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Reimbursement Case Manager Jobs in Raleigh, NC (NOW HIRING)

Amedisys, Inc.

RN Hospice Case Manager

Franklinton, NC · On-site

$84K - $86K/yr

Overview Hospice RN Case Manager Make a difference every day as an Amedisys RN case manager Join ... Fleet vehicle program (restrictions apply) and mileage reimbursement. * And more. *Benefit ...

Elwyn

Re-entry Case Manager NIABH

Raleigh, NC

$19.50 - $25/hr

Tuition Reimbursement * Career Advancement Opportunities and Growth * Flexible Schedules ... The Re-Entry Case Manager divides their time between the detention center and the community ...

New

Elwyn

Re-entry Case Manager NIABH

Raleigh, NC

$19.50 - $25/hr

Tuition Reimbursement * Career Advancement Opportunities and Growth * Flexible Schedules ... Responsibilities The Re-Entry Case Manager works with individuals housed in the Wake County ...

New

Duke Health

Behavioral Health Case Manager

Durham, NC · On-site

... and reimbursement guidelines, the discharge planning process and applicable federal, state and ... Monitor daily census and assignment to assure all patients are assessed for case management needs ...

Duke Health

Case Manager PRN Weekends

Durham, NC · On-site

... and reimbursement guidelines, the discharge planning process and applicable federal, state and ... CASE MANAGER Job Level: G2 Duke is an Equal Opportunity Employer committed to providing employment ...

Duke Health

Case Manager PRN Weekends

Durham, NC · On-site

... and reimbursement guidelines, the discharge planning process and applicable federal, state and ... CASE MANAGER Job Level: G2 Duke is an Equal Opportunity Employer committed to providing employment ...

Duke Health

Behavioral Health Case Manager

Durham, NC · On-site

... and reimbursement guidelines, the discharge planning process and applicable federal, state and ... Monitor daily census and assignment to assure all patients are assessed for case management needs ...

Duke University

Case Manager PRN Weekends

Durham, NC · On-site

... and reimbursement guidelines, the discharge planning process and applicable federal, state and ... CASE MANAGER Job Level: G2 Duke is an Equal Opportunity Employer committed to providing employment ...

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All JobsReimbursement Case JobsReimbursement Case Manager JobsReimbursement Case Manager Jobs in Raleigh, NC

Reimbursement Case Manager information

See Raleigh, NC salary details

$14

$24

$41

How much do reimbursement case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for reimbursement case manager in Raleigh, NC is $24.06, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $26.15 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a reimbursement case manager?

To thrive as a Reimbursement Case Manager, you need a solid understanding of healthcare reimbursement processes, insurance policies, and medical billing, often supported by a background in nursing, social work, or healthcare administration. Familiarity with claims management systems, electronic health records (EHRs), and payer portals is typically required, and certifications like CCM (Certified Case Manager) can be advantageous. Strong communication, problem-solving, and organizational skills help you effectively advocate for patients and collaborate with providers and payers. These competencies ensure accurate reimbursement, compliance, and optimal patient outcomes in a complex healthcare environment.

How does a reimbursement case manager typically collaborate with healthcare providers and insurance companies to resolve patient billing issues?

Reimbursement Case Managers act as key liaisons between healthcare providers, patients, and insurance companies to ensure that claims are processed accurately and efficiently. They regularly communicate with medical staff to collect necessary documentation, clarify coding, and verify treatment details. Additionally, they work closely with insurance representatives to address denials, appeal decisions, and troubleshoot payment delays. This collaborative approach requires strong communication skills and a deep understanding of both clinical and insurance processes.

What is the difference between Reimbursement Case Manager vs Claims Specialist?

AspectReimbursement Case ManagerClaims Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsInsurance companies, third-party administrators, or healthcare providers
Job FocusManaging reimbursement processes, verifying coverage, and resolving billing issuesProcessing claims, reviewing documentation, and ensuring accurate claim submission

Reimbursement Case Managers and Claims Specialists both work within the healthcare and insurance industries, focusing on financial aspects of patient care. While Reimbursement Case Managers primarily handle reimbursement processes and coverage verification, Claims Specialists concentrate on processing and reviewing insurance claims. Both roles require knowledge of insurance policies and healthcare billing, but their daily tasks and focus areas differ slightly.

What does a reimbursement case manager do?

A reimbursement case manager reviews and processes insurance claims and reimbursement requests, ensuring accuracy and compliance with policies. They communicate with clients, healthcare providers, and insurance companies, often using case management software, to resolve issues and facilitate timely payments.

What are popular job titles related to Reimbursement Case Manager jobs in Raleigh, NC?

For Reimbursement Case Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Reimbursement Case Manager jobs in Raleigh, NC look for?

The top searched job categories for Reimbursement Case Manager jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Reimbursement Case Manager jobs?

Cities near Raleigh, NC with the most Reimbursement Case Manager job openings:

Reimbursement Case Manager jobs near you
Infographic showing various Reimbursement Case Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $50,053 per year, or $24.1 per hour.

RN Hospice Case Manager

Amedisys, Inc.

Franklinton, NC • On-site

$84K - $86K/yr

Full-time

Medical, Retirement, PTO

Posted 13 days ago

Amedisys rating

7.7

Company rating: 7.7 out of 10

Based on 122 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

Overview
Hospice RN Case Manager
 
Make a difference every day as an Amedisys RN case manager
Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.
 
Attractive pay
  • $84,000 - 86,000 Salary + mileage
  • Benefits 1st of month after hire

Hiring 3:

  • Durham/Roxboro Case Manager
  • Wake/Franklin Case Manager
  • Admission Nurse
 
 
What's in it for you
  • Choice of PPO or HSA medical plans with free telehealth.
  • Paid time off.
  • Up to $1,000 in free healthcare services with Amedisys HSA plan.
  • Up to $500 in wellness rewards for activities-use for spa, gym, sports, hobbies, pets and more.*
  • Mental health support with up to five free counseling sessions through the Employee Assistance program.
  • 401(k) with a company match.
  • Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
  • Fleet vehicle program (restrictions apply) and mileage reimbursement.
  • And more.
*Benefit eligibility can vary by position and shift status.
*Participation requires enrollment in an Amedisys medical plan.

Responsibilities
  • Performs patient assessments and collaborates with the care team to develop and implement a plan of care.
  • Makes referrals to other hospice care disciplines as needed or documents rationale for not doing so.
  • Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
  • Records pain/symptom management changes/outcomes as appropriate.
  • Teaches patients, families, and caregivers appropriate patient care techniques.
  • Regularly communicates with clinical manager and care team.
  • Performs on-call responsibilities and on-call services to patients/families as assigned.
  • Other duties as assigned.

Qualifications
  • One year of nursing experience.
  • Current RN license, specific to the state(s) you are assigned to work.
  • Current CPR certification.
  • Valid driver's license, reliable transportation and liability insurance.

Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Qualifications:
  • One year of nursing experience.
  • Current RN license, specific to the state(s) you are assigned to work.
  • Current CPR certification.
  • Valid driver's license, reliable transportation and liability insurance.

Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Education:UNAVAILABLEEmployment Type: FULL_TIME

What Amedisys employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Amedisys

Sourced by ZipRecruiter

*Caregiving is our Calling* At Amedisys whether we're caring for patients directly or supporting those who do, each of us is a caregiver at heart. Every team member contributes to our mission of providing exceptional, clinically distinct care in the home to thousands of patients and families every day.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Baton Rouge, LA, US

Year founded

1982

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