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Nurse Medical Management Jobs (NOW HIRING)

HealthWorks Medical

Medical Mgmt Assistant

Paducah, KY

$15 - $17/hr

Support case managers, and nurses with administrative tasks. * Manage phone calls, emails, and faxes related to medical management activities. * Maintain confidentiality and comply with HIPAA and ...

Elevance Health

Medical Management Clinician

Tampa, FL · On-site

Current active RN License is strongly preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for ...

Elevance Health

Medical Management Clinician

Tampa, FL · On-site

Medical Management Clinician Location: This role enables associates to work virtually full-time, ... Refers complex or unclear reviews to higher level nurses and/or Medical Directors. * May educate ...

Sutter Health

Medical Management Liaison RN

Sacramento, CA · On-site

$189K - $264K/yr

The Medical Management Program Manager RN is a clinically experienced registered nurse leader dedicated to providing concierge-level medical management support to a large employer group client of the ...

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How much do nurse medical management jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for nurse medical management in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What are Nurse Medical Management professionals?

Nurse Medical Management professionals, often called nurse case managers or utilization review nurses, are registered nurses who coordinate and oversee patient care to ensure it is cost-effective, appropriate, and meets quality standards. They work with patients, families, and healthcare providers to create care plans, facilitate communication, and manage resources. Their role often includes reviewing medical records, authorizing treatments, and helping patients navigate the healthcare system. Nurse Medical Management professionals may work in hospitals, insurance companies, or other healthcare organizations. The goal is to improve patient outcomes while managing healthcare costs.

What is the difference between Nurse Medical Management vs Nurse Case Manager?

AspectNurse Medical ManagementNurse Case Manager
CertificationsRN license, possibly certifications in case management or disease-specific areasRN license, case management certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsHospitals, insurance companies, or community health settings
Primary FocusOverseeing medical management plans, coordinating care, ensuring treatment adherenceAssessing patient needs, coordinating services, and facilitating discharge planning

Both roles require RN licensure and often similar certifications. Nurse Medical Management focuses on overseeing overall medical plans and treatment coordination, often within insurance or managed care settings. Nurse Case Managers concentrate on assessing patient needs, coordinating services, and discharge planning, typically working directly with patients and healthcare providers. While overlapping, Nurse Medical Management emphasizes medical oversight, whereas Nurse Case Management centers on patient-centered care coordination.

How does a Nurse Medical Management professional typically collaborate with physicians and other healthcare team members?

Nurse Medical Management professionals play a key role in coordinating care by regularly communicating with physicians, social workers, and other healthcare providers. They participate in multidisciplinary team meetings, share patient updates, and help develop and implement care plans to ensure efficient, high-quality patient outcomes. Collaboration often includes advocating for patient needs, assisting with transitions of care, and providing education to both patients and staff. Strong interpersonal and organizational skills are essential for success in this highly collaborative environment.

What are the key skills and qualifications needed to thrive as a Nurse Medical Management, and why are they important?

To thrive as a Nurse Medical Management professional, you need a strong clinical background, a current RN license, and expertise in case management or utilization review. Familiarity with healthcare management software, claims systems, and certifications like CCM (Certified Case Manager) are commonly required. Excellent communication, critical thinking, and organizational skills help you coordinate care and advocate for patients effectively. These skills ensure optimal patient outcomes, efficient resource use, and compliance with healthcare regulations.
What cities are hiring for Nurse Medical Management jobs? Cities with the most Nurse Medical Management job openings:
What states have the most Nurse Medical Management jobs? States with the most job openings for Nurse Medical Management jobs include:
Nurse Medical Management jobs near you
Infographic showing various Nurse Medical Management job openings in the United States as of July 2026, with employment types broken down into 84% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Medical Mgmt Assistant

HealthWorks Medical

Paducah, KY

$15 - $17/hr

Other

Re-posted 14 days ago

Job description

About Us

At Healthworks, we’re dedicated to improving the health and well-being of our patients through compassionate, efficient, and high-quality care. We believe every team member plays a vital role in achieving our mission and creating a positive experience for those we serve.

Position Summary

The Medical Management Clerical team member provides essential administrative and clerical support to the Medical Management department. This position ensures that all patient data, authorizations, and correspondence are accurately processed and maintained in compliance with company policies and healthcare regulations.

Key Responsibilities

  • Perform data entry, scanning, and filing of medical documentation.

  • Process paperwork, authorizations, and correspondence accurately and promptly.

  • Support case managers, and nurses with administrative tasks.

  • Manage phone calls, emails, and faxes related to medical management activities.

  • Maintain confidentiality and comply with HIPAA and company privacy standards.

  • Scheduling physicals, effective communication skills and detail oriented

  • Participate in team meetings and contribute to process improvements.

Qualifications

  • High school diploma or equivalent required; Associate degree preferred.

  • Minimum 1 year of clerical or administrative experience in a healthcare setting.

  • Proficiency in Microsoft Word & Excel, Google Workspace and Adobe.

  • Excellent attention to detail, organizational, and communication skills.

  • Ability to work independently and manage multiple priorities.

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