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Insurance Nurse Case Manager Jobs in Raleigh, NC

paradigm

Nurse Case Manager - Raleigh, NC

Raleigh, NC · On-site

We are hiring a Field Nurse Case Manager to support injured workers throughout Raleigh and nearby ... The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and ...

Paradigm

Nurse Case Manager - Raleigh, NC

Raleigh, NC · On-site

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused ... The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and ...

TotalMed RN

Travel RN Care Manager

Chapel Hill, NC · On-site

Case Management * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days ... Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ...

Pyramid Corporation

RN-Case Manager

Durham, NC · On-site

$60 - $60.71/hr

RN-Case Manager Immediate need for a talented RN-Case Manager. This is a 06+ Months Contract ... Employee benefits include, but are not limited to, health insurance (medical, dental, vision ...

VIVA USA INC

Nurse Case Manager

Raleigh, NC · On-site +1

... case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Position Summary The Care Manager-Registered Nurse is a ...

genex

Medical Nurse Case Manager

Durham, 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

Durham, 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

Durham, 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 ...

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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 Sep 12, 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.

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 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 September 2026, with employment types broken down into 86% Full Time, 8% Part Time, and 6% Contract. Highlights an 88% In-person, 8% Hybrid, and 4% Remote job distribution, with an average salary of $96,103 per year, or $46.2 per hour.

Registered Nurse - Case Management- Case Manager

Chapel Hill, NC • On-site

Trinity Clinics AMN
See more jobs at Trinity Clinics AMNexternal

Other

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Job description

Job Details
Travel Registered Nurse Case Manager jobs at the facility in Chapel Hill, NC let you work in a Magnet-recognized teaching hospital with advanced interdisciplinary care and a collaborative culture. You will coordinate patient care plans, facilitate transitions, and document in electronic medical record (EMR) systems.Required qualifications include graduation from an accredited nursing program, an active North Carolina RN license, Basic Life Support (BLS) certification, and recent case management nursing experience.Recommended skills include strong clinical assessment, knowledge of discharge planning, and effective communication with healthcare teams.AMN Healthcare offers excellent compensation, discounts and perks, dedicated recruiters and clinical support, and the AMN Passport app for 24/7 assistance. Apply now to join this Travel Registered Nurse Case Manager assignment in Chapel Hill, NC.
Benefits
At AMN Healthcare we take care of our travelers! We offer:

  • Competitive pay rates
  • Free, quality, private housing
  • Medical, Dental, Vision
  • 401(k) and Flex Spending
  • Life Insurance
  • Accident and Short-term Disability Coverage
  • Free Continuing Education
  • Refer a friend and earn extra cash!

Required Qualifications
Registered Nurse, Case Manager References: 1 Reference in entire work history
About Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

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