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Insurance Nurse Case Manager Jobs (NOW HIRING)

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 ...

University Health

Nurse Case Manager

Seguin, TX

$34.50 - $51/hr

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 ...

Loyal Source

Nurse Case Manager

Louisville, KY · On-site

The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications * The contractor shall have ...

Loyal Source

Nurse Case Manager

Valparaiso, FL · On-site

The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications * The contractor shall have ...

FutureSoft Consulting Inc

RN Case Manager

Juneau, AK · On-site

... with insurance providers, payers, and external agencies when required. · Maintain accurate and ... Ideal Candidate The ideal candidate is an experienced RN Case Manager who can independently ...

Loyal Source

Nurse Case Manager

Hopkinsville, KY · On-site

Nurse Case Manager Responsibilities The Nurse Case Manager shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications The contractor shall have ...

South Shore Health

RN Case Manager

South Weymouth, MA · On-site

$117K - $170K/yr

RN Case Manager Under the general supervision of the Case Management Manager acts as a patient ... Explains UR process and insurance coverage requirements. Obtains physician written concurrence when ...

New

Loyal Source

Nurse Case Manager

Savannah, GA · On-site

The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications * The contractor shall have ...

Loyal Source

Nurse Case Manager

Albuquerque, NM · On-site

The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of ... insure mutual compliance in meeting care goals. Qualifications * The contractor shall have ...

TNAA TotalMed RN

Travel Case Manager RN

Burbank, CA · On-site

Communicate with Insurance companies to collaborate or appeal decisions. * Improve financial status ... Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up ...

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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 20, 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.

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.
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 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

Nurse Case Manager

Cogent Info

Las Vegas, NV • On-site

Other

Re-posted 29 days ago

Job description

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, coordinate and evaluate the health care needs of patients throughout the health care continuum. The Nurse Case Manager serves as an advanced clinical resource to patients, families, staff and physicians in the delivery of care.

Job Requirement Education/Experience

Graduation from an accredited school of nursing. Minimum three (3) years of nursing experience in an acute care hospital setting, one (1) year of which was in Case Management, Discharge Planning, or Utilization Review. At the sole discretion of the Hospital, a Master's Degree in nursing with a concentration in case management may substitute for the experience requirement.

Licensing/Certification Requirements:

Valid License from State of Nevada to Practice as a Registered Nurse. Basic Life Support (BLS) certification accepted by the American Heart Association (AHA).

Additional and/or Preferred Position Requirements:

  • Minimum three (3) years of Case Management experience in an acute care setting.
  • Recent Documented experience in an acute care setting.
  • Experience as a Case Manager in pediatrics is preferred.
  • Recent documented Emergency Department experience a plus.
  • Recent documented Utilization Review experience a plus.

One or more of the following A PLUS!

  • Certified Case Manager (CCM)

Accredited Case Manager (ACM) Membership in:

  • The Commission of Case Management Certification (CCMC)
  • Academy of Certified Case Managers (ACCM)
  • American Case Management Association (ACMA)

Knowledge, Skills, Abilities, and Physical Requirements Knowledge of:

Principles of case management; nursing process (assessment, planning, implementation and coordination of patient care); standards of care; disease process of illnesses or injuries in variety of specialty areas; patient care plan development; patient evaluation and assessment techniques; Nurse Practice Act; third party reimbursement regulations and rules; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices.

Skills

Working with patients in a variety of conditions; interpreting rules and regulations; interpreting and analyzing patient medical charts; using computers and a variety of software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Cogent Infotech is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment where everyone feels welcome and valued. We encourage applications from individuals of all backgrounds, identities, abilities, and experiences. If you're excited about this role but don't meet every requirement, we still encourage you to apply Join Us At Cogent Infotech, your ideas matter. Join a purpose-driven organization that celebrates diversity, encourages collaboration, and invests in your future.

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