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Insurance Nurse Case Manager Jobs in Riverside, CA

Colorwave Inc

Nurse Case Manager (RN)

Corona, CA · On-site

$75K - $160K/yr

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting applications in the Corona, CA area for the following position: Nurse Case Manager (RN). Nurses with ...

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 ...

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 ...

Bristol Hospice

RN Case Manager

Ontario, CA · On-site

$52 - $56/hr

RN Case Manager Bristol Hospice - Inland Valley, CA Overview Salary Range $52.00 - $56.00 Hourly ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

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 ...

Newport Hospice

Hospice RN Case Manager

Irvine, CA · On-site

$79K - $100K/yr

... insurance Paid time off Full-Time | 8:30 AM - 5:00 PM | Field Position Hospice Case Managers are ... As a Hospice RN Case Manager, you will oversee patient care, coordinate interdisciplinary support ...

Oso Home Care

LVN Case Manager

Irvine, CA · On-site

$30 - $36.40/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 ...

Oso Home Care

LVN Case Manager

Irvine, CA · On-site

$30 - $36.40/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 ...

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 ...

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 ...

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Showing results 21-40

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 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 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 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.

Nurse Case Manager (RN)

Colorwave Inc

Corona, CA • On-site

$75K - $160K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

Nurse Case Manager (RN)

Hospitals on Incredible Health are actively hiring and accepting applications in the Corona, CA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review.

Shift(s) available: day shift

Job types available: full time, part time, and per diem

Employer features: Community hospital, Offers sign on bonus, Tuition Assistance

Qualifications:

  • Bachelor of Science in Nursing (BSN) or higher educational attainment from an accredited program
  • Active and unencumbered Registered Nurse license
  • 1+ years experience in case management, preferably within a healthcare or hospital setting
  • Exceptional interpersonal and communication skills, both written and verbal, to effectively collaborate with medical professionals, patients, and family members
  • Proficiency in electronic health records (EHR) software

Responsibilities:

  • Conduct comprehensive assessments of patients, including their medical history, medication, treatment plans, and psychosocial needs
  • Collaborate closely with healthcare providers, patients, and families to develop and implement individualized care plans
  • Monitor and evaluate patient progress, adjusting care plans as needed and communicating any changes to the healthcare team
  • Serve as the main point of contact between the patient and healthcare providers, ensuring seamless communication and care coordination
  • Maintain up-to-date records and case notes, adhering to all confidentiality and compliance standards

Benefits:

  • Healthcare coverage: Medical, Dental, Vision
  • 401K
  • Paid Time Off
  • Tuition Assistance

Salary: $75,380 to $160,850 /year

Apply