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Insurance Nurse Case Manager Jobs in Riverside, CA

RN Case Manager

Riverside, CA · On-site

$64 - $91/hr

RN Case Manager Hourly Wage Estimate: $64.00 - $91.00 / hour Learn more about the benefits offered ... home insurance, identity theft protection, legal counseling, long-term care coverage, moving ...

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The RN Case Manager serves as a liaison between patients, families, healthcare providers, and insurance companies to facilitate seamless care transitions and advocate for patient needs. By monitoring ...

RN Case Manager

Riverside, CA · On-site

$64 - $91/hr

... home insurance, identity theft protection, legal counseling, long-term care coverage, moving ... Apply today for our RN Case Manager opening and continue to learn! Job Summary and Qualifications ...

RN Case Manager Qualifications for RN Case Manager: * The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. * Partners with medical ...

RN Case Manager Qualifications for RN Case Manager: * The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. * Partners with medical ...

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Adoption Assistance, Community hospital, Disability Insurance, EAP, Employee Stock Purchase Plan ...

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 ...

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 ...

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 ...

Job Title: RN Case Manager Are you an experienced RN with Case Management experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career ...

RN Case Manager

San Jacinto, CA · On-site

$36.53 - $41.56/hr

RN Case Manager Hot Job San Jacinto Health Center - San Jacinto, CA 92583 Overview Salary Range $36 ... insurance status * Arrange and coordinate various services based on the needs of the patient ...

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 ...

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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 Aug 10, 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.

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 Riverside, CA? For Insurance Nurse Case Manager jobs in Riverside, CA, the most frequently searched job titles 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:
Infographic showing various Insurance Nurse Case Manager job openings in Riverside, CA as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $103,147 per year, or $49.6 per hour.

$64 - $91/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

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


Job description

RN Case Manager

Hourly Wage Estimate: $64.00 - $91.00 / hour Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Are you looking for a place to deliver excellent care patients deserve? At Riverside Community Hospital we support our colleagues in their positions. Join our Team as an RN Case Manager and access programs to assist with every stage of your career.

Benefits

Riverside Community Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our RN Case Manager opening and continue to learn!

Job Summary and Qualifications

The Coordinator of Case Management (RN Case Manager) is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

What qualifications you will need:

  • Registered Nurse (RN) with current California license required
  • Associate's Degree in Nursing required. Bachelor's Degree preferred
  • 3 years of experience in clinical nursing and/or 2 years of experience in case management required.
  • Acute care/inpatient case management experience required.
  • InterQual experience preferred

Founded in 1901, Riverside Community Hospital is a 542-bed full-service acute care hospital. We are in the heart of the Inland Empire and house the largest Emergency Room and Level I Trauma Center in the region and are one of Riverside County's only STEMI (heart attack) receiving centers. We are also a fully accredited Chest Pain Center and Comprehensive Stroke Center. Our centers of excellence includes the HeartCare Institute, which offers invasive and non-invasive cardiac procedures, and a Level III Neonatal Intensive Care Unit.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If growth and continued learning is important to you, we encourage you to apply for our RN Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.