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Insurance Nurse Case Manager Jobs (NOW HIRING)

CP Unlimited

Nurse Case Manager

Yonkers, NY

$46 - $48/hr

Nurse Case Manager Type of Position Per Diem Search Location(s) Yonkers, NY Apply Now ( Job Brief ... insurance. CP Unlimited invests in its staff over the long term and strives to provide ...

Managed Staffing

RN Case Manager

RI · Remote

$36 - $38/hr

RN Case Manager Job Type: Contract (6 months, potential extension) Schedule: Monday - Friday, 8:00 ... This role is fully remote and focuses on insurance medical case management --not patient ...

University Health

Nurse Case Manager

San Antonio, TX · On-site

$32.50 - $51/hr

Nurse Case Manager II: Discover your life-changing career at University Health System. We are currently searching for RN's looking for a challenge in their career. Nurse Case Managers enjoy the ...

HiredFirst

Nurse Case Manager

Poplar, MT · On-site

$2K - $2K/wk

Nurse Case Manager Location: Montana (Poplar or Wolf Point - final site TBD) Position Type: Full-Time | Contract Duration: 1 Year Start Date: As soon as security cleared A long-term contract ...

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Insurance Nurse Case Manager information

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$47

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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:
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 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

University Health - San Antonio

San Antonio, TX

Full-time

Posted 17 days ago

Job description

University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients.

Nurse Case Manager II:
Discover your life-changing career at University Health System. We are currently searching for RN's looking for a challenge in their career. Nurse Case Managers enjoy the gratification of patient care and also the rewarding challenges of a leadership role.

Qualifications

BSN highly preferred
Two years' experience in any case management setting or Acute Care is required
Current CPR card American Heart Association preferred
Current Texas RN License
National Certification in case management is highly preferred

    Apply