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Reimbursement Case Manager Jobs (NOW HIRING)

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 ...

South Shore Health

Case Manager

Quincy, MA

$21 - $27/hr

... reimbursement delays within 24 hours of request. h - Continues review of all patients using ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Kingston, MA

$21 - $27/hr

... reimbursement delays within 24 hours of request. h - Continues review of all patients using ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Cohasset, MA · On-site

$21.25 - $27.25/hr

... reimbursement delays within 24 hours of request. h - Continues review of all patients using ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

East Weymouth, MA · On-site

$21 - $27/hr

... reimbursement delays within 24 hours of request. h - Continues review of all patients using ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Duxbury, MA

$21.75 - $28.25/hr

... reimbursement delays within 24 hours of request. h - Continues review of all patients using ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

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 ...

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 ...

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!

FAMILYTIES OF SC LLC

Case Manager

Aiken, SC · On-site

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

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

Florence, SC · On-site

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

FAMILYTIES OF SC LLC

Case Manager

Columbia, SC · On-site

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

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!

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 ...

Spectrum Health Systems

Case Manager

Westborough, MA · On-site

$21/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 ...

Spectrum Health Systems

Case Manager

Westborough, MA · On-site

$21/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 ...

Thompson Child & Family Focus

Case Manager

Maitland, FL · On-site

$23.31/hr

As a Case Manager in Seminole County, you will provide dependency case management services to ... Education Reimbursement * Referral Bonus * Clinical Supervision Reimbursement of $60 for eligible ...

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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 11, 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 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.

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 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.
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Reimbursement Case Manager jobs near you
Infographic showing various Reimbursement Case Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.

Case Manager

Coalinga Regional Medical Center

Coalinga, CA • On-site

$22.25 - $28.75/hr

Full-time

Re-posted 13 days ago

Job description


POSITION SUMMARY

Using discretion and independent judgment, the Case Manager isresponsible for all case management activities assigned. This includes case management and utilizationmanagement. The Case Manager providesconcise management of patients' hospitalization from pre-admission throughdischarge in the areas of patient care, fiscal management, and Payor/referralsatisfaction. The Case Manager is responsible for conducting Discharge PlanningEvaluations, performing discharge planning to ensure patients and theirfamilies receive maximum benefits, and awareness of community and governmentagencies. This position requires the use of communication skills, the abilityto perform management operations directly related to administrative goals andpolicies, to provide regular and direct assistance to executives, to performwork and special assignments under only very general supervision, and tocontinuously develop department operations toward efficiency and effectiveness.

POSITION QUALIFICATIONS

Thisposition requires a MSW or LCSW with at least three (3) years of workexperience in a medical case management setting. Exceptions are made with CEO approval. Good organizational and liaison capabilitieswith well-developed written and verbal communication abilities arerequired. Well demonstrated public relationsskills with a cooperative and assertive attitude. Working knowledge of the insurance industryis required.

RESPONSIBILITIES

1.Have an understanding of the commercial insurance appeal process.

2.Have a working knowledge of billing ad reimbursement and letter of agreement.

3.Be knowledgeable regarding pre-certification and concurrent review process.

4.Must have clear and concise professional language in the preparation of up to date clinical reports representing the patient's total condition and treatment plan. 

5.The Lead Case manager, Director of Case Management or a department representative will participate in a brief portion of the hospital liaison/ marketing meeting to share positive and challenging case-specific, case type, or data-based outcomes. Routine participation allows for a positive exchange of information between the departments to identify high risk factors that could potentially affect the outcome of future admissions. 

6.Have working knowledge of Federal and State Regulatory Compliance.

7.Be responsible to document case-based activities with treatment plan/ discharge plan interventions. 

8.As the designated team leader have a good working knowledge and ability to facilitate interdisciplinary team conference identifying clinical challenges and outstanding issues. 

9.Ability to discharge patients successfully without adverse health consequences with all needs identified. 



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