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Insurance Nurse Case Manager Jobs in Oregon (NOW HIRING)

HIV Alliance

Nurse Case Manager

Medford, OR · On-site

$39 - $41.34/hr

... case management to patients with chronic disease or infectious disease * Ability to pass AIDS RN ... insurance policy. * Ability to pass agency criminal background check Professional Competencies:

HIV Alliance

Nurse Case Manager

Salem, OR · On-site

$39 - $41.34/hr

... case management to patients with chronic disease or infectious disease * Ability to pass AIDS RN ... insurance policy. * Ability to pass agency criminal background check Professional Competencies:

Amedisys, Inc.

RN Case Manager

Salem, OR · On-site

$50 - $57/hr

Overview RN Case Manager Mileage reimbursement Make a difference every day as an Amedisys ... Valid driver's license, reliable transportation and liability insurance. * Note - If less than 6 ...

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Insurance Nurse Case Manager information

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$84

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

As of Sep 2, 2026, the average hourly pay for insurance nurse case manager in Oregon is $50.26, according to ZipRecruiter salary data. Most workers in this role earn between $37.36 and $60.72 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 Oregon?

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

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

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

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

Cities in Oregon 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 Oregon as of August 2026, with employment types broken down into 73% Full Time, and 27% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $104,532 per year, or $50.3 per hour.

Nurse Case Manager

HIV Alliance

Medford, OR • On-site

$39 - $41.34/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Department: Client Services
Reports To: Director of Care
Location: Roseburg, Salem, Eugene, or Medford
Position Type: 0.75 FTE, 30 Hours/Week, Non-Exempt
Work Type: In Person, Not Hybrid/Remote Eligible
Salary Range: $39.00 - $41.34 per hour
Salary Note: Bilingual candidates are eligible for an additional $1.50 Bilingual Differential. This Bilingual Differential is not included in the salary range above.
Benefits Available: Read more at http://hivalliance.org/employment/benefits
Agency Overview: Read more at https://hivalliance.org/engage/careers-at-hivalliance/
External Applicants: Apply directly through our website, via the Agency Overview link. All applicants must submit a complete job application, supplemental questions, and resume via the job portal to be considered.
Internal Applicants: Apply via email, following the emailed application instructions
This is the Medford posting, please apply to the posting that matches with your desired work location.
Position Summary: This position will provide medical case management services to clients enrolled in Ryan White Case management program. The HIV Medical Case Manager will communicate with providers regarding the client's care plan and the medical treatment plan. In addition, HIV Medical Case Managers will provide services such as: treatment management and medication adherence, HIV disease and side effects management, nutritional therapy, oral health interventions and referral, liver health and hepatitis disease management (acute and chronic) and HIV risk reduction.
Key activities include: initial assessment of service needs; development of a comprehensive, individualized care plan; provision of services required to implement the plan; monitoring to assess the efficacy of the plan; and periodic re-evaluation of the plan as necessary. This includes all types of case management including face-to-face, phone contact, and any other form of communication.
Essential Functions and Responsibilities:
  • Client Management: Carry an active caseload of eligible clients, providing direct one-on-one medical case management services. Able to provide services in-person, over the phone and on a drop-in basis.
  • Assessments & Planning: Conduct health assessments and goal planning in collaboration with the client to identify medication adherence plans and barriers to care. Develop individualized care plans based on assessments and available resources to improve medication adherence and overall health.
  • Coordination of Services: Work collaboratively with case management team, providers, community partners to facilitate access to HIV treatment and medical care. Provide client education pertaining to HIV and other medications, disease progression, and risk reduction.
  • Advocacy: Advocate for clients with medical service providers and case managers. Conduct case conferences with case managers and medical providers as needed.
  • Documentation: Maintain accurate and timely documentation of client interactions, services provided, and progress updates in agency databases. Process and collect necessary eligibility documents including Authorization for Release of Information.
  • Referrals: Refer clients to infectious disease providers and medical resources as needed and follow up.
  • Community Engagement: Build partnerships with medical providers in our service region. Attend relevant community meetings and participate in ongoing training and professional development.
  • Travel: Ability to travel to see clients in other community settings and provide home visits on occasion. Ability to transport clients on occasion.
  • Standards: Comply with all applicable program standards, guidelines, laws and administrative rules.
  • Reporting: Assist management with all necessary reports.
  • Ability to work well with others, handle stress appropriately, have reliable attendance
  • Ability to use personal cell phone to run agency phone system software, MFA, etc.
  • Other tasks as assigned, including training/cross-training other staff as needed
Required Qualifications:
  • Valid Oregon Registered Nursing license
  • One year of experience providing clinical care or medical case management to patients with chronic disease or infectious disease
  • Ability to pass AIDS RN Certification within 24 months
  • TB test (provided at agency)
  • Valid Oregon driver's license, or valid out of state driver's license with the ability to get an Oregon driver's license within 30 days of establishing residency in Oregon, and a driving record sufficient to be covered by agency auto insurance policy.
  • Ability to pass agency criminal background check
Professional Competencies:
  • Interpersonal Communication & Conflict Management (proactively communicates effectively, listens carefully to others, exhibits acceptable standards of conduct, deals effectively with others in difficult situations, works to reduce tension & conflict)
  • Organizational Awareness (takes time to learn about agency culture, policies, and procedures; recognizes and balances the interest and impact of one's department with those of other departments, programs, and the agency as a whole)
  • Embraces Change (actively identifies problems and opportunities for change, implements solutions where appropriate, maintains effectiveness & adjusts well when experiencing changes in work tasks, environment, processes, and requirements)
  • Living the Agency Vision & Values (demonstrates an understanding of agency vision and values, keeping the vision and values at the forefront of decision making)
  • Client & Customer Focused (keeps client and customer needs a primary focus; develops and sustains productive relationships with clients, customers, & partners)
  • Valuing Diversity (appreciates and leverages the capabilities, insights, & ideas of all individuals; works effectively with individuals of diverse style, ability, & motivation)
Physical Demands:
While performing the duties of this job, the employee is required to
  • Repetitively use hands, including grasping, twisting/turning of wrists, and finger dexterity to perform various necessary clerical duties, such as typing and writing.
  • Frequently use arms, such as pushing & pulling to open/close drawers, cabinets, etc.
  • Sit and/or stand for extended periods of time at an assigned station
  • Bend, stand, & reach to be able to transport clients and to lift and carry up to 25 pounds for tasks such as building kits & assembling testing/educational materials.
  • Use continuous clarity of vision at 20 inches or less for processing of paperwork
The physical demands described above here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Working Conditions, Travel, and Environment:
The duties of this job require individuals to be able to work in non-traditional and community-based settings. Additionally, the duties of this job include travel to other locations necessary to complete essential job functions, including the ability to transport self to job-related events and locations. This role requires regular reliable attendance, including:
  • Ability to work flexible hours, including early mornings, evenings, and weekends
  • Ability to work a minimum of 4 days per week for 30 hours per week
  • Ability to work in loud, crowded, busy, or escalated environments
  • Ability to drive at night and during various weather conditions safely

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