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Insurance Nurse Case Manager Jobs (NOW HIRING)

Ascensa Health

Nurse Case Manager

Atlanta, GA · On-site

$30 - $35/hr

The Nurse Case Manager plays a critical role in coordinating and managing patient care to ensure optimal health outcomes while controlling healthcare costs. This position involves comprehensive ...

New

Pernini Legal

Nurse Case Manager

Las Vegas, NV

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 ...

New

Cunningham Children's Home

Nurse Case Manager

Urbana, IL · On-site

$33.20 - $49.80/hr

Life Insurance * Holiday Pay * Paid Leave * Garner Health & Paytient Card - Healthcare Navigation ... Salary is based on experience for the Nurse Case Manager. Prospective employees will be required to ...

A-Line Staffing Solutions LLC

RN Case Manager

Wayne, MI

$44.14/hr

A-Line Staffing is now hiring a RN Case Manager. This would be full time / 40+ hours per week. RN Case Manager Hours Typically, M-F 8am-5pm Looking for candidates who live in Macomb or Wayne County R ...

A-Line Staffing Solutions LLC

RN Case Manager

Wayne, MI

$44.14/hr

A-Line Staffing is now hiring a RN Case Manager. This would be full time / 40+ hours per week. RN Case Manager Hours Typically, M-F 8am-5pm Looking for candidates who live in Macomb or Wayne County R ...

Cynet Health

RN - Case Manager

Mequon, WI

RN Case Manager The position requires a Registered Nurse with case management experience. The ... Medical, dental & vision insurance * 401(k) with employer match * Free and unlimited continuing ...

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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 Jun 8, 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 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.
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:
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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 May 2026, with employment types broken down into 100% Contract. Highlights an 100% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.
Nurse Case Manager

Nurse Case Manager

Ascensa Health

Atlanta, GA • On-site

$30 - $35/hr

Part-time

Posted 2 days ago

Job description

About the Role:

Ascensa Health is currently hiring a Part Time (28 hours/ week) Nurse Case Manager for our Medication Assisted Treatment Program.

The Nurse Case Manager plays a critical role in coordinating and managing patient care to ensure optimal health outcomes while controlling healthcare costs. This position involves comprehensive assessment, planning, implementation, and evaluation of patient care plans for clients in the MAT (Medication Assisted Treatment) Program. By utilizing evidence-based practices and healthcare management principles, the Nurse Case Manager ensures that patients receive appropriate, timely, and appropriate.

Minimum Qualifications:

  • Current and valid Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in Georgia.
  • Minimum of 3 years clinical nursing experience, preferably in case management, Substance Abuse Treatment, and/ or Medication Assisted Treatment
  • Proficiency in medical case management, utilization management, and data tracking processes.

Responsibilities:

  • Conduct thorough assessments of patients’ medical histories, current health status, use history, and care needs to develop individualized case management plans for clients in the MAT program.
  • Coordinate with multidisciplinary healthcare teams, including physicians, nurses, social workers, and therapists, to implement and monitor patient care plans.
  • Manage utilization review processes to ensure that healthcare services are medically necessary and align with payer guidelines.
  • Provide education and support to patients regarding medication management, treatment options, and available community resources.
  • Monitor patient progress and adjust care plans as needed.
  • Maintain accurate and timely documentation of case management activities in compliance with regulatory and organizational standards.

EOE/ Drug Free Workplace

Ascensa Health logo

About Ascensa Health

Sourced by ZipRecruiter

Ascensa Health, formerly known as St. Jude's Recovery Center, has helped to rebuild the lives of individuals who suffer from the disease of addiction and co occurring mental health disorders since 1962. Based in Metro Atlanta, Ascensa Health provides behavioral health care for addiction and co-occurring mental health disorders that sustains recovery and returns individuals to their families and communities. Our programs and services are based on the belief that addiction is a disease. We focus on treating the whole person and we support people over a lifetime of recovery. Ascensa Health is open to anyone seeking treatment for addiction and co occurring mental health disorders. Most people who come to Ascensa Health are low income, experiencing homelessness, do not have health insurance and or cannot afford life saving treatment.

Industry

Non-profits

Company size

51 - 200 Employees

Headquarters location

Atlanta, GA, US

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