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Nurses In Insurance Jobs in Wisconsin (NOW HIRING)

Essentia Health

RN - New Grad Nurse Resident

Hayward, WI

$45.03 - $68.87/hr

Goal: To support new graduate nurses in their transition from novice nurse to competent nurse ... Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along ...

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Nurses In Insurance information

What is the difference between Nurses In Insurance vs Insurance Claims Adjusters?

AspectNurses In InsuranceInsurance Claims Adjusters
Required CredentialsRN license, nursing degreeHigh school diploma or equivalent, licensing may be required
Work EnvironmentInsurance companies, healthcare settings, remote optionsFieldwork, office settings, remote work possible
Industry UsageHealth insurance, disability, life insuranceProperty, casualty, health insurance claims
Job FocusAssessing health-related claims, medical reviewsInvestigating claims, determining coverage validity

While Nurses In Insurance focus on medical assessments and reviews within insurance claims, Insurance Claims Adjusters handle the investigation and evaluation of various insurance claims, including property and casualty. Both roles require understanding insurance policies, but Nurses In Insurance have a healthcare background, whereas Claims Adjusters focus more on claim investigation and settlement processes.

How to make $300,000 as a nurse?

Nurses can earn $300,000 by working in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and experience. Working overtime, taking on leadership roles, or working in private sectors and specialized facilities can also increase income significantly.

What does a nurse do for an insurance company?

A nurse working for an insurance company typically reviews medical records, assesses claims, and determines coverage eligibility based on medical necessity. They may also provide expert opinions, support claims processing, and ensure compliance with healthcare policies, often using clinical knowledge and documentation skills.

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

Nurses can earn an extra $2000 a month by taking on per diem or agency shifts, which often pay higher rates, or by working overtime and weekend shifts. Developing specialized skills in areas like IV therapy, anesthesia, or telehealth can also lead to higher-paying side opportunities. Additionally, some nurses supplement income through telehealth consulting or by offering health education services outside regular hours.

Can nurses work in insurance companies?

Nurses can work in insurance companies in roles such as case managers, claims reviewers, or health consultants. These positions often require clinical knowledge, strong communication skills, and sometimes certifications like a Certified Case Manager (CCM).

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

To thrive as a Nurse in Insurance, you need a solid nursing background, active RN licensure, and experience in case management or utilization review. Familiarity with insurance claims software, medical coding (ICD-10, CPT), and knowledge of healthcare regulations are typically required. Strong analytical, communication, and negotiation skills help nurses effectively review claims and collaborate with patients, providers, and insurers. These competencies ensure accurate claim assessments, cost-effective care, and compliance with regulatory standards in the insurance industry.

What are nurses in insurance?

Nurses in insurance, often called nurse case managers or insurance nurse consultants, are registered nurses who work for insurance companies to review medical claims, assess patient care needs, and coordinate healthcare services. They use their clinical expertise to evaluate treatment plans, ensure medical necessity, and help contain costs while advocating for appropriate patient care. These nurses play a key role in claims management, utilization review, and sometimes help educate policyholders about health and wellness.

How do nurses in insurance typically collaborate with other professionals within the insurance industry?

Nurses in insurance often work closely with claims adjusters, underwriters, medical directors, and case managers to evaluate medical claims, assess risk, and ensure policyholders receive appropriate care. They review medical records, provide clinical insights, and may communicate directly with healthcare providers to clarify treatment details. This collaborative environment requires strong communication skills and the ability to translate clinical knowledge into insurance-related recommendations, making teamwork an essential part of daily responsibilities.
What are popular job titles related to Nurses In Insurance jobs in Wisconsin? For Nurses In Insurance jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Nurses In Insurance jobs in Wisconsin look for? The top searched job categories for Nurses In Insurance jobs in Wisconsin are:
What cities in Wisconsin are hiring for Nurses In Insurance jobs? Cities in Wisconsin with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Wisconsin as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
Home Health Patient Coordinator

Home Health Patient Coordinator

PRN Home Health & Therapy

Appleton, WI • On-site

Full-time

Posted 27 days ago

Job description

Home Health Patient Coordinator

LPNs and MAs Encouraged to Apply Location: Appleton, WI | Schedule: Monday–Friday, 8am–5pm

About PRN Home Health & Therapy

PRN Home Health & Therapy is a family‑owned agency based in Appleton, proudly serving 20 counties across central and eastern Wisconsin. We provide Skilled Nursing, Physical Therapy, Occupational Therapy, and Speech Therapy. Our team values flexibility, professional growth, and a supportive work environment. We offer in‑house training, continuing education opportunities, and a culture built around helping clinicians thrive.

Our Mission

To improve the quality of life and well‑being of those we serve.


Position Overview

The Home Health Patient Coordinator plays a key role in ensuring smooth, timely, and compassionate coordination of patient care. This position supports both patients and clinical staff by managing scheduling, processing referrals, and maintaining accurate communication and documentation.


Responsibilities

  • Schedule patient visits and coordinate assignments with clinicians.
  • Work closely with clinical staff to ensure efficient admission and onboarding of new referrals.
  • Answer incoming calls with professionalism while maintaining strict patient confidentiality.
  • Manage referral documentation, data entry, and timely communication of medical information to physicians and therapists.
  • Assist with outreach to patients, caregivers, providers, and facilities to support continuity of care.


Qualifications

  • Experience in patient intake, medical office administration, or related healthcare roles.
  • Background in insurance authorization processing preferred.
  • Strong organizational skills with the ability to multitask and prioritize in a fast‑paced environment.
  • Professional, people‑oriented communicator—comfortable in person, by phone, and via email.
  • Knowledge of medical terminology, anatomy, and physiology is ideal; training available for the right candidate.
  • Proficiency with Microsoft Office, including Excel and Word.
  • Ability to work onsite at our Appleton office from 8am–5pm.