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

Alliance Services, Inc

RN MedSurg

West Bend, WI · On-site

$2.5K/day

The facility supports registered nurses in delivering high-quality, patient-centered care and ... Monthly reimbursement for health insurance * Maximum non-tax stipends available including lodging ...

City of Milwaukee

NURSE PRACTITIONER

Milwaukee, WI · On-site

Provide clinical consultation and direction to nurses in the Sexual Reproductive Health (SRH) and ... Valid driver's license and possession of a properly insured vehicle for use on the job. Private ...

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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 job categories do people searching Nurses In Insurance jobs in Merton, WI look for? The top searched job categories for Nurses In Insurance jobs in Merton, WI are:
What cities near Merton, WI are hiring for Nurses In Insurance jobs? Cities near Merton, WI with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Merton, WI as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
Clinical Educator - Oncology Services - ProHealth Care

Clinical Educator - Oncology Services - ProHealth Care

ProHealth Care, Inc.

Waukesha, WI • On-site

Full-time, Part-time

Retirement, PTO

Posted 10 days ago

ProHealth Care rating

7.0

Company rating: 7.0 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

416th of 890 rated healthcare providers

Job description

What You Will Need:
    • Bachelor's degree in Nursing required; master's degree in Nursing preferred.
    • 3+ years of experience in clinical education, training and development, or nursing professional development.
    • Current Wisconsin Registered Nurse license.
    • Previous clinical nursing experience in oncology, infusion therapy, hematology, radiation oncology, or a related clinical specialty.
    • Experience with chemotherapy, biotherapy, immunotherapy, or infusion services strongly preferred.
    • Oncology Nursing Certification preferred: chemotherapy and biotherapy provider certification needed.
    • Current Basic Life Support (BLS) & Advanced Cardiovascular Life Support (ACLS) certification required.
    • ACLS Instructor and PALS Instructor certification preferred.

Why Join ProHealth Care:
We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.
This Position Will Offer You:
  • Engaging and community focused culture
  • Competitive Salaries
  • Opportunity for professional career growth
  • Robust benefits for full-time and regular part-time roles, including Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social, and sporting events

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

What ProHealth Care employees say

Pay

Benefits

Hours and flexibility

Workplace

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About ProHealth Care

Sourced by ZipRecruiter

ProHealth Care has been the health care leader in Waukesha County and surrounding areas providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. ProHealth Care supports a Just Culture, one that encourages an open learning environment and maintaining safe systems. The ProHealth family includes Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, the Rehabilitation Hospital of Wisconsin, ProHealth Medical Group clinics, AngelsGrace Hospice, ProHealth Home Care & Hospice, West Wood Health & Fitness Center and Regency Senior Communities.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Oconomowoc, WI, US

Year founded

1914

Social media

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