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Insurance Nurse Case Manager Jobs (NOW HIRING)

Accounting Search

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 ...

Your Talent Team 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 ...

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 ...

ExcelliSearch, 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 ...

United Future

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 ...

Gallman 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 ...

CP Unlimited

Nurse Case Manager

Yonkers, NY · On-site

$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 ...

Cogent Info

Nurse Case Manager

Las Vegas, NV · On-site

Nurse Case Manager The Nurse Case Manager assists in providing a system of health care delivery at client which utilizes a coordinated, collaborative, multi-disciplinary approach to assess, plan ...

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 ...

Apply Early

University Health

Nurse Case Manager

Hondo, TX

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

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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 Jul 1, 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.

How to make an extra 2000 a month as a nurse?

An insurance nurse case manager can increase income by taking on additional cases, working overtime, or pursuing specialized certifications to qualify for higher-paying roles. Developing skills in telehealth or consulting can also provide opportunities for extra income outside regular hours.

What does a nurse case manager do for an insurance company?

An insurance nurse case manager evaluates and coordinates medical care for policyholders to ensure appropriate, cost-effective treatment. They review medical records, communicate with healthcare providers, and develop care plans, often using case management software and adhering to industry standards. Their goal is to facilitate recovery and manage claims efficiently.

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 is the highest paid case manager?

The highest paid case managers are often experienced nurse case managers working in specialized fields such as workers' compensation, disability management, or insurance claims, with salaries exceeding $100,000 annually. Factors influencing pay include certifications, years of experience, and the complexity of cases managed. Nurse case managers with advanced credentials and leadership roles tend to earn the highest salaries in the field.

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.

How to make 300,000 as a nurse?

An Insurance Nurse Case Manager can earn $300,000 by gaining extensive experience, obtaining advanced certifications, and working in high-paying sectors such as insurance companies or consulting firms. Increasing specialization in complex cases and taking on leadership or consulting roles can also boost earning potential.

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
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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

Nurse Case Manager

Accounting Search

Las Vegas, NV • On-site

Other

Posted 15 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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