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Insurance Nurse Case Manager Jobs in Alberta (NOW HIRING)

ATEX Healthcare

Must be a licensed driver with an automobile that is insured in accordance with state/or Company ... Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate ...

ATEX Healthcare

Must be a licensed driver with an automobile that is insured in accordance with state/or Company ... Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate ...

Healthy MD

Case Manager

Fort Lauderdale, FL · On-site

The CM will receive guidance from a licensed Nurse Practitioner. The CM shall adhere to ethical and ... Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance ...

ATEX Healthcare

Must be a licensed driver with an automobile that is insured in accordance with state/or Company ... Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate ...

Healthy MD

Case Manager - Per Diem

Fort Lauderdale, FL · On-site

The CM will receive guidance from a licensed Nurse Practitioner. The CM shall adhere to ethical and ... Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance ...

Alberta Health Services

Licensed Practical Nurse

Calgary, AB · On-site

CA$33.16 - CA$43.42/hr

In collaboration with the Registered Nurse Case Manager, the LPN is responsible to assess, plan, implement and evaluate the needs of Home Care clients and their caregivers/families. You will play a ...

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Insurance Nurse Case Manager information

What is an insurance nurse case manager?

Insurance Nurse Case Managers are registered nurses who work for insurance companies or third-party administrators to help manage and coordinate patient care. They assess patients' medical needs, develop care plans, and act as a liaison between patients, healthcare providers, and insurers. Their primary goal is to ensure that patients receive appropriate, cost-effective care while facilitating communication and helping with claims processes. Insurance Nurse Case Managers also provide education and support to patients and families throughout the treatment process.

How does an insurance nurse case manager typically collaborate with claims adjusters and other healthcare professionals?

Insurance Nurse Case Managers work closely with claims adjusters to review medical documentation, assess treatment plans, and ensure that patients receive appropriate care while managing costs. They frequently communicate with healthcare providers, such as physicians and therapists, to coordinate care and gather information critical to case decisions. This collaborative approach helps streamline claims processing and supports positive patient outcomes, making effective communication and teamwork essential skills for success in this role.

What are the key skills and qualifications needed to thrive as an insurance nurse case manager, and why are they important?

To thrive as an Insurance Nurse Case Manager, you need a registered nursing license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with case management software, health insurance systems, and certifications such as CCM (Certified Case Manager) are typically required. Exceptional communication, organizational skills, and the ability to advocate for patients while balancing payer requirements are key soft skills in this role. These skills ensure effective coordination of patient care, cost management, and positive outcomes for both patients and insurance providers.

What is the difference between Insurance Nurse Case Manager vs Claims Nurse?

AspectInsurance Nurse Case ManagerClaims Nurse
CredentialsRN license, case management certification often preferredRN license, claims processing training
Work EnvironmentHealthcare settings, insurance companies, case management teamsInsurance companies, claims departments, healthcare providers
Employer & IndustryInsurance carriers, healthcare organizationsInsurance carriers, third-party claims organizations

The Insurance Nurse Case Manager and Claims Nurse roles both require RN licensure and involve working within insurance and healthcare settings. However, the Insurance Nurse Case Manager focuses on coordinating patient care and managing case progress, while the Claims Nurse primarily reviews and processes insurance claims. Both roles are essential in the insurance industry, but they differ in daily responsibilities and focus areas.

Do insurance nurse case managers make more money?

Insurance nurse case managers typically earn higher salaries than staff nurses due to their specialized role in coordinating care and managing claims. Their compensation can vary based on experience, certifications, and geographic location, with some earning additional benefits such as bonuses or overtime pay. Overall, their advanced responsibilities often lead to higher earning potential compared to general nursing positions.

What are popular job titles related to Insurance Nurse Case Manager jobs in Alberta?

For Insurance Nurse Case Manager jobs in Alberta, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse Case Manager jobs in Alberta look for?

The top searched job categories for Insurance Nurse Case Manager jobs in Alberta are:

Insurance Nurse Case Manager jobs near you
Infographic showing various Insurance Nurse Case Manager job openings in Alberta as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Registered Nurse - Case Manager/Interventionist

Alberta Health Services

Calgary, AB

CA$40.76 - CA$55.79/hr

Full-time

Posted yesterday

New

Job description

Your Opportunity:

Are you a Registered Nurse looking to work in a dynamic, interdisciplinary and community setting? The Registered Nurse, Case Manager/Interventionist position with the Integrated Home Care (IHC) program provides an exciting opportunity for you to work autonomously to your full scope of practice performing case management functions and providing direct clinical care. As a Registered Nurse, Case Manager/Interventionist, you will be responsible for coordinating and providing quality care to clients in the community. You will conduct nursing assessments, guide care planning, and provide case coordination and direct care in partnership with short term and long term clients and their families in their own residence or an alternate care setting. You will monitor services and ensure they are provided and modified as needed, based on client choice, effectiveness and authorization. It will be crucial to demonstrate proficiency in the following areas: personal and professional accountability, systems thinking, creative thinking, communicating and building relationships, and organizational and time management skills. The position requires flexibility, adaptability and travelling with your own vehicle. Manual handling (lifting, lowering, carrying, pushing and pulling) is a regular part of the job. For example: lifting items (approximately 30 pounds) in and out of a vehicle and carrying this weight up and down stairs throughout the day is common with this job. Learning resources and training are provided to safely perform work.

Description:

As a Registered Nurse (RN), you will provide a wide variety of nursing services to patients, families, communities and populations, while taking necessary steps to ensure their safety and well-being. In your role, you will utilize nursing processes, through critical thinking, problem solving and decision making, as well as teach, counsel and advocate on behalf of patients and their families. You will play a leadership role in supporting an integrated and holistic approach to patient care, health promotion and maintenance. You will provide safe, quality patient and family centered care while reflecting the shared vision and values. PLEASE NOTE: Provisional Permit holders will be paid $40.76 to $55.79 per hour. Upon obtaining a full practice permit, the rate of pay will be adjusted to the applicable Registered Nurse rate in accordance with UNA Article 25.02(b)(i) or (ii), as applicable.

  • Transition Company: Assisted Living Alberta
  • Classification: Registered Nurse
  • Union: United Nurses of Alberta
  • Unit and Program: Adults Team, Integrated Home Care
  • Primary Location: South Calgary Health Centre
  • Location Details: As Per Location
  • Multi-Site: At or Out of (UNA only)
  • FTE: 0.00
  • Posting End Date: 31-AUG-2026
  • Employee Class: Casual/Relief
  • Date Available: 10-SEP-2026
  • Hours per Shift: 7.75
  • Length of Shift in weeks: Varies
  • Shifts per cycle: Varies
  • Shift Pattern: Days, Weekends
  • Days Off: Other
  • Minimum Salary: $44.56
  • Maximum Salary: $60.98
  • Vehicle Requirement: Driver's License, Vehicle Required
Required Qualifications:

Completion of an accredited nursing education program. Active or eligible for registration and practice permit with the College of Registered Nurses of Alberta (CRNA). Current Basic Cardiac Life Support - Health Care Provider (BCLS-HCP) certification.

Additional Required Qualifications:

Recent experience working in a Home Care Setting. Minimum of 3 years of recent nursing experience. A valid Driver's License and a vehicle in good repair. Ability to lift 30 lbs.

Preferred Qualifications:

Experience working with acute clients and/or long term clients with a focus on chronic disease management. Experience providing case management, client teaching and professional nursing interventions including but not limited to Home Parenteral Therapy (HPT), wound care and ostomy care. Experience supporting vulnerable clients, those requiring palliative, mental health and/or addictions support.

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