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Insurance Nurse Case Manager Jobs in Decatur, IN

Moments Hospice

RN Case Manger

Fort Wayne, IN · On-site

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... Company car with fuel and insurance covered * Comprehensive health, dental, and vision insurance

Moments Hospice

RN Case Manger

Fort Wayne, IN

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... Company car with fuel and insurance covered * Comprehensive health, dental, and vision insurance

Moments Hospice

RN Case Manger

Fort Wayne, IN

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... Company car with fuel and insurance covered * Comprehensive health, dental, and vision insurance

Heart to Heart Hospice

RN Case Manager

Fort Wayne, IN · On-site

... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Medical, Dental & Vision insurance * Paid Time Off * Paid holidays * 401k with up to 4% employer ...

Heart to Heart Hospice

RN Case Manager

Fort Wayne, IN · On-site

... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Medical, Dental & Vision insurance * Paid Time Off * Paid holidays * 401k with up to 4% employer ...

Heart to Heart Hospice

RN Case Manager

Fort Wayne, IN · On-site

... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Medical, Dental & Vision insurance * Paid Time Off * Paid holidays * 401k with up to 4% employer ...

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Insurance Nurse Case Manager information

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

As of Aug 28, 2026, the average hourly pay for insurance nurse case manager in Decatur, IN is $45.86, according to ZipRecruiter salary data. Most workers in this role earn between $34.09 and $55.43 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 Decatur, IN look for?

The top searched job categories for Insurance Nurse Case Manager jobs in Decatur, IN are:

What cities near Decatur, IN are hiring for Insurance Nurse Case Manager jobs?

Cities near Decatur, IN with the most Insurance Nurse Case Manager job openings:

Insurance Nurse Case Manager jobs near you

NURSE CASE MANAGER PRN/Part-time

Fort Wayne, IN • On-site

Servants Heart Home Health Services Inc
11 - 50 employees
Learn more about Servants Heart Home Health Services Incexternal

Part-time, Per diem

Posted 7 days ago

Job description

Description:

NURSE CASE MANAGER

Reports to: Director of Nursing


JOB DESCRIPTION:


The Nurse Case Manager role requires a compassionate, clinically strong, and highly organized Registered Nurse (RN) within our Home Health Agency, responsible for both managing patient care across a defined caseload and personally delivering skilled nursing services in the home.


This role is critical to ensuring patients receive high-quality, compliant, and patient-centered care, while coordinating services across home health aides, skilled nursing, physicians, and internal team members. This position blends clinical excellence, care coordination, and compassion to ensure an optimum care experience for our patients.


RESPONSIBILITIES:

Clinical Case Management:

  • Perform comprehensive start-of-care, recertification, routine, and discharge assessments
  • Develop, implement, and continuously update individualized plans of care in accordance with physician orders and HHA agency requirements
  • Manage and oversee a caseload of home health patients, ensuring timely visits, continuity of care, and optimum care experience
  • Monitor patient progress and proactively identify changes in condition, escalating as appropriate

Skilled Nursing Care Delivery:

  • Provide hands-on skilled nursing services in the home, including but not limited to:
  • Wound care and dressing changes
  • Medication management and administration
  • Disease management and patient stabilization
  • IV therapy (if applicable)
  • Ensure all care provided aligns with physician orders and agency standards

Care Coordination & Communication:

  • Serve as the primary clinical point of contact for assigned patients
  • Coordinate care with physicians, therapists, caregivers, aides, and family members
  • Facilitate timely communication regarding patient status, changes, and care needs
  • Participate in case conferences and interdisciplinary team meetings

Supervision & Oversight:

  • Provide clinical oversight and supervision of Home Health Aides (HHAs)
  • Conduct supervisory visits and ensure care is delivered in accordance with the plan of care
  • Support training, coaching, and development of field staff to ensure quality and consistency

Documentation & Compliance:

  • Complete accurate, timely, and compliant documentation in the EMR system
  • Ensure adherence to Medicare/Medicaid guidelines, payer requirements, and state regulations
  • Maintain compliance with OASIS documentation standards (if applicable)
  • Follow all HIPAA, infection control, and agency policies

Quality & Patient Experience:

  • Promote a high standard of patient care and satisfaction
  • Participate in quality assurance and performance improvement initiatives
  • Identify opportunities to improve care delivery, efficiency, and outcomes
Requirements:
  • Active Registered Nurse (RN) license in the State of Indiana (or applicable state)
  • Minimum 1–2 years of nursing experience (home health or case management preferred)
  • Strong clinical assessment and critical thinking skills
  • Ability to independently manage time, priorities, and a patient caseload
  • Excellent communication and interpersonal skills
  • Valid driver’s license, reliable transportation, and current auto insurance
  • Experience with OASIS documentation and EMR systems
  • Knowledge of Medicare, Medicaid, and state home health regulations
  • Current CPR certification