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Insurance Nurse Case Manager Jobs in Virginia (NOW HIRING)

ccwvcaring

RN Case Manager

Falls Church, VA · On-site

RN Case Manager Hospice Location: Merrifield, VA Shift: Monday - Friday 8:00am - 5:00pm with occasional responsibility for after hours on call shifts and holiday rotations for coverage. GENERAL ...

Varite

Nurse Case Manager

Richmond, VA · On-site

Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs ...

VHS Hospice

RN Case Manager

Newport News, VA

$35 - $45/hr

Join our team at VHS Hospice as a Hospice RN Case Manager. Proudly supported by Marquis Health ... Shift differentials * Company-sponsored life insurance * Employee assistance program (EAP ...

US Tech Solutions

Nurse Case Manager

Richmond, VA · On-site

Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs ...

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Insurance Nurse Case Manager information

See Virginia salary details

$19

$47

$79

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

As of Aug 11, 2026, the average hourly pay for insurance nurse case manager in Virginia is $47.13, according to ZipRecruiter salary data. Most workers in this role earn between $35.05 and $56.97 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.
What are popular job titles related to Insurance Nurse Case Manager jobs in Virginia? For Insurance Nurse Case Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Case Manager jobs in Virginia look for? The top searched job categories for Insurance Nurse Case Manager jobs in Virginia are:
What cities in Virginia are hiring for Insurance Nurse Case Manager jobs? Cities in Virginia 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 Virginia as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 84% In-person, 8% Hybrid, and 8% Remote job distribution, with an average salary of $98,021 per year, or $47.1 per hour.

Registered Nurse (RN) Case Manager

CareBuilders at Home - Arlington VA

Arlington, VA • On-site

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 2 days ago

Job description

About Us:

CareBuilders at Home is a national, industry leading, non-medical home care company committed to enhancing the quality of life for individuals in need of assistance at home. We provide personalized care and support to help our clients maintain independence and dignity in the comfort of their own homes. As we continue to expand, we are seeking a skilled and dedicated Registered Nurse (RN) Case Manager to join our team.

Job Description for a Registered Nurse (RN) Case Manager:

We are currently seeking a PRN Registered Nurse (RN) Case Manager to join our team. The Registered Nurse (RN) Case Manager will be responsible for providing comprehensive case management services to our clients, ensuring they receive the highest level of care and support. This position offers flexibility and the opportunity to make a meaningful impact in the lives of others.     

Registered Nurse (RN) Case Manager Benefits:

  • Competitive Pay  

  • Medical insurance

  • Dental insurance

  • Vision insurance

  • Referral program

  • Tuition Reimbursement

  • 401k Plan

  • Life insurance

  • Disability insurance

  • Identity theft insurance

  • Weekly Pay

  • Flexible scheduling options

  • Training and opportunities for career advancement

  • Rewarding work with a positive impact on the community

Responsibilities of a Registered Nurse (RN) Case Manager:

  • Complete new client admissions, including conducting initial assessments, obtaining medical histories, and developing individualized care plans.

  • Meet with families and clients to discuss the benefits of home care and address any questions or concerns they may have.

  • Develop the initial care plan based on client needs and preferences

  • Oversee caregivers' adherence to the care plan, including conducting regular visits to client homes to assess care quality and provide guidance and support to caregivers.

  • Ensure all services provided are in compliance with state regulations and agency policies and procedures.

  • Collaborate with other members of the healthcare team, including physicians, therapists, and social workers, to coordinate care and ensure continuity of services.

  • Maintain accurate and up-to-date documentation of client care, including progress notes, care plans, and medication records.

  • Provide education and support to clients and their families on health management, medication management, and safety practices.

  • Participate in case conferences and team meetings to discuss client progress, identify areas for improvement, and develop strategies to enhance care delivery.

  • Act as a liaison between clients, caregivers, and other healthcare professionals to facilitate communication and ensure the highest level of care and support.

  • Coordinate and oversee the implementation of care plans, including coordinating with other healthcare professionals and community resources as needed.

  • Provide ongoing monitoring and evaluation of client progress and make adjustments to care plans as necessary.

Registered Nurse (RN) Case Manager Skills and Qualifications:

  • Strong assessment, communication, and interpersonal skills.

  • Ability to work independently and as part of a team.

  • Compassionate and empathetic approach to patient care.

  • Reliable transportation and willingness to travel to client homes as needed.

Equal Opportunity Employer: CareBuilders at Home is an Equal Opportunity Employer. All applicants will be considered for employment without regards to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other category protected by Federal, State or local law.