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Insurance Nurse Case Manager Jobs in Wisconsin (NOW HIRING)

Community Care (WI)

RN Case Manager

Madison, WI · On-site

Rn Case Manager Community Care is hiring an RN Case Manager to join our Family Care Program team. This rewarding opportunity is perfect for someone who enjoys team collaboration, community case ...

FROEDTERT HEALTH

RN CASE MANAGER

Menomonee Falls, WI · On-site

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Community Care (WI)

RN Case Manager

West Bend, WI · On-site

RN Case Manager Community Care is hiring a RN Case Manager to join our Family Care Program team. This rewarding opportunity is perfect for someone who enjoys team collaboration, community case ...

Froedtert Health

RN CASE MANAGER

Milwaukee, WI · On-site

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Froedtert Health

RN CASE MANAGER

Menomonee Falls, WI · On-site

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Community Care (WI)

RN Case Manager

Waukesha, WI · On-site

Rn Case Manager Community Care is hiring a RN Case Manager to join our Family Care Program team. This rewarding opportunity is perfect for someone who enjoys team collaboration, community case ...

St Croix Hospice

RN Case Manager

Menomonie, WI · On-site

Health, dental, vision, and life insurance * Company-paid short/long-term disability and basic life insurance * 401(k) with up to 4% company match * Tuition reimbursement and professional development ...

Froedtert

RN CASE MANAGER

Milwaukee, WI

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

St Croix Hospice

RN Case Manager

Eau Claire, WI · On-site

Health, dental, vision, and life insurance * Company-paid short/long-term disability and basic life insurance * 401(k) with up to 4% company match * Tuition reimbursement and professional development ...

Froedtert

RN CASE MANAGER

Menomonee Falls, WI

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

FROEDTERT HEALTH

RN CASE MANAGER

Milwaukee, WI · On-site

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

St Croix Hospice

RN Case Manager

Stevens Point, WI · On-site

Health, dental, vision, and life insurance * Company-paid short/long-term disability and basic life insurance * 401(k) with up to 4% company match * Tuition reimbursement and professional development ...

St Croix Hospice

RN Case Manager

Neenah, WI · On-site

$87K - $95K/yr

RN Case Manager Neenah, WI 54956 Overview Position Type Full Time Travel Percentage 100 ... Valid State Driver's License, access to an automobile in good working order, automobile insurance ...

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All JobsInsurance Nurse Case JobsInsurance Nurse Case Manager JobsInsurance Nurse Case Manager Jobs in Wisconsin

Insurance Nurse Case Manager information

See Wisconsin salary details

$19

$47

$80

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

As of Aug 12, 2026, the average hourly pay for insurance nurse case manager in Wisconsin is $47.98, according to ZipRecruiter salary data. Most workers in this role earn between $35.67 and $57.98 per hour, depending on experience, location, and employer.

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 Wisconsin? For Insurance Nurse Case Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Case Manager jobs in Wisconsin look for? The top searched job categories for Insurance Nurse Case Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Insurance Nurse Case Manager jobs? Cities in Wisconsin 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 Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $99,793 per year, or $48 per hour.

Registered Nurse Case Manager

Stoughton Health

Stoughton, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Stoughton Health Rn Case Manager

Stoughton Health has an excellent opportunity for an RN Case Manager to join our Medical-Surgical team on a Part-Time basis. The RN Case Manager responsible for carrying out many duties that directly affect customer service, quality care, and hospital reimbursement. This is a multi-focal role involving review of benefits for planned admissions, concurrent review of charts for medical acuity, coordination of admissions to supportive care, participation in discharge planning within the multidisciplinary care team, assistance in assignment of DRG's, and contacts with hospital departments and outside agencies.

Position Requirements:

  • Required Education: Associate's Degree in Nursing or experience commensurate to a Bachelor's degree
  • Preferred Education: Bachelor's Degree. Advanced computer coursework.
  • Professional Experience: Requires five years acute care nursing experience. Prefer prior related work experience in Patient Review or Case Management.
  • Licensure: Currently licensed by the Board of Licensing and Regulation in the State of Wisconsin as a Registered Nurse in good standing
  • Computer Competency: Basic Computer Skills are expected for this position
  • Microsoft Office Suite Skills: Beginning Skills – Able to perform basic things such as opening a document, change font, save a document, write a letter.

Work Shift:

  • Part-Time,.5 FTE
  • Week 1 - 24 hours
  • Week 2 - 16 hours
  • Scheduled Days: Variable between Monday - Friday
  • Shift: 8:00 a.m. – 4:30 p.m.
  • No weekends

Benefits:

  • 403(b) retirement plan (employer match at hire)
  • Medical Insurance (Multiple Health Plan Options)
  • Dental, and Vision insurance
  • Disability and life insurance
  • Flexible spending account
  • Health Savings Account (HSA)
  • Paid Time Off (PTO at hire)
  • Employee assistance programs
  • Tuition Assistance
  • Free On Campus Parking

Work Environment:

This position is an in-person role at our Stoughton Hospital location. The role supports a collaborative and supportive work culture while providing exceptional, personalized service.

Stoughton Health offers a competitive pay rate, shift differential pay, and excellent benefits. Equal Opportunity Employer.

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