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Insurance Nurse Case Manager Jobs (NOW HIRING)

SteveRecruiter, LLC

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

The JAG Group

Nurse Case Manager

Tucson, AZ · On-site

NURSE CASE MANAGER Location: Arizona - Tucson * Population Health/Disease Management * Clinical assessment * Demonstrated organizational skills * Excellent verbal and written communication skills

Soap Creek Resources

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

KOB Solutions , Inc.

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

Zaddy Solutions

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

Omega Point Partners

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

ExcelliSearch, Inc.

Nurse Case Manager

Las Vegas, NV · On-site

Position Summary Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

Bradford Consulting

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

Sun Recruiting Inc

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

MJR Recruiting

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

RRC Solutions Group

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

Pernini Legal

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

LRSolutions

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for ...

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Insurance Nurse Case Manager information

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

As of Aug 12, 2026, the average hourly pay for insurance nurse case manager in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 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.
More about Insurance Nurse Case Manager jobs
What cities are hiring for Insurance Nurse Case Manager jobs? Cities with the most Insurance Nurse Case Manager job openings:
What states have the most Insurance Nurse Case Manager jobs? States with the most job openings for Insurance Nurse Case Manager jobs include:
What job categories do people searching Insurance Nurse Case Manager jobs look for? The top searched job categories for Insurance Nurse Case Manager jobs are:
Insurance Nurse Case Manager jobs near you
Infographic showing various Insurance Nurse Case Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

Nurse Case Manager

SteveRecruiter, LLC

Las Vegas, NV • On-site

Other

Re-posted 18 days ago

Job description

Nurse Case Manager

Our client is seeking a Nurse Case Manager to support a coordinated, multidisciplinary approach to patient care across the healthcare continuum. This role is responsible for assessing, planning, coordinating, and evaluating patient care needs while serving as an advanced clinical resource for patients, families, physicians, and staff. The Nurse Case Manager plays a key role in facilitating safe, efficient, and effective care delivery.

Education & Experience
  • Graduation from an accredited school of nursing
  • Minimum of three (3) years of nursing experience in an acute care hospital setting
  • At least three (3) years of experience in Case Management, Discharge Planning, or Utilization Review
Licensure & Certification
  • Active Nevada Registered Nurse (RN) license
  • Basic Life Support (BLS) certification from the American Heart Association (AHA)
Additional & Preferred Qualifications
  • Recent, documented acute care hospital experience
  • Pediatric case management experience preferred
  • Recent Emergency Department experience a plus
  • Recent Utilization Review experience a plus
  • One or more of the following certifications or professional affiliations strongly preferred:
    • Certified Case Manager (CCM)
    • Accredited Case Manager (ACM)
    • Membership in CCMC, ACCM, or ACMA
Knowledge
  • Case management principles and nursing process standards
  • Standards of care and disease processes across multiple specialty areas
  • Patient care planning, assessment, and evaluation techniques
  • Nurse Practice Act and third-party reimbursement regulations
  • Hospital safety practices, patient rights, and infection control policies
  • Emergency response procedures and age-specific patient care practices
Skills & Abilities
  • Manage patients with varying conditions and acuity levels
  • Analyze and interpret medical records and clinical documentation
  • Apply regulatory and reimbursement guidelines effectively
  • Use computers and healthcare software applications proficiently
  • Communicate clearly and compassionately with diverse populations in high-stress environments
  • Build and maintain effective working relationships with interdisciplinary teams
  • Use equipment safely, efficiently, and effectively

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