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Reimbursement Case Manager Jobs in Reno, NV (NOW HIRING)

Eden Health

Hospice Aide (CNA)

Carson City, NV · On-site

Identifies and communicates findings to the Case Manager and/or Clinical Manager. * Participates in ... Provides clear, concise documentation in medical record as it relates to reimbursement guidelines ...

Eden Health

Hospice Aide (CNA)

Carson City, NV · On-site

Identifies and communicates findings to the Case Manager and/or Clinical Manager. * Participates in ... Provides clear, concise documentation in medical record as it relates to reimbursement guidelines ...

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Reimbursement Case Manager information

See Reno, NV salary details

$14

$24

$42

How much do reimbursement case manager jobs pay per hour?

As of May 28, 2026, the average hourly pay for reimbursement case manager in Reno, NV is $24.68, according to ZipRecruiter salary data. Most workers in this role earn between $19.18 and $26.83 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Reimbursement Case Manager, and why are they important?

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 a Reimbursement Case Manager?

A Reimbursement Case Manager is a professional who helps patients navigate insurance policies and secure coverage for medical treatments, procedures, or medications. They work closely with healthcare providers, insurance companies, and patients to ensure that claims are processed correctly and efficiently. Their role often includes verifying benefits, appealing denied claims, and assisting with prior authorizations. By managing these complex processes, they help reduce financial barriers to care and improve patient access to necessary treatments.

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 are popular job titles related to Reimbursement Case Manager jobs in Reno, NV? For Reimbursement Case Manager jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Reimbursement Case Manager jobs in Reno, NV look for? The top searched job categories for Reimbursement Case Manager jobs in Reno, NV are:
What cities near Reno, NV are hiring for Reimbursement Case Manager jobs? Cities near Reno, NV with the most Reimbursement Case Manager job openings:
Reimbursement Case Manager jobs near you

Registered Nurse Case Manager

Forthright Case Management Llc

Reno, NV

$70K - $80K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Benefits:

401(k)

401(k) matching

Bonus based on performance

Competitive salary

Dental insurance

Health insurance

Paid time off

Vision insurance

🎯 We’re Hiring! RN Case Manager (Bilingual – Spanish) – Southern California

Location: Southern California (Hybrid – Part Remote, Part In-Person) Type: Full-Time (Part-Time Options Available) Salary: $70,000–$80,000/year + Bonus Potential 💰

🌟 About the Role

Tired of hospital shifts and craving flexibility, autonomy, and a role where your work really makes an impact? You’re in the right place.

Forthright Case Management is looking for a Registered Nurse (RN) to join our Reno-based team! You'll be helping injured workers navigate their recovery journey—coordinating care, attending appointments, and being their go-to support system. No nights, no weekends, no holidays. Just purposeful work and a balanced schedule.

🩺 What You'll Be Doing

Be the trusted advocate for injured workers—supporting them every step of the way.

Coordinate care with doctors, therapists, employers, attorneys, and adjusters.

Visit medical facilities, attend appointments, and manage treatment plans.

Set up services like home health, therapy, DME, or even home modifications.

Keep everyone in the loop with timely communication and documentation.

Work from home with local travel throughout Reno and surrounding areas.

✅ Must-Haves

Current California RN license

Fluent in Spanish and English (Required)

Valid driver’s license and auto insurance

Comfortable with Microsoft Word and Excel

1+ year of nursing experience (Required)

Case management experience? Even better!

Willing to travel locally (about 50% of the time)

🎁 Perks & Benefits

💸 Competitive salary + bonus program

🚗 Mileage reimbursement

💻 Company laptop + phone provided

🕐 Flexible schedule – no nights, weekends, or holidays!

🦷 Dental, vision, and health insurance

❤️ Life insurance

📅 Paid time off

💼 401(k) + matching

🗓 Schedule

Monday–Friday

8-hour shifts

Enjoy your evenings and weekends—because we don’t work them!

✨ Join a Nurse-Led Team That Gets It

We’re growing fast in the Reno area and looking for the right RN to join our mission. If you're ready to step into a flexible, meaningful role where your experience matters, apply today. Let’s make a difference—together. 🚀

Flexible work from home options available.

Apply