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Insurance Nurse Case Manager Jobs in Raleigh, NC

Elevance Health

Nurse Case Manager I

Durham, NC

$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

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

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

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 ...

Elevance Health

Nurse Case Manager I

Durham, NC

$70K - $105K/yr

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

Cynet Health

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 Jul 30, 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.

How to make an extra 2000 a month as a nurse?

An insurance nurse case manager can increase income by taking on additional cases, working overtime, or pursuing specialized certifications to qualify for higher-paying roles. Developing skills in telehealth or consulting can also provide opportunities for extra income outside regular hours.

What does a nurse case manager do for an insurance company?

An insurance nurse case manager evaluates and coordinates medical care for policyholders to ensure appropriate, cost-effective treatment. They review medical records, communicate with healthcare providers, and develop care plans, often using case management software and adhering to industry standards. Their goal is to facilitate recovery and manage claims efficiently.

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 is the highest paid case manager?

The highest paid case managers are often experienced nurse case managers working in specialized fields such as workers' compensation, disability management, or insurance claims, with salaries exceeding $100,000 annually. Factors influencing pay include certifications, years of experience, and the complexity of cases managed. Nurse case managers with advanced credentials and leadership roles tend to earn the highest salaries in the field.

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.

How to make 300,000 as a nurse?

An Insurance Nurse Case Manager can earn $300,000 by gaining extensive experience, obtaining advanced certifications, and working in high-paying sectors such as insurance companies or consulting firms. Increasing specialization in complex cases and taking on leadership or consulting roles can also boost earning potential.

What are Insurance Nurse Case Managers?

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

$1.7K/wk

Other

Medical

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

Job description

Details
Client Name
UNC Health Medical Center - Chapel Hill
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
18823458
Job Title
RN - Case Manager
Weekly Pay
$1726.5
Shift Details
Shift
3x 12 Days
Scheduled Hours
36
Job Order Details
Start Date
08/17/2026
End Date
11/14/2026
Duration
13 Week(s)
Job Description
Our Client is currently seeking RN - Case Manager positions in Chapel Hill, NC for a 12 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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