military Spouse Employment Partnership program.

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