Case Management Nursing

The Career Path for a Case Management Nurse

A case management nurse concentrates on the administrative side of the job. Nurse case managers coordinate healthcare services for patients and often work with specific groups, such as cancer patients, the elderly or children. Case management nursing entails evaluating a medical condition, developing and implementing a treatment plan, coordinating various medical resources, and communicating with the patient (and sometimes insurance companies).┬áCase management nurses interact with patients and family members, doctors, clinical social workers, community case managers, rehabilitation therapists and anyone else involved in the patient’s care. An important function of the case management nurse’s job is also to minimize the duplication of services.

Preparation Path

  • GET YOUR ASN OR BSN
  • PASS YOUR NCLEX AND BECOME AN RN
  • EARN YOUR CASE MANAGEMENT NURSE CERTIFICATION
  • TAKE 30 HOURS OF CONTINUING EDUCATION IN CASE MANAGEMENT NURSING

$55,000 - $82,000

Annual Salary Range

Typical Tasks

  • Consulting with physicians to determine treatment plans
  • Determining insurance eligibility for patients
  • Requesting patient referrals and authorizations for medical procedures
  • Monitoring patient progress
  • Coordinating resources needed for discharge and ongoing care

Education Requirements

ASN or BSN

Employment Settings

  • Hospitals
  • Clinics
  • Private and government healthcare facilities
  • Long-term care facilities

Certification

RN, plus Case Management Nurse certification