What does a RN Case Manager do?

Registered nurse case managers are responsible for coordinating patient care services. They help determine the type of care needed and the steps that must be taken to ensure that the patient receives that care. Other responsibilities can include scheduling appointments, determining insurance eligibility for certain treatments and performing exams and evaluations. Registered nurse case managers typically have clinical experience and begin their careers as registered nurses who care for patients daily. After, they can progress to higher levels of management. They can work in hospitals, nursing homes and other health care facilities.

To become a registered nurse case manager, you should have at least an associate's degree in nursing. Some jobs may require a minimum of a bachelor's degree. For all jobs in this field, you need to have a valid registered nurse license, which must be obtained by successfully completing a nursing program and passing a licensing exam. Registered nurse case managers should have extensive health care knowledge, strong interpersonal skills and the ability to clearly communicate decisions.

  • Use clinical tools, data and other information to complete assessments of patient needs
  • Create individualized and comprehensive case management and treatment plans
  • Determine insurance eligibility for various treatments and treatment programs
  • Clearly explain the reason for prescribed treatments and treatment plans to patients
  • Educate patients on benefits, services and other resources, including payment options
  • Communicate with patients, physicians and insurance companies to secure successful outcomes
  • Document complex medical information to outline and improve health results
  • Follow case and quality management processes in compliance with regulatory guidelines and company procedures
  • Associate's or bachelor's degree in nursing, with a bachelor's degree preferred
  • Active nursing license in the state in which you will be based
  • Clinical knowledge of chronic conditions, such as diabetes and congestive heart failure
  • Strong written and verbal communication skills with patients, physicians and other stakeholders
  • Demonstrated ability to assess and respond to patient and family needs in a timely manner
  • General knowledge of case management practices, including familiarity with relevant products and services
  • Basic computer skills, including working knowledge of the Microsoft Office suite
  • Experience in establishing professional and collaborative relationships with patients, doctors and insurance providers
  • Certification as a diabetes educator, nutritionist, physical therapist or other specialty is a plus
EducationBachelor's Degree
Work/Life Balance
3.1 ★
Salary Range--
Career Opportunity
3.3 ★
Avg. Experience8+ years

RN Case Manager Salaries

Average Base Pay

$78,632 /yr
Same as national average
Not including cash compensation
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$59K
Median: $79K
$104K
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Glassdoor Estimated Salary

RN Case Manager Career Path

Learn how to become a RN Case Manager, what skills and education you need to succeed, and what level of pay to expect at each step on your career path.

L1
Registered Nurse Case Manager
$74,822/yr
L2
See Career Path

RN Case Manager Insights

Read what RN Case Manager professionals have to say about their job experiences and view top companies for this career.
UnitedHealth GroupUnitedHealth Group
RN, Case Manager
Sep 3, 2019

“I was supposed to work with patients and I was there a year and didn't see one patient.”

Careage HealthcareCareage Healthcare
Home Health RN Case Manager
Feb 13, 2020

“You have to use your PTO for holidays and don't get holiday pay for working holidays.”

Host HealthcareHost Healthcare
Registered Nurse Case Manager
Mar 30, 2021

“Travel nursing is very new to me and I was blessed to work with an amazing recruiter Christina.”

Heartland HospiceHeartland Hospice
RN Case Manager
Dec 30, 2020

“Pay scale was decent but salaried”

Kaiser PermanenteKaiser Permanente
RN Case Manager
Aug 9, 2021

“Provides resources to allow you to further your education and professional development”

Centers Plan for Healthy LivingCenters Plan for Healthy Living
RN Case Manager
Apr 5, 2021

“Good work and life balance”

Intrepid USAIntrepid USA
Hospice RN Case Manager
Sep 6, 2020

“Flexible; sweet people to work with.”

Genex ServicesGenex Services
RN Case Manager
Jan 4, 2021

“Good outcomes based on insurance company dollars spent and not quality patient outcomes.”

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RN Case Manager Interviews

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RN Case Manager Jobs

Frequently asked questions about the roles and responsibilities of a rn case manager

When working as a rn case manager, the most common skills you will need to perform your job and for career success are Critical Thinking, Professionalism, Excellent Communication, CPR, and Computer Literate.

The most similar professions to rn case manager are:
  • Registered Nurse
  • Nurse Practitioner
  • Professor
  • Lecturer

The most common qualifications to become a rn case manager include a minimum of a Bachelor's Degree and an average of 0 - 1 years of experience not including years spent in education and/or training.