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Insurance Nurse Case Manager Jobs in Racine, WI (NOW HIRING)

RN - Case Management

Waterford, WI ยท On-site

$2.5K/wk

Time: 13 Weeks Job Title: RN Case Manager - Travel Location: Waterford, WI Pay: $2,546.40 per week ... Health insurance - comprehensive medical coverage for you and your family * Certification ...

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

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

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

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

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

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

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

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

Hospice-RN Case Manager

Wauwatosa, WI ยท On-site

$72K - $92K/yr

BE APART OF LUTHER MANOR'S HOSPICE TEAM FULL TIME RN CASE MANAGER POSITION AVAILABLE The Luther Manor Hospice RN Case Manager gives skilled nursing care to patients in their homes; administers ...

BE APART OF LUTHER MANOR'S HOSPICE TEAM FULL TIME RN CASE MANAGER POSITION AVAILABLE The Luther ... Must have a valid Wisconsin driver's license and good driving record Must have auto insurance with ...

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Insurance Nurse Case Manager information

See Racine, WI salary details

$18

$44

$75

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

As of Jul 2, 2026, the average hourly pay for insurance nurse case manager in Racine, WI is $44.57, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $53.89 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.

How to make an extra 2000 a month as a nurse?

An insurance nurse case manager can increase income by taking on additional cases, working overtime, or pursuing specialized certifications to qualify for higher-paying roles. Developing skills in telehealth or consulting can also provide opportunities for extra income outside regular hours.

What does a nurse case manager do for an insurance company?

An insurance nurse case manager evaluates and coordinates medical care for policyholders to ensure appropriate, cost-effective treatment. They review medical records, communicate with healthcare providers, and develop care plans, often using case management software and adhering to industry standards. Their goal is to facilitate recovery and manage claims efficiently.

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 is the highest paid case manager?

The highest paid case managers are often experienced nurse case managers working in specialized fields such as workers' compensation, disability management, or insurance claims, with salaries exceeding $100,000 annually. Factors influencing pay include certifications, years of experience, and the complexity of cases managed. Nurse case managers with advanced credentials and leadership roles tend to earn the highest salaries in the field.

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.

How to make 300,000 as a nurse?

An Insurance Nurse Case Manager can earn $300,000 by gaining extensive experience, obtaining advanced certifications, and working in high-paying sectors such as insurance companies or consulting firms. Increasing specialization in complex cases and taking on leadership or consulting roles can also boost earning potential.

What are Insurance Nurse Case Managers?

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 Racine, WI? For Insurance Nurse Case Manager jobs in Racine, WI, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Case Manager jobs in Racine, WI look for? The top searched job categories for Insurance Nurse Case Manager jobs in Racine, WI are:
What cities near Racine, WI are hiring for Insurance Nurse Case Manager jobs? Cities near Racine, WI with the most Insurance Nurse Case Manager job openings:

RN - Case Management

Seven Healthcare

Waterford, WI โ€ข On-site

$2.5K/wk

Other

Medical

Posted 13 days ago


Job description

Ref. 62025301
RN - Case Management
$2,546.40 per week

  • Location: Waterford, WI
  • Type: Travel
  • Schedule: 8 Hrs
  • Time: 13 Weeks
Job Title: RN Case Manager - Travel
Location: Waterford, WI
Pay: $2,546.40 per week
Shifts: M-F 8am-5pm (No oncall)
Seven Healthcare is seeking an experienced RN Case Manager for a travel assignment in Waterford, WI. This role specializes in hospice care and requires expertise in wound care. The environment involves visits to clients in Kenosha, Racine, and Southeast Milwaukee County. Candidates must have a strong background in home care and electronic medical records systems.
Why Choose Seven Healthcare?
Seven Healthcare is committed to supporting healthcare professionals with robust communication and a nurse-first approach. We offer valuable benefits such as:
  • License reimbursement - financial support to maintain your professional credentials
  • Referral program - earn rewards for introducing fellow healthcare professionals
  • Health insurance - comprehensive medical coverage for you and your family
  • Certification reimbursement - assistance with obtaining additional qualifications
  • Weekly pay - prompt and reliable payments every week
Key Responsibilities of the RN Case Manager
  • Perform comprehensive assessment of high-risk members
  • Collaborate with primary care providers to implement care plans
  • Identify and reassess cost-efficient, appropriate levels of care
  • Coordinate non-medical support for treatment plan compliance
  • Coordinate care transitions and collaborate with healthcare professionals
  • Engage specialty resources as needed for optimal resolution
  • Maintain detailed records of management process outcomes
  • Identify health promotion and illness prevention opportunities
  • Act as a patient advocate by ensuring privacy and confidentiality
Requirements of the RN Case Manager
  • RN License for WI
  • Hospice experience, Wound Care Experience
  • Home Care Home Base (HCHB) experience desired or similar EMRs acceptable
  • Certified CPR/BLS
  • Valid Driver's License and Reliable Vehicle
  • Valid Car Insurance
  • Completion of skills competency checklist
  • Elder Abuse, HIPAA, OSHA, Infection control training
  • Associates or Bachelor's Degree in Nursing or related field
  • Case Management certification

Waterford: Where the Job Meets Lifestyle
Situated in Wisconsin, Waterford offers a blend of small-town charm and access to major urban centers. Enjoy beautiful landscapes, a strong sense of community, and proximity to the bustling cities of Milwaukee and Chicago.
Why Work with Seven Healthcare?
Seven Healthcare is a trusted staffing agency with 5-star ratings on Google and Vivian and recognition as a Best Travel Nurse Company 2024 by BluePipes. We offer competitive compensation, personalized support, and flexible job opportunities tailored to your career goals.