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Insurance Nurse Case Manager Jobs in Riverside, CA

OSO Home Care, Inc.

LVN Case Manager

Irvine, CA

$29.50 - $39.75/hr

Communicate with providers, insurance companies, nurses, pharmacy staff, and patients/families. * Assist AIC nurses in obtaining provider orders, starting IV's & case managing all aspects of patient ...

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genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

Seeking a qualified Nurse Case Manager residing in the Orange County area. Individual will be ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

genex

Medical Nurse Case Manager (RN)

Anaheim, CA

Seeking a qualified Nurse Case Manager residing in the Orange County area. Individual will be ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

Genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

... paperwork for the insurance company, state, or other regulatory bodies. • Maintains ... Prior case management experience preferred. MINIMUM QUALIFICATIONS: • A current, unrestricted ...

TravSource

Travel RN Case Manager

Orange, CA · On-site

TravSource is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. & Requirements * Specialty: Case Management * Discipline: RN * Start Date: 08/10/2026

Irvine Company

RN - Case Manager

Irvine, CA · On-site

Genie Healthcare is looking for a RN to work in Case Manager for a 13 weeks travel assignment ... Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company matching (50% up to 6% ...

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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, Home Health

RN Case Manager, Home Health

AccentCare, Inc.

Corona, CA

$108K - $132K/yr

Full-time

Re-posted 2 days ago

AccentCare rating

6.5

Company rating: 6.5 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

69th of 236 rated social care providers

Job description

RN / Registered Nurse, Home Health

Location: Corona

Position: RN Case Manager, Home Health

Position Type: Full-Time

Remote/Virtual Position: No

Coverage Area: Temecula & surrounding areas

Find Your Passion and Purpose as an Registered Nurse, Home Health Case Manager

Salary: $108-$132k/yr depending on experience

Offer Based on Years of Experience

Responsibilities

Reimagining Your Career in Home Health

Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.

We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together.

Be the Best RN Case Manager You Can Be

If you meet these qualifications, we want to meet you!

  • Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
  • One (1) year experience as a RN.

Required Certifications and Licensures:

  • Licensed to practice as a registered nurse in the state of agency operation.
  • Must possess and maintain valid CPR certification while employed in a clinical role.
  • Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations.

Our Investment in You

Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include:

  • Medical, dental, and vision coverage
  • Paid time off and paid holidays
  • Professional development opportunities
  • Company-matching 401(k)
  • Flexible spending and health savings accounts
  • Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app
  • Programs to celebrate achievements, milestones, and fellow employees
  • Company store credit for your first AccentCare-branded scrubs for patient-facing employees
  • And more!

Qualifications

Come As You Are

  • At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

What AccentCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About AccentCare

Sourced by ZipRecruiter

AccentCare is the 4th largest home health company in the nation with a history of care of over 50 years. We have more than 30,000 qualified professionals in over 242 offices who are dedicated to improving the quality of living. With advanced technologies, proprietary programs, and extensive training, our caring team members uphold our mission for over 200,000 patients and clients each year.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Dallas, TX, US

Year founded

1999

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