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Insurance Nurse Case Manager Jobs in Crete, IL (NOW HIRING)

Fsc Corporation

IL794a - Nurse Case Manager

Chicago, IL · On-site

IL794a - Nurse Case Manager Join Our Team as a Nurse Case Manager!! Are you a dedicated and compassionate nurse seeking a role that makes a difference in patients' lives? We are looking for a Nurse ...

Sinai Health System

RN Case Manager

Chicago, IL

The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care ...

Sinai Chicago

RN Case Manager

Chicago, IL · On-site

$37.40/hr

The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care ...

Sinai Chicago

RN Case Manager

Chicago, IL

The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care ...

Sinai Chicago

RN Case Manager - REGISTRY

Chicago, IL · On-site

The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care ...

Sinai Chicago

RN Case Manager - REGISTRY

Chicago, IL · On-site

The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care ...

Talent4Health

RN - Case Manager

Chicago, IL · On-site

$3.0K/wk

Maryland Degree: RN Specialty: Case Manager Desired Shift: 5X8 Days, 09:00:00-17:00:00, 8.00-5 Why ... Group Health insurance benefits: ; * Medical Plan ; * Dental Plan ; * Vision Plan; * Short and ...

Protouch Staffing

RN Case Manager

Chicago, IL · On-site

$2.8K/wk

Inpatient Care Manager (RN / Case Manager) Location: Chicago, IL Schedule: Full-Time | Monday ... Navigate insurance plans, authorizations, and post-acute placement needs * Identify and coordinate ...

Sarah Bush Lincoln

RN - Case Manager

Chicago, IL · On-site

RN Case Manager We are seeking a qualified RN Case Manager. Candidates must possess at least five ... Medical, dental & vision insurance * Free and unlimited continuing education units (CEUs) * 24/7 ...

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All JobsInsurance Nurse Case JobsInsurance Nurse Case Manager JobsInsurance Nurse Case Manager Jobs in Crete, IL

Insurance Nurse Case Manager information

See Crete, IL salary details

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$76

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

As of Aug 27, 2026, the average hourly pay for insurance nurse case manager in Crete, IL is $45.53, according to ZipRecruiter salary data. Most workers in this role earn between $33.85 and $55.05 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 job categories do people searching Insurance Nurse Case Manager jobs in Crete, IL look for?

The top searched job categories for Insurance Nurse Case Manager jobs in Crete, IL are:

What cities near Crete, IL are hiring for Insurance Nurse Case Manager jobs?

Cities near Crete, IL with the most Insurance Nurse Case Manager job openings:

Insurance Nurse Case Manager jobs near you

Nurse Case Manager

Chicago Family Health Center

Chicago, IL • On-site

Other

Medical, Dental, Vision, PTO

Posted 16 days ago

Chicago Family Health Center rating

4.3

Company rating: 4.3 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Nurse Case Manager

Schedule: Monday - Friday 8:30am - 5:15pm

Under the general guidance of the Director of Care Management, the Nurse Case Manager will provide direct patient care through implementation of individual patient care plans developed in collaboration with the patient's primary care provider. This individual will work directly with the provider for continuity of care to fulfill the individual patient care plan. The Nurse Case Manager will promote self-care management and assist with access to care. Functions through direct face to face patient contact, telephone follow-up and education based on care management guidelines in a sensitive and confidential manner. Maintains satisfactory relations interdepartmentally and participates in phases of center wide health education.

Responsibilities:

The Nurse Case Manager role involves the use of critical thinking skills and clinical expertise to provide ongoing case and care management to an assigned panel of patients. This will include:

  • Managing the ongoing care management for an assigned population case load (Population Health Management)
  • Performing Comprehensive Risk Assessments and developing individualized Patient Care Plans for all assigned cases
  • Managing and coordinating patient access to care, including overseeing the efforts of collaborating Care Coordinators, Referral staff and others
  • Addressing all relevant Transitions of Care management when patients obtain hospital-based care
  • Collaborative participation in the Patient Care Teams
  • Population Health Management
  • Development & Management of Patient Care Plans includes management and coordination of care
  • Transitions of Care and Self Management

Qualifications:

  • Associate degree in Nursing from an accredited college or university is minimally required. Bachelor's degree in Nursing from an accredited college or university is required to facilitate complex disease care management and advanced patient needs.
  • Licensed Practical Nurse (LPN) or Registered Nurse (R.N.) with a valid license in the state of Illinois
  • Current CPR Certification
  • A minimum of two (2) – three (3) years' experience as a qualified Case Manager preferred.
  • Significant demonstrable experience of working in a community-based environment.
  • Significant demonstrable experience of working with highly complex packages of care in a health and/or social care environment.
  • Bilingual ability preferred; may or may not be required based on individual department needs.

If you are a dedicated and compassionate Clinical Nurse with a passion for providing high-quality patient care services, we encourage you to apply for this exciting opportunity. At Chicago Family Health, we are committed to providing our staff with a supportive and collaborative work environment, competitive salary packages, and excellent benefits. Apply today and join our team!

Chicago Family Health Centers offers benefits to all its full-time employees:

BCBS Medical PPO/HMO Plans| BCBS Dental |VSP Vision| Tuition Reimbursement up to $1,500 per year|11 Paid Holidays and 10 Days of Paid Time Off | 8 sick days | 3 personal days

Chicago Family Health Center is an affirmative action/equal opportunity employer who is committed to cultivating diversity, equity and inclusion within all aspects of our organizations. We stand against and prohibit discrimination in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

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