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

RSM

Assurance Manager - Insurance

Milwaukee, WI · On-site

Our Insurance group is a rapidly growing practice in our firm Nationwide, focused specifically on ... nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital ...

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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 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 cities near Hubertus, WI are hiring for Nurses In Insurance jobs? Cities near Hubertus, WI with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Hubertus, WI as of May 2026, with employment types broken down into 2% Internship, 2% As Needed, 60% Full Time, 14% Part Time, 20% Contract, and 2% Nights. Highlights an 98% Physical, and 2% Remote job distribution.
2025-2026 Graduate Nurses (1st and 3rd shift available!)

2025-2026 Graduate Nurses (1st and 3rd shift available!)

Rogers Behavioral Health

West Allis, WI

Full-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday

Rogers Behavioral Health rating

6.0

Company rating: 6.0 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

728th of 867 rated healthcare providers

Job description

New Employee Retention Bonus
Up to *$15,000.00 retention bonus available!
(New Employee is defined as someone who has not been employed with Rogers for more than six months)
Under direct supervision of Registered Nurse, the Graduate nurse (GN) performs professional nursing activities in the care of patients so they may achieve or regain, and then maintain, maximum physical, emotional or social functions. Role functions are governed by the Nurse Practice Act, the Administrative Code (in the state of employment), as well as the professional standards for nursing practice, and the corresponding policies and procedures of Rogers Memorial Hospital (Rogers). The registered nurse seeks consultation with other members of the health team as the patient's condition and treatment goals warrant. He/She, in conjunction with the Patient Accounts department, provides patient information to ensure compliance with federal and state statutes.

Job Duties & Responsibilities:

Program: Mental Health Recovery Adult and Adolescent Inpatient

Click here to learn what a Nursing position at Rogers entails!

Schedule: 24 - 40 hours per week

Shifts Available: AM Shift (7:00am-7:30pm), NOC Shift (7:0pm-7:30am)

Job Duties:

  • Implement patient care.
  • Assess patients both physically and mentally.
  • Collaborate with Psychiatrist, Therapist, Dietitians, and other members of our clinical team to develop appropriate plans of care.
  • Communicate with patients and their families.
  • Administer medication.

Education/Training Requirements:

  • Bachelor degree in nursing (BSN) preferred. Registered nurse temporary permit issued by State Board of Nursing in the state of employment.
  • American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of date-of-hire. Bi-annual re-certification is required.
  • Formal training in management of the aggressive patient is required within sixty (60) days of date-of-hire. Annual re-certification is required.
  • Previous psychiatric experience with children, adolescents and adults is preferred.
  • At the Hospital's discretion, may be required to hold a qualified medical professional (QMP) designation. Must be deemed competent to serve as a QMP, as outlined in the Medical Staff bylaws of Rogers Memorial Hospital. This designation is evaluated and potentially renewed at least annually, based on results of the QMP job competency.
  • Employees at the Child/Adolescent Day Treatment programs licensed under HFS 40 are required to have either training in psychiatric nursing, including training in work with children with mental health disorders, or one (1) year of experience working in a clinical setting with these children.

The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.

https://rogersbhfoundation.org/

EOE/MFDV
Equal Employment Opportunity and Affirmative Action - Rogers Behavioral Health (rogersbh.org)

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

  • Health, dental, and vision insurance coverage for you and your family
  • 401(k) retirement plan
  • Employee share program
  • Life/disability insurance
  • Flex spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health.To link to the Machine-Readable Files, please visitTransparency in Coverage (uhc.com)

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