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

Medical Review Nurse (RN)

Reno, NV · Remote

$30.50 - $59.47/hr

... reimbursement to providers. * Resolves escalated complaints regarding utilization management and ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager ...

Medical Review Nurse (RN)

Sparks, NV · Remote

$30.50 - $59.47/hr

... reimbursement to providers. * Resolves escalated complaints regarding utilization management and ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager ...

Medical Review Nurse (RN)

Reno, NV · Remote

$30.50 - $59.47/hr

... reimbursement to providers. * Resolves escalated complaints regarding utilization management and ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager ...

Medical Review Nurse (RN)

Sparks, NV · Remote

$30.50 - $59.47/hr

... reimbursement to providers. * Resolves escalated complaints regarding utilization management and ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager ...

Assists in the case management/tracking of Medicare A rehab cases under the PDPM system * Recruits ... reimbursement denials management and other survey compliance requirements. * Maintains ...

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Reimbursement Case Manager information

See Reno, NV salary details

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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:

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Reliable Health Care Services Inc

Reno, NV

$85/hr

Other

Medical, Dental, Vision, PTO

Posted 4 days ago


Job description

Psychiatric Mental Health Nurse Practitioner (PMHNP)
Location: Outpatient - Northern Nevada Adult Mental Health Services
Schedule: Monday - Friday | 5x8s with the possibility of4x10s
Hours: 40 per week
Rate: Up to $85/hour DOE
Reliable Health Care Servicecs is seeking Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide outpatient psychiatric care and medication management to adult clients. This position supports individuals referred through Mental Health Court, Competency Court, and intensive case coordination programs.
Incumbents will evaluate patients, diagnose conditions, prescribe medications, and coordinate treatment plans in partnership with psychiatrists, nurses, therapists, and case managers. This is a weekday clinic role with no nights, weekends, or on-call expectations.
Key Responsibilities:
  • Complete psychiatric evaluations and diagnostic assessments
  • Provide medication management and follow-up appointments
  • Prescribe and adjust psychotropic medications as clinically appropriate
  • Order and interpret labs and diagnostics
  • Maintain accurate documentation within the EMR system
  • Coordinate care with therapists, psychiatrists, and support staff
  • Provide referrals to internal and community-based services
  • Educate patients on medications, diagnoses, and treatment plans
Required Qualifications:
  • Active Nevada APRN or PA license in good standing
  • PMHNP certification preferred; may consider candidates with a minimum 1-year psychiatric experience
  • Active Nevada prescriptive authority and DEA
  • Experience in psychiatric evaluation and medication management
  • Ability to communicate clearly and collaborate effectively
  • Successful completion of fingerprint based background and drug screening
Benefits:
  • W-2 Position
  • Health, Dental, and Vision Insurance (for full-time employees)
  • Paid Time Off (PTO)
  • CEU/Professional Development reimbursements
  • No-cost professional liability insurance
Why Reliable Health Care
Since 1991, Reliable Health Care Services has been a trusted staffing provider to healthcare programs across Nevada. We are Joint Commission Certified and proudly support our clinicians with excellent placements, ongoing development, and meaningful work.