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Reimbursement Case Manager Jobs in Rochester, NY

The Arc Wayne

Job Coach

Newark, NY · On-site

$17.58 - $18.60/hr

Tuition Reimbursement * Paid Training * Bereavement Leave * Employee Referral Bonus * Employee ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

The Arc Wayne

Job Coach

Newark, NY · On-site

$17.58 - $18.60/hr

Tuition Reimbursement * Paid Training * Bereavement Leave * Employee Referral Bonus * Employee ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

The Arc Wayne

Job Coach

Newark, NY

$16.50 - $21.50/hr

Tuition Reimbursement * Paid Training * Bereavement Leave * Employee Referral Bonus * Employee ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

The Arc Wayne

Job Coach

Newark, NY · On-site

$16.50 - $21.50/hr

Tuition Reimbursement * Paid Training * Bereavement Leave * Employee Referral Bonus * Employee ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

Rochester Regional Health

Care Manager-RN

Rochester, NY · On-site

$82K - $113K/yr

... ensure reimbursement for services are provided while maintaining quality of care * Patient ... Three (3) years of acute hospital care, case management or utilization management experience ...

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Reimbursement Case Manager information

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How much do reimbursement case manager jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for reimbursement case manager in Rochester, NY is $24.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $26.54 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 Rochester, NY?

For Reimbursement Case Manager jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Reimbursement Case Manager jobs in Rochester, NY look for?

The top searched job categories for Reimbursement Case Manager jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Reimbursement Case Manager jobs?

Cities near Rochester, NY with the most Reimbursement Case Manager job openings:

Reimbursement Case Manager jobs near you
Infographic showing various Reimbursement Case Manager job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 14% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $50,821 per year, or $24.4 per hour.

Registered Nurse - Home Care

Highland Hospital of Rochester

Webster, NY • On-site

$73K - $103K/yr

Other

Medical, Retirement, PTO

Posted 11 days ago

Job description

Full-Time/Part-Time
Full-Time
Location
UR Medicine Home Care Certified Services
Salary
$73,652 to $103,854
Description
Why Join UR Medicine Home Care?
At URochester Medicine Home Home Healthcare, you'll enjoy the stability and resources of an organization affiliated with the University of Rochester while experiencing the close-knit, family-oriented culture of a community-based home care team.
What We Offer:
  • 9 Paid Holidays
  • 3 Weeks of Vacation to start
  • 4 Personal Days and 56 Hours of Sick Time annually
  • Mileage Reimbursement at the current federal rate ($0.76 per mile)
  • 401(k) with employer contributions
  • Three High-Deductible Health Plan Options with employer contributions to your Health Savings Account (HSA)
  • Over 100 Years of Trusted Service caring for patients throughout our community
Join a team where you'll have the opportunity to make a meaningful difference every day while working in a supportive, collaborative environment that values both professional growth and work-life balance.
SUMMARY: Provide skilled nursing care to patients in their homes under physician orders and the direction of the Registered Nurse Case Manager. Collaborate with the interdisciplinary care team, perform patient assessments, administer treatments, educate patients and families, maintain accurate documentation, and communicate changes in patient condition to ensure high-quality, coordinated care.
Schedule: Schedule: Monday-Friday, 8:00 AM-4:30 PM. Participation in the on-call rotation is required approximately 1-2 days per month, 3 Holidays a year
Sign On bonus: up to $15,000
Location: Monroe County
Education & Experience - Applicants must possess the following qualifications or an equivalent combination of education and experience:
Education: New York State Licensed RN
Experience: One year of experience as a clinical nurse in a hospital or other direct patient care clinical setting required
Licensure: New York State Licensed RN
Key Responsibilities
  • Provide skilled nursing care, including patient assessments, medication review, wound care, IV therapy, and other clinical interventions in the home.
  • Develop and update individualized care plans in collaboration with patients, families, physicians, and the interdisciplinary care team.
  • Educate patients and caregivers on disease management, medications, self-care, and preventive health strategies.
  • Complete accurate and timely clinical documentation in compliance with regulatory and organizational standards.
  • Coordinate care, communicate patient status, and connect patients with appropriate community resources.
  • Support quality, safety, and patient satisfaction initiatives while meeting productivity and documentation expectations.
  • Participate in continuing education, quality improvement activities, and other duties as assigned.

Salary Range: $73,652 to $103,854
#URM1
EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.

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