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Investigative Case Manager Jobs in Oregon (NOW HIRING)

Case Manager

OR ยท On-site

$17.50 - $32.50/hr

Conduct benefits investigations electronically or by calling the insurance company to determine ... case management preferred * Working knowledge of benefits investigation, prior authorization ...

New

Assistant Nurse Manager-Care Coordination DEPARTMENT: Case Management DATE LAST REVIEWED: March ... investigations and proceedings. Delivers customer service and/or patient care in a manner that ...

Case Management Liaison

Bend, OR ยท On-site

$23.37 - $32.71/hr

Assistant Nurse Manager-Care Coordination DEPARTMENT: Case Management DATE LAST REVIEWED: March ... investigations and proceedings. Delivers customer service and/or patient care in a manner that ...

Case Manager I LTD

Portland, OR ยท On-site

$55 - $83/hr

The Opportunity In the role of Case Manager I, LTD you will have the opportunity to make a ... Use investigative tools, may testify in court cases and provide depositions related to claim ...

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Investigative Case Manager information

What does an investigative case manager do?

An Investigative Case Manager is responsible for overseeing and coordinating investigations, often within legal, insurance, or social service fields. They gather and analyze information, manage case files, and ensure that investigative processes follow organizational policies and regulations. Additionally, they may liaise with clients, law enforcement, or other agencies to facilitate case resolution. Their work is crucial in ensuring thorough, timely, and ethical investigations.

What are the key skills and qualifications needed to thrive as an investigative case manager?

To thrive as an Investigative Case Manager, you need a solid background in case management, critical thinking, and investigative techniques, often supported by a degree in criminal justice, social work, or a related field. Familiarity with case management software, legal documentation systems, and sometimes certifications like Certified Case Manager (CCM) are typically required. Strong communication, attention to detail, and the ability to manage sensitive information with discretion are essential soft skills. These competencies ensure thorough, ethical investigations and effective coordination of resources to resolve cases efficiently.

How does an investigative case manager typically collaborate with other departments during an active investigation?

As an Investigative Case Manager, you will work closely with various departments such as legal, compliance, and human resources to gather relevant information and coordinate investigative efforts. Collaboration often involves regular meetings to discuss case findings, share updates, and ensure that all necessary protocols are followed. You may also liaise with external parties, like law enforcement or regulatory bodies, depending on the nature of the case. Effective communication and organizational skills are essential to ensure seamless information flow and timely resolution of investigations.

What is the difference between Investigative Case Manager vs Social Worker?

AspectInvestigative Case ManagerSocial Worker
CredentialsRelevant certifications, sometimes state licensureLicensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW)
Work EnvironmentInsurance companies, legal settings, healthcareHospitals, community agencies, schools
Employer & IndustryInsurance firms, legal, healthcarePublic and private social service agencies
Common Search/ComparisonInvestigative Case Manager vs Social Worker

Investigative Case Managers focus on assessing and investigating cases, often within insurance or legal contexts, requiring specific certifications. Social Workers provide broader support in healthcare and community settings, with licensure as a key credential. While both roles involve case management, their work environments and employer types differ, making them distinct but related careers.

What is investigative case management?

Investigative case management is a role where professionals coordinate and conduct investigations related to client cases, often in social services, healthcare, or legal settings. It involves gathering information, assessing needs, and collaborating with other agencies to develop appropriate plans and solutions, often requiring strong communication and organizational skills.

What cities in Oregon are hiring for Investigative Case Manager jobs?

Cities in Oregon with the most Investigative Case Manager job openings:

Infographic showing various Investigative Case Manager job openings in Oregon as of July 2026, with employment types broken down into 86% Full Time, 12% Part Time, 1% Contract, and 1% Nights. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution.

$17.50 - $32.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired 2 days ago.ย Applications are no longer accepted.


Job description

Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses.

A successful candidate will play a critical role in supporting patient access and reimbursement services, acting as a key liaison between patients, providers, payers, and internal HUB teams. The ideal candidate will demonstrate strong case management capabilities, attention to detail, and a patient-centric approach while navigating complex access and reimbursement processes.

This is your opportunity to join Inizio Engage and represent a leading biotechnology company as part of an exciting new product launch bringing innovative therapy options to patients who need them most.

Why Youโ€™ll Love Working Here  

 
We believe great people deserve great supportโ€”at work and beyond. Thatโ€™s why we offer a rewards experience designed to help you thrive personally, professionally, and financially: 

  • Competitive pay that recognizes your experience, expertise, and impact 
  • Comprehensive benefits including medical, dental, and vision coverage; accrued paid time off; 401(k) with company match; disability and life insurance; and paid maternity and paternity leave 
  • Company-paid holidays so you can rest, recharge, and focus on what matters most 
  • Recognition programs, contests, and awards that celebrate your contributions 
  • Continuous growth opportunities through learning, leadership development, and career advancement support 
  • A collaborative culture where your ideas are valued and your work makes a difference 

Weโ€™re also proud to be recognized for creating an exceptional employee experience: 

  • Best Place to Work in BioPharma โ€” 2022, 2023, 2025 
  • Certified Great Place to Workยฎ โ€” 2021, 2023, 2025, 2026 

Learn more:  

What will you be doing?

  • Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression
  • Conduct benefits investigations electronically or by calling the insurance company to determine coverage information, prior authorization requirements, and patient financial responsibility
  • Manage the prior authorization and appeals process, including obtaining plan-specific criteria and requirements, initiating, submitting, and tracking requests, and following up with plans, patients, and HCPs as needed to ensure timely outcomes.
  • Identify and facilitate patient enrollment in financial assistance programs, including copay and patient assistance programs
  • Support communications with patients, healthcare providers, payers, and specialty pharmacies as needed
  • Provide education on insurance coverage, access pathways, and next steps in the treatment journey when needed
  • Collaborate with internal teams and external partners to ensure timely therapy initiation and adherence to service level agreements
  • Document all case activity accurately within HUB systems in compliance with SOPs and regulatory requirements
  • Monitor case progress and escalate complex reimbursement issues as needed
  • Response to incoming calls from patients/caregivers and prescriberโ€™s offices and addressing or routing calls as needed
  • Support leadership with tracking and resolving escalations
  • Support quality initiatives, audits, and continuous process improvement efforts
  • Ensure compliance with HIPAA, privacy, and regulatory standards at all times

What do you need for this position?

  • Bachelorโ€™s Degree or equivalent experience preferred
  • Experience in patient access, HUB services, reimbursement support, specialty pharmacy, or healthcare case management preferred
  • Working knowledge of benefits investigation, prior authorization, appeals, and patient assistance programs
  • Strong communication and interpersonal skills with a patient-focused approach
  • Ability to manage a high volume of cases in a fast-paced environment while meeting service level expectations
  • Proficiency with CRM systems and Microsoft Office applications
  • Strong organizational, analytical, and problem-solving skills
  • Ability to prioritize workload and manage multiple tasks effectively

The base pay range for this position is $17.50/hr โ€“ $32.50/hr. The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.

About Inizio Engage  

Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people, and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need. 

 
We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. 

 
To learn more about Inizio Engage, visit us at:  

Equal Opportunity & Inclusion  

Inizio Engage is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by applicable federal, state, or local law. 

Inizio Engage is committed to providing reasonable accommodations in accordance with applicable law. 

Inizio Engage complies with applicable fair chance hiring laws and will consider qualified applicants regardless of criminal history. Where permitted by applicable law, employment offers may be contingent upon the successful completion of a background check. Any information obtained from a background check will be considered in relation to the requirements of the relevant position, consistent with applicable law.  

Candidate Use of Artificial Intelligence in Interviews  


As part of our commitment to a fair and equitable hiring process, candidates are expected to complete all interview activities without the use of artificial intelligence tools or external assistance unless such assistance is authorized in advance by Inizio Engage or otherwise required in accordance with applicable law. This includes, but is not limited to, using generative artificial intelligence platforms to produce, edit, or guide responses in real time. Candidates may be asked to confirm compliance with this policy. Any violation of this policy may result in disqualification from consideration of employment. Candidates may submit requests for reasonable accommodation in accordance with applicable law to the Inizio Engage Talent Acquisition team.