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Insurance Nurse Case Manager Jobs in South Fulton, GA

Spark Recruiting

RN Case Manager- Kennesaw

Kennesaw, GA · On-site

$40 - $43/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

A valid drivers license, reliable transportation, and automobile insurance * At least 1 year of ... Hospice Nurse Case Manager, Hospice Case Manager, Registered Nurse (RN) Care Manager, RNCM ...

EagleOne - Case Management Solutions

Be Seen First

Field/Telephonic RN Case Manager with CCM Certification

Atlanta, GA · On-site

$75K - $82K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Nurse Case Managers EagleOne is a family owned Nurse Case Management company that has been in business for 33 years and counting. Our expertise and commitment to excellence allows us to cater to the ...

Willowbrook Hospice

RN Case Manager

Atlanta, GA

The Visit Nurse works in conjunction with the Nurse Case Manager, Director of Nursing (DON) and the Interdisciplinary Team to: · provide hands-on clinical nursing, interacting with patients, family ...

Willowbrook Hospice LLC

RN Case Manager

Atlanta, GA · On-site

The Nurse Case Manager works in conjunction with the Director of Clinical Services (DCS) and the Interdisciplinary Team to: · provide hands-on clinical nursing, interacting with patients, family ...

Integrity Placement Group

Hospice Case Manager

Decatur, GA · On-site

$93K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Supplemental Coverage-Life Insurance, Short/Long Term Disability, etc. Responsibilities : * The RN Case Manager Will Maintain a Case Load of About 12-14 Patients * Monday- Friday 8am to 5pm

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Insurance Nurse Case Manager information

See South Fulton, GA salary details

$18

$45

$75

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

As of Aug 18, 2026, the average hourly pay for insurance nurse case manager in South Fulton, GA is $45.07, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $54.47 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 South Fulton, GA?

For Insurance Nurse Case Manager jobs in South Fulton, GA, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse Case Manager jobs in South Fulton, GA look for?

The top searched job categories for Insurance Nurse Case Manager jobs in South Fulton, GA are:

What cities near South Fulton, GA are hiring for Insurance Nurse Case Manager jobs?

Cities near South Fulton, GA 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 South Fulton, GA as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $93,751 per year, or $45.1 per hour.

Registered Nurse Case Manager

Prime Healthcare

Riverdale, GA • On-site

Full-time

Re-posted 5 days ago

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 285 frontline employees who took The Breakroom Quiz

604th of 888 rated healthcare providers

Job description

Shift’s Available:  Days 

Employment Type: Full Time 

Hours: 8 hour days hsifts 8am-5pm  

Location: Southern Regional Medical Center – Riverdale, GA  

We are seeking an RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager. An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems. 


  • Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay 
  • Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions 
  • Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities 
  • Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays 
  • Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources 
  • Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values 

Education and Work Experience

  1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  4. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  5. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  6. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  7. Current BCLS (AHA) certificate upon hire and maintain current;
  8. Knowledge of Milliman Criteria and InterQual Criteria preferred.
  9. Experience and knowledge in basic to intermediate computer skills.
  10. Behavioral Violence Prevention Training within 3 months of hires and maintain current.

#LI-DF2


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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