ZipRecruiter

Log In

1

Insurance Nurse Case Manager Jobs in Riverside, CA

VNAcare

RN CASE MANAGER

Rancho Cucamonga, CA · On-site

$48 - $58.50/hr

Come on board with us as an RN Case Manager!!! With offices throughout Southern California, you can become part of the team who continues to be a leader in providing professional and comprehensive ...

VNA

RN CASE MANAGER

Rancho Cucamonga, CA · On-site

$48 - $58.50/hr

Come on board with us as an RN Case Manager!!! With offices throughout Southern California, you can become part of the team who continues to be a leader in providing professional and comprehensive ...

VNAcare

RN CASE MANAGER

Rancho Cucamonga, CA · On-site

$48 - $58.50/hr

Come on board with us as an RN Case Manager!!! With offices throughout Southern California, you can become part of the team who continues to be a leader in providing professional and comprehensive ...

Care Navigators On Demand

RN Case Manager

Corona, CA · On-site

Qualifications for RN Case Manager : * TheCase Manager is responsible for managing a continuum of care fromadmission through discharge for assigned patients. * Partnerswith medical staff, utilizes ...

DAP Health

RN Case Manager

San Jacinto, CA · On-site

$36.53 - $41.56/hr

Job Summary The RN Case Manager serves as an advocate and care coordinator for at-risk patients ... insurance status * Arrange and coordinate various services based on the needs of the patient ...

DAP Health

RN Case Manager

San Jacinto, CA · On-site

$36.53 - $41.56/hr

Job Summary The RN Case Manager serves as an advocate and care coordinator for at-risk patients ... insurance status * Arrange and coordinate various services based on the needs of the patient ...

Prime Staffing

Travel ED Case Manager

Orange, CA · On-site

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. & Requirements * Specialty: Case Management * Discipline: RN * Duration: 13 weeks * 40 ...

Newport Hospice

Hospice RN Case Manager

Irvine, CA · On-site

$9.5K/mo

Health insurance * Paid time off Full-Time | 8:30 AM - 5:00 PM | Field Position Hospice Case Managers are vital members of our care team, providing compassionate, skilled nursing support to patients ...

DaVita

RN Case Manager

Redlands, CA · Hybrid

Minimum of three (3) years' experience in renal nursing preferred * Case management experience is ... of insurance coverage required * Basic computer skills and proficiency in MS Word and Outlook ...

next page

Showing results 1-20

All JobsInsurance Nurse Case JobsInsurance Nurse Case Manager JobsInsurance Nurse Case Manager Jobs in Riverside, CA

Insurance Nurse Case Manager information

See Riverside, CA salary details

$20

$49

$83

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

As of Jul 21, 2026, the average hourly pay for insurance nurse case manager in Riverside, CA is $49.59, according to ZipRecruiter salary data. Most workers in this role earn between $36.88 and $59.95 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 Riverside, CA? For Insurance Nurse Case Manager jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Case Manager jobs in Riverside, CA look for? The top searched job categories for Insurance Nurse Case Manager jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Insurance Nurse Case Manager jobs? Cities near Riverside, CA 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 Riverside, CA as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $103,147 per year, or $49.6 per hour.
RN Case Manager - Clinical Supervisor

RN Case Manager - Clinical Supervisor

Aveanna Healthcare

Corona, CA • On-site

$83K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 200 frontline employees who took The Breakroom Quiz

59th of 236 rated social care providers

Job description

RN Case Manager - Clinical Supervisor
Aveanna Healthcare is one of the nation's largest home health care companies in the United States and growing! We are adding a RN Case Manager to join our clinical team in Corona, CAThis position provides the opportunity to help develop and provide professional guidance to our field staff, as well as, help monitor our clinical excellence. In addition to the support and collaboration of a full team of healthcare professionals, you will have autonomy and flexibility in scheduling. This is a fantastic opportunity for a talented nurse looking to expand their footprint in the healthcare industry, truly increasing the number of lives they impact daily in their own community.
Work Location: Combination ofAveanna Corona office and Patient's Home
Compensation: $83,000 to $88,000/YR salary plus monthly incentive potential, cell phone and mileage reimbursement
Why Choose a RN Case Manager Role at Aveanna?
  • Health, Dental, Vision Insurance
  • 401(k) Savings Plan with Employer Matching
  • Employee Stock Purchase Plan
  • Company-Paid Life Insurance
  • Paid Holidays, Paid Vacation Days, Paid Sick Days
  • Accrued PTO hours
  • Easy access to state-of-the-art technology for electronic charting during point of care
  • 24/7 Team Support for direct clinical and scheduling assistance

Responsibilities of the RN Case Manager:
  • Promote and enhance the level of clinical expertise of staff to provide safe and quality nursing care for our patients
  • Review physicians' orders and update the plans of care and documentation, as necessary
  • Assist with Interviewing, selecting, training and validation of new clinical staff
  • Participating in the release of our patients from the facility to theirhomethrough "Start of Care Assessments" and "Re-evaluations"
  • Collaborating with the operations and business development team
  • Internal case management, evaluation and development of nursing talent
  • Ensure adherence to State, Federal, Local and Aveanna policies and procedures
  • Quality assurance of clinical documentation
  • Care coordination with ancillary healthcare providers

Qualifications of the RN Case Manager:
  • Must have good standing license (RN) in the state in which the clinician will practice
  • Must have at least 2 years of hands-on RN nursing experience within the last 5 years
  • Must be able to travel to patients' homes in designated territory
  • Must have reliable transportation, valid driver's license, and pass MVR check
  • Current CPR certification from AHA or ARC
  • Must be willing to supervise nurses providing in home skilled nursing care to infants, children, adolescents and/or adults
  • Opportunities to advance and grow professionally

Benefit eligibility is dependent on employment status
Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
CCPA Notice for Job Applicants, Contractors, and Employees Residing in California

What Aveanna Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Aveanna logo

About Aveanna

Sourced by ZipRecruiter

Aveanna Healthcare is one of the nation's leading providers of pediatric and adult homecare in the nation. We lead with clinical quality and compassion, delivering care in over 200 locations in 23 states. While we have a national presence, we are very much a local provider in each community we serve. Our stated mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time, and we hope you will help us fulfill that mission by joining the 30,000 nurses who already call Aveanna home. Apply today.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US

View All Aveanna Jobs

Apply