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Insurance Nurse Case Manager Jobs in Quebec (NOW HIRING)

As a Case Manager, you will play a key role in the assessment, management, and ongoing ... Has relevant experience in the disability insurance field; * Is proficient with the Microsoft ...

As a Bilingual Nurse Case Manager , you'll serve as the single point of contact for prescribers, clinic staff, and patients--coordinating onboarding, education, and ongoing adherence support across ...

... management. We are proud of our 500 dedicated employees who have a positive impact on the residents ... The Heritage Plateau residence is looking for licensed practical nurses to fill the following ...

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Insurance Nurse Case Manager information

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 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.

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 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.
What are popular job titles related to Insurance Nurse Case Manager jobs in Quebec? For Insurance Nurse Case Manager jobs in Quebec, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Case Manager jobs in Quebec look for? The top searched job categories for Insurance Nurse Case Manager jobs in Quebec are:
Infographic showing various Insurance Nurse Case Manager job openings in Quebec as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Nurse Case Manager (24 Month Contract)

Canadian National Railway Company

Montreal-est, QC • On-site

Contractor

Posted 4 days ago


Canadian National Railway rating

7.5

Company rating: 7.5 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

136th of 360 rated logistics


Job description

At CN everyday brings new and exciting challenges. You can expect an interesting environment where you're part of making sure our business is running optimally and safely-helping keep the economy on track. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to thrive in our close-knit, safety-focused culture working together as ONE TEAM. The careers we offer are meaningful because the work we do matters. Join us!

Job Summary

The Nurse Case Manager ensures compliance with legal, regulatory and policy requirements when assessing medical fitness for duty and managing the disability management program. He or she acts as a member of a multi-professional team which includes responsibility for evaluating disability and medical fitness for duty of individuals occupying safety sensitive or safety critical railway positions, non-safety sensitive position with physical demands as well as for other CN positions. These medical disability assessments and on-going case management may be required throughout the career of a CN employee from pre-employment through retirement. 

As a member of the O.I.I.Q., or CRNA, the NCM is bound by professional scope of practice, continuing competencies, and ethical standards. At all times the NCM is responsible for the collection and protection of highly confidential medical information regarding CN applicants, employees, and former employees.

Please note that  this  is a 24 month  contract. 

Main Responsibilities

       Responsible to assess and monitor fitness to work of applicants and employees using specific indicators and criteria as approved by CN CMO and in accordance with CN Policies, practices and procedures and applicable regulations such as Canadian Railway Medical Rules Handbook

       Perform medical evaluations for pre-placement, periodical, job transfer, return to work, fitness to work, health monitoring assessment (illnesses, chemical exposures) and surveillance, precision testing such as audiometric and lantern, disability retirement, etc.

       Monitor substance use - Be considered as an expert in CN's D&A Policy and act as a resource to CN Managers

       Perform or assist with arranging pre-placement, follow-up, random post incidents testing and arrange assessments for employees being reinstated following dismissal/arbitration decision or after leave of absence

       Medically monitor CN employees with substance use disorders under RPA's and continuing employment contracts

       Manage disability cases and medical follow-ups efficiently and keep information up-to-date in SAP system

       Understand and apply policies and procedures currently in place

       Coordinate and prepare action and return to work or accommodations plans for employees with conditions covered under the Railway Medical Guidelines

       Maintain complete and accurate employee health records (paper files as well as SAP) respecting legislative requirements, security, privacy and confidentiality (e.g.: levels of security of both electronic and paper documentation, access, transfer, release, retention and disposal)

Working Conditions

The role has standard working conditions in an office environment with a regular workweek from Monday to Friday and may require periodic overtime. Due to the nature of the role, the incumbent must be able to meet tight deadlines, handle pressure and manage stress. The role requires respecting the legal obligations of a registered nurse, including confidentiality of medical information and area of practice.

Requirements

Experience

Disability Management

       Minimum of 3 years of experience in disability management (occupational or non-occupational) or of acute nursing care

Education/Certification/Designation

       Bachelor's Degree in nursing

       Valid Nursing licence

       Member of Ordre des infirmieres et infirmiers du Quebec (OIIQ) or College of Registered Nurses of Alberta (CRNA)

Competencies

       Inspires others with impactful communications and adapts to the audience

       Applies analytical thinking to make recommendations that pursue sustainable performance

       Influences by translating expertise into practical business outcomes

       Builds and maintains networks

       Deals with pressure and change by staying calm to quickly adapt to changes

       Makes informed decisions

Technical Skills/Knowledge

       Good knowledge of computers (SAP, Cority, Cornerstone) and Windows environment (Word, Excel, PowerPoint)

       Good organizational skills and the ability to work independently

       Administrative skills, research skills (on-line medical resources)

       High degree of clinical skills, maintain high degree of alertness, ability to collect medical data objectively and to record and interpret it concisely and accurately


What Canadian National Railway employees say

Pay

Benefits

Hours and flexibility

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