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Insurance Nurse Case Manager Jobs in Appleton, WI

Ascension

Registered Nurse Case Manager

Appleton, WI · On-site

$40.41/hr

Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education: * Diploma from an accredited school/college of nursing required. Equal employment opportunity ...

Bristol Hospice

RN Case Manager

Appleton, WI · On-site

$88K - $97K/yr

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

BRISTOL HOSPICE LLC

RN Case Manager

New London, WI · On-site

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

BRISTOL HOSPICE LLC

RN Case Manager

Appleton, WI · On-site

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

Bristol Hospice

RN Case Manager

New London, WI · On-site

$90K - $97K/yr

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

Bristol Hospice

RN Case Manager

Green Bay, WI · On-site

$97K - $105K/yr

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

Bristol Hospice

RN Case Manager

New London, WI · On-site

$90 - $97/hr

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

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Insurance Nurse Case Manager information

See Appleton, WI salary details

$18

$46

$78

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

As of Sep 6, 2026, the average hourly pay for insurance nurse case manager in Appleton, WI is $46.38, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $56.06 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 Appleton, WI?

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

What job categories do people searching Insurance Nurse Case Manager jobs in Appleton, WI look for?

The top searched job categories for Insurance Nurse Case Manager jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Insurance Nurse Case Manager jobs?

Cities near Appleton, WI 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 Appleton, WI as of August 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $96,469 per year, or $46.4 per hour.

Registered Nurse Case Manager

Ascension

Appleton, WI • On-site

$40.41/hr

Per diem

Retirement

Re-posted 15 days ago

Key responsibilities

  • Architect comprehensive care plans that bridge the gap between hospital and home, ensuring every step aligns with the patient's personal values and recovery goals.

  • Advocate fiercely for patients by identifying and removing systemic barriers to care, ensuring they have the essential resources needed for a safe transition.

  • Orchestrate clinical communication across the multidisciplinary team to ensure the health plan is executed seamlessly and no detail is overlooked.

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,047 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Your future role at a glance 

Location: Appleton, WI

Facility: St. Elizabeth

Department: Case Management

Schedule: Days | PRN


Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.


Benefits that help you thrive
  • Retirement: 403(b) plan
  • Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources


How you’ll make an impact in this role
  • Architect comprehensive care plans that bridge the gap between hospital and home, ensuring every step aligns with the patient’s personal values and recovery goals.
  • Advocate fiercely for your patients by identifying and removing systemic barriers to care, ensuring they have the essential resources needed for a safe transition.
  • Orchestrate clinical communication across the multidisciplinary team to ensure the health plan is executed seamlessly and no detail is overlooked.
  • Champion documentation integrity by serving as a clinical resource, ensuring medical records accurately reflect the necessity of services and the complexity of the patient's journey.

What minimum requirements you’ll need

Licensure / Certification / Registration:

  • Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date required. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.
  • BLS Provider credentialed from the American Heart Association (AHA) preferred.
  • Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred.

Education:

  • Diploma from an accredited school/college of nursing required.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

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