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Insurance Nurse Case Manager Jobs in Madison, WI

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 ...

CommUnityCare

RN Case Manager

Madison, WI · On-site

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 management, being part ...

communitycare

RN Case Manager

Madison, WI · On-site

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 management, being part ...

UW Health

Nurse Case Manager, Coordinated Care

Madison, WI · On-site

$83K - $125K/yr

We are seeking a Nurse (RN) Case Manager : * Bring a strong clinical background, case management ... An excellent benefits package, including health and dental insurance, paid time off and retirement ...

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Insurance Nurse Case Manager information

See Madison, WI salary details

$19

$47

$80

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 Madison, WI is $47.90, according to ZipRecruiter salary data. Most workers in this role earn between $35.62 and $57.88 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 Madison, WI?

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

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

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

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

Cities near Madison, 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 Madison, WI as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $99,638 per year, or $47.9 per hour.

RN Case Manager

Community Care (WI)

Madison, WI • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

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 management, being part of a mission driven organization and who shares our mission to help elderly individuals and adults with physical and intellectual disabilities continue to live as independently as possible in the community. This is a full-time opportunity working out of our Dane County location. $10,000 Sign On Bonus

Rn Case Manager Job Responsibilities:
  • Completes discipline-specific initial and ongoing assessments. Conducts home visits and home assessments as needed, and consults with families and other supports for additional information as needed.
  • Develops and maintains care plans, including members' long-term care and personal outcomes, progress towards past identified outcomes, member strengths, risks, natural and formal supports. Follow up on all services to ensure quality/coordination and effectiveness of services.
Rn Case Manager Job Requirements:
  • Education: Associates degree in Nursing Required, Bachelors Degree preferred.
  • Licensure: Wisconsin Licensed Registered Nurse
  • Licensure: Eligibility for long-term care functional screener certification is required
  • Licensure: WI Drivers License
  • Experience: Required 2 years recent experience with older adults or persons with physical or intellectual disabilities in a nursing capacity Required Preferred 2 years of work in community nursing
Rn Case Manager Job Schedule:

Monday- Friday 8:00 AM-4:30 PM.

About Community Care

Community Care is a local nonprofit with more than 40 years of experience helping older adults and adults with disabilities live as independently as possible within the community. We coordinate and deliver a full range of supportive services that help more than 13,000 Wisconsin residents live safely, confidently, and with dignity. We are Wisconsin-based with local offices supporting each of the 23 counties we serve. Our dedicated team works with members to develop care plans to meet their health and social needs. Together with our community partners, we're committed to providing compassionate, personalized care that empowers members to live a healthy and independent lifestyle.

Compensation and Benefits:

  • Generous, paid time off
  • Competitive pay and benefits (health, dental, vision, etc.)
  • Flexible benefits plan
  • Employee referral program
  • Coworkers care program
  • Retirement plan with employer contribution
  • Employee Assistance Program

Community Care is an Equal Opportunity Employer

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