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Insurance Nurse Case Manager Jobs in Raleigh, NC

Elevance Health

Nurse Case Manager I

Durham, NC · On-site

$70K - $105K/yr

Nurse Case Manager I Nurse Case Manager I LOCATION: This role enables associates to workvirtually ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...

genex

Medical Nurse Case Manager

Raleigh, NC · On-site

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

genex

Medical Nurse Case Manager

Raleigh, NC

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

Genex

Medical Nurse Case Manager

Chapel Hill, NC · On-site

... case management process. Works as an intermediary between carriers, attorneys, medical care ... paperwork for the insurance company, state, or other regulatory bodies. • Maintains ...

UNC Medical Center

RN - Case Manager

Chapel Hill, NC · On-site

Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Days Hours per Shift: 36 ... Medical, dental & vision insurance * Free and unlimited continuing education units (CEUs) * 24/7 ...

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All JobsInsurance Nurse Case JobsInsurance Nurse Case Manager JobsInsurance Nurse Case Manager Jobs in Raleigh, NC

Insurance Nurse Case Manager information

See Raleigh, NC salary details

$18

$46

$77

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

As of Aug 5, 2026, the average hourly pay for insurance nurse case manager in Raleigh, NC is $46.20, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $55.87 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 Raleigh, NC? For Insurance Nurse Case Manager jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Case Manager jobs in Raleigh, NC look for? The top searched job categories for Insurance Nurse Case Manager jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Nurse Case Manager jobs? Cities near Raleigh, 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 Raleigh, NC as of July 2026, with employment types broken down into 2% Locum Tenens, 74% Full Time, 14% Part Time, and 10% Contract. Highlights an 93% In-person, 1% Hybrid, and 6% Remote job distribution, with an average salary of $96,103 per year, or $46.2 per hour.

RN - Case Manager

UNC Health Medical Center - Chapel Hill

Chapel Hill, NC • On-site

$1.9K/wk

Other

Medical

Re-posted 7 days ago

Job description

Details
Client Name
UNC Health Medical Center - Chapel Hill
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
18839982
Job Title
RN - Case Manager
Weekly Pay
$1920.0
Shift Details
Shift
5x 8 Days
Scheduled Hours
40
Job Order Details
Start Date
08/17/2026
End Date
11/16/2026
Duration
13 Week(s)
Job Description
Our Client is currently seeking RN - Case Manager positions in Chapel Hill, NC for a 8 Hrs shift. You must have current State Licensure and at least 1 year of recent experience.
Requirements
  • Current Resume
  • State Licensure
  • Current BLS and/or ACLS and/or Specialty Certifications
  • 2 Current Clinical References
  • Physical (Within 12 Months)
  • TB Skin Test (Within 12 Months)
  • Titers - MMR/Hep B/Varicella
  • Respiratory Fit Test (Within 12 Months)
  • Current - Tdap/Flu Vaccinations
  • Must be able to pass pre-employment, background and urine drug screening
Compensation and Benefits
  • Compettive Pay Packages
  • Health Benefit Package
  • Travel pay - 1st pay check
  • Extending Contract Bonus
  • Refer a friend and earn extra cash!

At THP Healthcare Staffing, we take care of you - work with us, not for us!
Client Details
Address
101 Manning Dr
City
Chapel Hill
State
NC
Zip Code
27514

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