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Insurance Nurse Case Manager Jobs in Raleigh, NC

UNC Medical Center

RN - Case Manager

Chapel Hill, NC · On-site

Attend and actively participate in case management meetings for assigned units. * Alert the care ... Medical, dental & vision insurance * Free and unlimited continuing education units (CEUs) * 24/7 ...

PruittHealth

RN Case Manager - On Call

Raleigh, NC · On-site

REGISTERED NURSE CASE MANAGER (RN) HOSPICE SERVICES Join the PruittHealth Hospice family, where the health and safety of our workforce is our top priority! We're not only committed to your career, w ...

PRIDE Health

Travel RN Care Manager

Chapel Hill, NC · On-site

Specialty: Case Management * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 ... insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life ...

PRIDE Health

Travel RN Care Manager

Chapel Hill, NC · On-site

Case Management * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life ...

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Insurance Nurse Case Manager information

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$46

$77

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

As of Aug 21, 2026, the average hourly pay for insurance nurse case manager in Raleigh, NC is $46.21, 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 August 2026, with employment types broken down into 2% Locum Tenens, 75% Full Time, 14% Part Time, and 9% Contract. Highlights an 93% In-person, 1% Hybrid, and 6% Remote job distribution, with an average salary of $96,108 per year, or $46.2 per hour.

RN - Case Manager

UNC Medical Center

Chapel Hill, NC • On-site

Other

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

Care Manager

The purpose of this position is to provide ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction. The role promotes continuity of care and cost-effectiveness through the integration of case management, utilization review, and discharge planning. The Care Manager must be a highly organized professional with great attention to detail. Adaptability to frequent change and compliance with regulatory and departmental guidelines and policies is essential.

Essential Duties:

  • Identify cases and prioritize daily work lists to highlight patients and new admissions.
  • Conduct and document assessments and a plan of care following departmental guidelines.
  • Participate in daily care management meetings as per established protocols.
  • Consult with appropriate team members when indicated.
  • Review and adjust discharge plans based on team discussions and updates.
  • Attend and actively participate in case management meetings for assigned units.
  • Alert the care team to any concerns that could impact anticipated patient discharge.
  • Assist with identifying expected discharge dates.
  • Monitor unique and high-risk cases needing escalation for further attention.
  • Coordinate family meetings as necessary to support the progression of care.
  • Provide education on community resources and coordinate referrals as necessary.
  • Communicate medical milestones for transition with patients and families.
  • Monitor all observation patients to ensure appropriate care progression.
  • Assess discharge plans continually to determine post-discharge needs.
  • Verify patient understanding and agreement with discharge plans.
  • Consult with the social worker and/or utilization manager as needed.

We offer competitive benefits, including:

  • Medical, dental & vision insurance
  • Free and unlimited continuing education units (CEUs)
  • 24/7 dedicated Care Line and clinical liaison support
  • Personalized career consultant and "single point of contact" service
  • Industry‑leading pay rates, loyalty rewards & referral bonuses
  • Free tax return assistance for travelers
  • 401(k) Retirement Plan
  • Health Savings Account (HSA)
  • Disability Insurance (Short-Term and Long-Term)
  • Life and AD&D Insurance
  • Paid Sick Leave (where required by applicable state or local law)
  • Supplemental Insurance Plans
  • Identity Theft Protection
  • Pet Insurance
  • Employee Wellness Programs
  • Employee Assistance Program (EAP)
  • Career Growth and Professional Development Opportunities

Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Health reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

About Cynet Health: Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest‑growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct‑hire, and non‑clinical professionals across hospitals, clinics, long‑term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest‑growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.

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