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Insurance Nurse Case Manager Jobs in Holly Ridge, NC

Goldbelt

Nurse Case Manager (NCM)

Jacksonville, NC · On-site

Two (2) years of experience within the last three (3) years as a registered nurse case manager ... and vision insurance, a 401(k) plan with company matching, tax-deferred savings options ...

Novant Health

Case Manager RN (Homecare)

Rocky Point, NC · On-site

$60 - $80/hr

Responsible for the quality, customer service and financial management of assigned case load. What We're Looking For * Education: 2 Year / Associate Degree, required. Associates Degree in Nursing ...

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Insurance Nurse Case Manager information

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$14

$36

$62

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

As of Sep 3, 2026, the average hourly pay for insurance nurse case manager in Holly Ridge, NC is $36.92, according to ZipRecruiter salary data. Most workers in this role earn between $27.45 and $44.62 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 job categories do people searching Insurance Nurse Case Manager jobs in Holly Ridge, NC look for?

The top searched job categories for Insurance Nurse Case Manager jobs in Holly Ridge, NC are:

What cities near Holly Ridge, NC are hiring for Insurance Nurse Case Manager jobs?

Cities near Holly Ridge, NC 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 Holly Ridge, NC as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $76,791 per year, or $36.9 per hour.

Nurse Case Manager (NCM)

Goldbelt

Jacksonville, NC • On-site

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Overview
Please note that this position is contingent upon the successful award of a contract currently under bid.
Goldbelt Glacier is accelerating healthcare delivery and providing superior force health readiness across the military, federal, and civilian landscapes. Goldbelt Glacier is committed to providing transformative and comprehensive health operational capabilities to support customers across scientific, clinical, technological, and program management areas.
Summary:
The Psychological Health Program (PHP) is designed to promote mental fitness and personal wellness to support operational readiness through linkage to behavioral health treatment, consultation, critical incident response, and clinical case management (CCM). The Psychological Health Program (PHP) is a support service that will assist Soldiers and dependents to access the services required to maintain optimum mental fitness and readiness.
Responsibilities
Essential Job Functions:

  • Serve as the administrative point of contact for a variety of psychological health related programs, facilitate, track and report results, and be the liaison with other behavioral health programs, Boards and directives.
  • Coordinate and consult with RC leadership on all behavioral health case management and psychological health initiatives and policy.
  • Plan and coordinate regional case management-related meetings and provide verbal reports of significant matters resulting from meetings or other events to COR within one day and provide written summaries within one week.
  • Possess adequate knowledge of the state laws governing mental health issues and clinical practice for the population they are serving. Clinical supervision and consultation must be available and used to ensure adequate knowledge of state laws is appropriately integrated into the delivery of services.
  • Shall have a demonstrated capability to carry out Clinical Case Management responsibilities as well as training and other RC sponsored events such as Yellow Ribbon.
  • Provide training, engage in health promotion activities, assess, consult, and refer clients as needed, take part in collaborative efforts with other supporting Government support programs and personnel, and provide consultation with Commander's supervisors, and others across all levels of the RC.
  • Shall assist the Soldier in establishing a successful treatment plan that will assist the Soldier to achieve optimal mental fitness/readiness and provide relevant condition/disease management education (including medication education).
  • Facilitate access to care and services, advocate for the Soldier, and monitor the ongoing treatment plan for effectiveness.
  • Coordinate with the Soldier, providers, and Commanders to ensure that the soldier remains engaged in definitive treatment, obtain feedback from providers about the progress of the Soldier, and inform Commands about the Soldier's readiness status.
  • Continually evaluate the need for continued services, the progress of the Soldier, readiness status, and consult with the Soldier's Command to determine Retention /Separation criteria utilizing the Command Directed Behavioral Health Evaluation at the appropriate time.
  • Participate in Critical Incident response if qualified and ensure that TEM and CISI services are provided as appropriate.
Qualifications
Necessary Skills and Knowledge:
  • Two (2) years of experience within the last three (3) years as a registered nurse case manager
  • Must have experience working in a complex organizational environment, and must understand labor relations, military operations, and the Military Health System, TRICARE and VA as it pertains to the RC
  • Ability to be flexible to work varied shifts per rotation to provide workplace on-site services.
Minimum Qualifications:
  • Associates Degree of Nursing (required).
  • Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).
  • NCM assigned to perform services related to clients in other states, e.g. telephonic case management, must be licensed or certified in the state where he/she the client/patient is physically located
  • Certification: Possess one of the following certifications:
    • Commission for Case Manager Certification Certified Case Manager (CCM) Certification Disability Management Specialists Commission: Certified Disability
    • Management Specialist (CDMS) or Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse
    • (CRRN) American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S)
    • National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)
    • Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC)
    • American Nurses Credentialing Center Nurse Case Manager (RN-NCM)
    • National Academy of Certified Care Managers: Care Manager Certified (CMC)
    • Be able to travel

Pay and Benefits
At Goldbelt, we value and reward our team's dedication and hard work. We provide a competitive base salary commensurate with your qualifications and experience. As an employee, you'll enjoy a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) plan with company matching, tax-deferred savings options, supplementary benefits, paid time off, and professional development opportunities.

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