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Nurses In Insurance Jobs in Dousman, WI (NOW HIRING)

Live In Caregiver

Burlington, WI · On-site

$200 - $220/day

Medical, Vision, Dental & Life Insurance * Compensation: $200-$220 per day; weekly pay * Continued ... Proven experience as a caregiver is preferred (C.N.A is not required, but experience as a Personal ...

Medical, Vision, Dental & Life Insurance * Compensation: $200-$220 per day; weekly pay * Continued ... Proven experience as a caregiver is preferred (C.N.A is not required, but experience as a Personal ...

Live In Caregiver

Burlington, WI · On-site

$200 - $220/day

Medical, Vision, Dental & Life Insurance * Compensation: $200-$220 per day; weekly pay * Continued ... Proven experience as a caregiver is preferred (C.N.A is not required, but experience as a Personal ...

Live In Caregiver

Burlington, WI · On-site

$200 - $220/day

Medical, Vision, Dental & Life Insurance * Compensation: $200-$220 per day; weekly pay * Continued ... Proven experience as a caregiver is preferred (C.N.A is not required, but experience as a Personal ...

Live In Caregiver

Milwaukee, WI · On-site

$760 - $880/wk

... A CNA will make $880 per week *We are currently offering a $500 Signing Bonus, paid out after 4 ... Health insurance benefits available after 60 days of employment** Requirements for this position ...

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Nurses In Insurance information

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.

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 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.

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.

What job categories do people searching Nurses In Insurance jobs in Dousman, WI look for? The top searched job categories for Nurses In Insurance jobs in Dousman, WI are:
What cities near Dousman, WI are hiring for Nurses In Insurance jobs? Cities near Dousman, WI with the most Nurses In Insurance job openings:
Registered Nurse (RN) - EP Device

Registered Nurse (RN) - EP Device

Advocate Aurora Health

Hartford, WI • On-site

$35.50 - $53.25/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 762 frontline employees who took The Breakroom Quiz

185th of 865 rated healthcare providers


Job description

Department:

02051 AMG Highway 50 - Cardiology: Electrophysiology

Status:

Part time

Benefits Eligible:

Yes

Hours Per Week:

20

Schedule Details/Additional Information:

Monday-Friday hours scheduled between 8am-4:30pm, Kenosha Hwy 50 and Mt. Pleasant locations, with minimal coverage at St. Luke's if needed.

Pay Range

$35.50 - $53.25

Direct Nursing Care:

  • Consistently encourages questions from patients and their families and offers guidance that fosters compliance. Provides patient education on all aspects of heart pacing.
  • Administers medications according to approved policy/procedure following protocol or physician order and monitors response.
  • Evaluates and manages the care of patients with cardiac pacemakers and automatic internal cardiac defibrillator systems.
  • Responsible for contacting patients in regards to any company recalls thus requiring closer and more frequent monitoring and taking appropriate measures for any further changes in the device that may be required.
  • Demonstrates knowledge of devices, the effects of devices and utilizes critical thinking skills. Highly specialized in health care procedures and how electrical medical devices function.
  • Performs an independent daily review of remote transmission of the devices implanted within patients. Correlates information with the clinical condition of patients to assist in the management of arrhythmias.
  • Responsible for performing all interrogations and necessary reprogramming of devices in patients who are scheduled in the office setting, according to type of device, insurance restrictions and patient needs.
  • Prepares patients for exams and treatments physically and mentally and monitors their response.
  • Capable of assisting physician with all procedures and treatments for the unit he/she works in.
  • Is knowledgeable of assisting with job duties of all personnel in the department.


Indirect Nursing Care:

  • Consistently orders tests and reviews results according to department protocol or as ordered by physician.
  • Performs trans telephonic checks on pacemaker patients requiring this mode of follow up due to age / type of pacemaker in between office follow up visits to check basic function and generator battery life status. Provides these reports to physicians.
  • Schedules all trans telephonic checks via EMR system and notifies patients.
  • Reports abnormal findings, patient complaints, or concerns, to physician or supervisor.
  • Assures the accuracy and completeness of messages. Triages and prioritizes messages, communicating information to providers/patients in a timely manner. Demonstrates triage skills pertinent to determining normal and abnormal conditions. Reviews information regarding the patient's device, health history, medications and all information pertaining to the patient's heart failure status.
  • Displays a courteous, alert and pleasant tone of voice, speaking clearly and in a relaxed manner.
  • Restates information to ensure clarity and accuracy.
  • Communicates effectively with internal and external customers, transfers calls when appropriate, staying on the line and announcing where and why call was transferred.
  • Explains procedures and test results using language appropriate to patient's level of understanding.
  • Serves as an advocate and liaison between patients, staff, physicians and external customers by sharing necessary information to ensure continuity of care. Collaborates with other professional disciplines to ensure effective, efficient and safe patient care: Electrophysiologists, Cardiologists, Surgeons, Cardiac Nurses and Device Nurses in other clinics.


Documentation:

  • Provides consistent and accurate documentation of patient information, care and concerns in the EMR according to the guidelines provided in the Documentation Policy and as otherwise instructed.
  • Completes billing of all services provided in the device clinic.
  • Consistently completes vouchers, referrals and requisitions with all appropriate information including medical record number and services codes or using EMR.
  • Completes all patient documentation within two full clinic business days after care and/or services have been provided according to the Missing Documentation policy guidelines.

Time Management:

  • Consistently manages time and demonstrates resource management skills effectively to complete daily activities.
  • Consistently knows how and when to delegate tasks to others.
  • Consistently watchful of patient flow by keeping rooms clean, stocked and available and maintains adequate inventory.
  • Consistently checks equipment and trays for proper functioning and availability in busy times.
  • Provides direction and supervision to other licensed and unlicensed personnel.
  • Demonstrates flexibility by performing additional duties when and where indicated.


Licensure:

  • Nurse, Registered (RN), in the State of Wisconsin
  • CPR certification required upon hire or within 60 days of hire.
  • Current ACLS (Advanced Cardiac Life Support ) certification


Education/Experience Required:

  • BSN or equivalent.
  • Minimum 2 years clinical experience, with at least one-year current experience in EP/Device clinic or 5+ years of cardiovascular experience.
  • Proficient in interpretation of EKG/cardiac rhythms/ arrhythmias
  • Demonstrates knowledge and skill to provide care appropriate to the age of the patients served


Knowledge, Skills & Abilities Required:

  • Good computer and organizational skills. Good communication skills Ability to assess, plan and intervene and evaluate the physical, emotional and education needs of patients. Basic keyboarding and typing skills.


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.


What Advocate Aurora Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Advocate Health logo

About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US