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Insurance Nurse Case Manager Jobs in Michigan (NOW HIRING)

Freedom-At-Home

RN Case Manager

Grand Rapids, MI · On-site

$65 - $90/hr

Job Title: RN Case Manager Job Location: Grand Rapids, MI Company: Freedom At Home Company Slogan: "When Given A choice, Choose Freedom!" Job Summary: We are seeking a dedicated and compassionate ...

TEEMA

Registered Nurse Case Manager

Grand Blanc, MI · On-site

Job Title: Registered Nurse Case Manager Location: Grand Blanc, MI Assignment Type: 13-week contract (with the option to extend) Schedule: 4 days a week / 10 hour shifts 7:30am - 6pm Position ...

Crossbridge Hospice

RN Case Manager

Troy, MI · On-site

$65 - $90/hr

... N Case Manager Troy, Troy, MI, US 7 days ago Requisition ID: 2054 At Crossbridge Hospice, we ... Health, Dental, Vision, Disability & Life Insurance * 401(k) Retirement Plan * Tuition ...

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Insurance Nurse Case Manager information

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$16

$41

$69

How much do insurance nurse case manager jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for insurance nurse case manager in Michigan is $41.43, according to ZipRecruiter salary data. Most workers in this role earn between $30.82 and $50.10 per hour, depending on experience, location, and employer.

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 Michigan?

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

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

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

What cities in Michigan are hiring for Insurance Nurse Case Manager jobs?

Cities in Michigan with the most Insurance Nurse Case Manager job openings:

Insurance Nurse Case Manager jobs near you
Infographic showing various Insurance Nurse Case Manager job openings in Michigan as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, and 5% Contract. Highlights an 100% In-person job distribution, with an average salary of $86,173 per year, or $41.4 per hour.

Case Manager - RN - Full Time - Days

Henry Ford Health System

Detroit, MI • On-site

Full-time

Re-posted 23 days ago

Henry Ford Health rating

6.9

Company rating: 6.9 out of 10

Based on 572 frontline employees who took The Breakroom Quiz

455th of 898 rated healthcare providers

Job description

2-year RN Case Management experience if ADN
Must have experience working inpatient in a large acute care hospital.
Full-Time Benefit Eligible
Shift: Days
GENERAL SUMMARY:
The Case Manager-RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This position requires strong clinical judgment, excellent communication skills, and a deep understanding of healthcare systems. The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.
What makes a successful RN Case Manager? The skills of the inpatient RN Case Manager are challenging to ascertain proficiency, therefore, if an applicant has recent acute inpatient hospital experience within the last 2 years, they are more successful in transitioning into our RN Case Management role.
Clinical Care Coordination:
  • Conduct comprehensive patient assessments to identify individualized needs and develop personalized care plans.
  • Collaborate with the healthcare team to ensure timely and appropriate interventions, including specialty consultations and referrals.
  • Monitor patient progress, identify potential barriers to care, and implement strategies to address them proactively.
  • Facilitate patient education and support to empower patients and families in their healthcare decisions.

Discharge Planning:
  • Develop and implement comprehensive discharge plans that address the patient's physical, social, and financial needs.
  • Coordinate with community resources and post-acute care providers to ensure a smooth transition of care.
  • Advocate for patients' rights and ensure access to necessary services and support.

Quality Improvement:
  • Analyze patient outcomes and identify opportunities for improvement in care processes.
  • Participate in quality improvement initiatives and contribute to the development of best practices.
  • Stay updated on relevant regulations, guidelines, and industry trends to ensure compliance and optimize care delivery.

Interdisciplinary Collaboration:
  • Collaborate effectively with physicians, nurses, social workers, therapists, and other healthcare professionals to deliver coordinated care.
  • Facilitate communication and information sharing among team members to ensure optimal patient outcomes.
  • Build strong relationships with community partners to support patient needs beyond the hospital setting.

By joining our team as a Case Manager-RN, you will have the opportunity to make a significant impact on the lives of patients and their families. Your expertise in clinical care, discharge planning, and quality improvement will be instrumental in ensuring that patients receive the highest care.
EDUCATION/EXPERIENCE REQUIRED:
Education:
  • Bachelor's degree in Nursing (BSN) is preferred.
  • Associate's degree in Nursing (ADN) with at least two years of acute care case management experience is acceptable.
  • ADN candidates must enroll in an accredited BSN program within three years of hire and complete it within five years.

Experience:
  • Minimum of three years of recent acute care nursing experience.
  • Prior case management experience is highly preferred.

Certifications:
  • Certification in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case Management Association is required within one year of hire.

What Henry Ford Health employees say

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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