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Reimbursement Case Manager Jobs (NOW HIRING)

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

Support strong reimbursement processes and positive patient experiences What We're Looking For * Experience in case management, insurance authorizations, utilization review, managed care, or health ...

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

Support strong reimbursement processes and positive patient experiences What We're Looking For * Experience in case management, insurance authorizations, utilization review, managed care, or health ...

RareMed Solutions

Case Manager

Coraopolis, PA · On-site

$19 - $24.50/hr

Strong reimbursement knowledge of BI/BV prescription benefits; PA authorizations, access management * Ability to proficiently use Microsoft Excel, Outlook and Word Preferred Qualifications:

Apply Early

South Shore Health

Case Manager

Weymouth, MA · On-site

$23.25 - $30/hr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... reimbursement delays within 24 hours of request. h - Continues review of all patients using ...

Thompson Child & Family Focus

Case Manager

Tampa, FL · On-site

$19 - $24.25/hr

As a Case Manager in the Florida Case Management Organization (CMO), you will provide dependency ... Education Reimbursement * Referral Bonus * Clinical Supervision Reimbursement of $60 for eligible ...

BrightSpring Health Services

Case Manager

Benton, KY

$19 - $19.23/hr

The Foster Care Case Manager plays a vital role in supporting youth and foster families through ... Presents company's services, interprets potential reimbursement options and negotiates ...

Apply Early

Thompson Child & Family Focus

Case Manager

Tampa, FL · On-site

$19 - $24.25/hr

As a Case Manager in the Florida Case Management Organization (CMO), you will provide dependency ... Education Reimbursement * Referral Bonus * Clinical Supervision Reimbursement of $60 for eligible ...

South Shore Health

Case Manager

Weymouth, MA

$117K - $170K/yr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... reimbursement delays within 24 hours of request. h - Continues review of all patients using ...

South Shore Health

Case Manager

Weymouth, MA · On-site

$117K - $170K/yr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... reimbursement delays within 24 hours of request. h - Continues review of all patients using ...

Thompson

Case Manager

Tampa, FL · On-site

$23.56/hr

As a Case Manager in the Florida Case Management Organization (CMO), you will provide dependency ... Education Reimbursement * Referral Bonus * Clinical Supervision Reimbursement of $60 for eligible ...

Coalinga Regional Medical Center

Case Manager

Coalinga, CA · On-site

$22.25 - $28.75/hr

Have a working knowledge of billing ad reimbursement and letter of agreement. 3.Be knowledgeable ... The Lead Case manager, Director of Case Management or a department representative will participate ...

FAMILYTIES OF SC LLC

Case Manager

Myrtle Beach, SC · On-site

Excellent knowledge of case management principles, healthcare management and reimbursement * Previous experience with psychological aspects of care * Effective communication skills * Excellent ...

Apply Early

FAMILYTIES OF SC LLC

Case Manager

Sumter, SC · On-site

Excellent knowledge of case management principles, healthcare management and reimbursement * Previous experience with psychological aspects of care * Effective communication skills * Excellent ...

Apply Early

Spectrum Health Systems

Case Manager

Westborough, MA · On-site

$21 - $23/hr

Tuition reimbursement/loan repayment options * 401k with company match up to 7%! * Discounts on wide array of services/entertainment nationwide The Case Manager is responsible for: * Providing ...

voagny

Case Manager

Bronx, NY

$20.50 - $26.50/hr

Case Manager The Case Manager is a key provider of services within Volunteers of America's Case ... Tuition Reimbursement * Paid Time Off, including a Paid Birthday Holiday And much more!

FAMILYTIES OF SC LLC

Case Manager

Conway, SC · On-site

Excellent knowledge of case management principles, healthcare management and reimbursement * Previous experience with psychological aspects of care * Effective communication skills * Excellent ...

Apply Early

Spectrum Health Systems

Case Manager

Westborough, MA · On-site

$21 - $23/hr

Tuition reimbursement/loan repayment options * 401k with company match up to 7%! * Discounts on wide array of services/entertainment nationwide The Case Manager is responsible for: * Providing ...

voagny

Case Manager

Bronx, NY · On-site

$20.50 - $26.50/hr

Case Manager The Case Manager is a key provider of services within Volunteers of America's Case ... Tuition Reimbursement * Paid Time Off, including a Paid Birthday Holiday And much more!

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Reimbursement Case Manager information

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How much do reimbursement case manager jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for reimbursement case manager in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What is a reimbursement case manager?

A reimbursement case manager is a professional who reviews and processes insurance claims to ensure clients receive appropriate reimbursement for medical expenses or services. They often work with healthcare providers, insurance companies, and patients, utilizing knowledge of insurance policies and documentation requirements to facilitate accurate and timely payments.

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 is the highest paid case manager?

The highest paid case managers are often those with specialized certifications, extensive experience, and working in high-demand industries such as healthcare or insurance. Senior or managerial roles can also command higher salaries, with some earning over $80,000 annually depending on location and employer. Compensation varies based on skills, certifications, and geographic factors.

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 jobs pay 4000 a week without a degree?

Reimbursement Case Managers typically do not earn $4,000 per week without specialized experience or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or certain entrepreneurial ventures, but these usually require significant skills, networking, or business acumen. Most jobs with such high weekly pay generally demand experience, licensing, or advanced training rather than just a degree.

What qualifications do you need to be a case manager?

Reimbursement case managers typically need a high school diploma or equivalent, with many roles preferring or requiring a bachelor's degree in healthcare, social work, or a related field. Relevant skills include strong communication, organization, and knowledge of healthcare or insurance processes; certifications such as Certified Case Manager (CCM) can also enhance job prospects.

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.
More about Reimbursement Case Manager jobs
What cities are hiring for Reimbursement Case Manager jobs? Cities with the most Reimbursement Case Manager job openings:
What states have the most Reimbursement Case Manager jobs? States with the most job openings for Reimbursement Case Manager jobs include:
What job categories do people searching Reimbursement Case Manager jobs look for? The top searched job categories for Reimbursement Case Manager jobs are:
Reimbursement Case Manager jobs near you
Infographic showing various Reimbursement Case Manager job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.
Case Manager

Case Manager

Champion Care

Milwaukee, WI • On-site

$20 - $24/hr

Full-time

Posted 22 days ago

Job description

Case Manager – Skilled Nursing & Post-Acute Care
Managed Care | Insurance Authorization | Medicare & Medicaid
$20–$24 per hour | Full-Time

Are you experienced in skilled nursing case management, insurance authorizations, managed care, or healthcare coordination? Champion Care is seeking a highly organized and detail-oriented Case Manager to support our skilled nursing and post-acute care facilities by managing insurance authorizations, communicating with payers, and helping ensure strong patient and reimbursement outcomes.

This role is critical in reducing denials, maintaining coverage, coordinating care, and supporting successful transitions for our residents.

If you have experience as a SNF Case Manager, Insurance Authorization Specialist, Managed Care Coordinator, Utilization Review Specialist, or Healthcare Authorization Coordinator, we encourage you to apply.

What You’ll Do

As a Case Manager, you will serve as a key connection between our facilities, clinical teams, and insurance providers.

Key Responsibilities
  • Manage insurance authorizations, updates, concurrent reviews, and appeals for Medicare, Medicaid, Managed Care, and commercial insurance plans
  • Review patient documentation and clinical updates to support approvals and continued stay reviews
  • Track admissions, re-admissions, discharge planning, and changes in condition
  • Communicate with insurance case managers to ensure timely approvals and minimize denials
  • Submit and manage NOMNCs, ABNs, and required payer documentation
  • Coordinate approvals for therapy services, equipment, and specialized care needs
  • Monitor payer portals and maintain accurate authorization records
  • Collaborate with nursing, therapy, admissions, MDS, and billing teams to quickly resolve insurance or coverage concerns
  • Participate in daily and weekly workflow meetings to prioritize cases and improve outcomes
  • Support strong reimbursement processes and positive patient experiences
What We’re Looking For
  • Experience in case management, insurance authorizations, utilization review, managed care, or healthcare coordination preferred
  • Skilled nursing facility (SNF) or post-acute care experience strongly preferred
  • Knowledge of Medicare, Medicaid, and managed care processes
  • Strong organizational skills with ability to manage multiple priorities and cases
  • Detail-oriented with a strong sense of urgency and follow-through
  • Excellent communication and problem-solving skills
Why Join Champion Care
  • Competitive pay: $20–$24 per hour
  • High-impact role tied directly to patient outcomes, reimbursement, and census success
  • Opportunity for growth within a multi-facility healthcare organization
  • Structured team environment with strong operational support
  • Collaborative culture focused on quality care and teamwork

Champion Care is an Equal Opportunity Employer (EOE). We are committed to creating an inclusive environment for all employees and applicants and do not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status.

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