Nurse Case Manager: What They Do and How to Become One

Written by Coursera • Updated on

Nurse case managers connect patients with health care providers, schedule appointments, and assist with treatment plans. Learn more about how to join this impactful career.

[Featured Image]: A female nurse case manager, wearing a blue uniform and a stethoscope around her neck, standing in an examination room, standing in front of a white desk and a white bookcase .

Nurse case managers collaborate with patients to help them receive the treatment they need to meet their wellness goals.

As a liaison between health care professionals, providers, and patients, nurse case managers use the case management process to assess patient needs, devise treatment plans, schedule appointments, and ensure all relevant stakeholders are properly coordinated. 

For nurses interested in employing their medical knowledge to help patients receive the care they need outside of the examination room, a career as a nurse case manager could be right for them.

In this article, you will learn more about what a nurse case manager is, what they do, and how to become one. You will also learn what salary you can expect to earn, the job outlook for the field, and certificates and educational programs that can help you on the path to being a professional case manager. 

What is a nurse case manager?

A nurse case manager, or RN case manager, is a medical professional who works with patients and connects them with the health care professionals. providers, and resources they require to achieve their wellness goals.

As registered nurses (RN), nurse case managers use their medical expertise to ensure that patients have access to appropriate health services, while also setting appointments for them, creating appropriate treatment plans, and communicating with health insurers. 

What does a nurse case manager do?

A nurse case manager’s work is centered around providing their clients with the best possible health care that fits their personal circumstances. Common duties they perform include: 

  • Evaluating a client’s medical history

  • Interviewing clients and assessing their needs, health history, and existing support network

  • Acting as a liaison between clients, health care providers, and health insurers

  • Designing treatment plans and scheduling appointments

  • Educating patients and their families on relevant health-related matters

  • Keeping track of health outcomes and suggesting possible treatment changes

video-placeholder
Loading...
Delivering Outcomes that Matter to Patients at the Lowest Cost

Nurse case managers: salary and job outlook 

Their unique skill set makes nurse case managers as desirable to patients as they are to potential employers like hospitals, clinics, and health insurers. As a result, their salary is typically relatively high, and their job outlook is likely quite positive. 

Nurse case manager salary

Nurse case managers are often rewarded for their expertise with a higher than average salary. According to Glassdoor, the median salary for a nurse case manager is $102,330 as of June 2022 [1]. Furthermore, Glassdoor notes that the amount that nurse case managers can expect to earn changes with experience: 

  • 0-1 years: $96,944

  • 1-3 years: $98,326

  • 4-6 years: $101,009

  • 7-9 years: $103,138

  • 10-14 years: $109,363

  • 15+ years: $119,694

Nurse case manager job outlook 

Though there is no official data on the job outlook for nurse case managers, related data on both health care and nursing suggest that field is likely to be healthy in the coming decade. According to the Bureau of Labor Statistics (BLS), the health care profession is expected to grow by 16 percent between 2020 and 2030 [2]. Over the same period, the BLS notes are expected to grow by 9 percent, adding an additional 194,500 jobs each year [3]. 

These figures combined with an aging population indicate that nurse case managers are likely to be needed for the foreseeable future. 

How to become a nurse case manager 

Nurse case managers are qualified medical professionals who pair expert knowledge with an astute understanding of the health care system. To join this impactful profession, you should do the following: 

1. Attend a nursing program. 

The first step to becoming a nurse case manager is to become an RN, which requires attending an accredited nursing program. There are three types of programs that teach the skills necessary to become an RN: non-degree nursing programs, an associate degree in nursing (ASN) program, or a bachelor of science in nursing (BSN) program. Each of these educational programs is designed to give you the skills and knowledge required to be a registered nurse, including medical knowledge and health care training. 

Nonetheless, some employers may prefer candidates who have bachelor’s degrees, which is becoming more common in the profession. The best program for you, though, is likely the one that fits your needs and professional aspirations. 

Read more: How to Get Into Nursing School: Your Guide to a Degree

2. Take the NCLEX-RN and become licensed.

Once you have completed your nursing program, you become eligible to take the NCLEX-RN, which you must pass in order to practice professionally. Administered by the National Council of State Boards of Nursing (NCSBN), the NCLEX-RN tests both your nursing knowledge and your ability to think critically through common nursing scenarios. After you have passed the NCLEX-RN, you must also receive your state licensure, which allows you to practice in the awarding state. 

3. Gain nurse case management experience.

After becoming an RN, you are technically qualified to become a nurse case manager. While in some cases you might find that you are able to find a case management position right away, you can also gain experience in entry-level nursing positions that include some case management elements.

In these positions, you would gain nursing experience while learning how medical facilities operate, the health care system is structured, and how case management nurses maneuver them to help clients. 

Whatever path you choose, gaining some years of experience as a nurse will likely only improve your chances of pivoting into a nurse case manager position later. 

4. Consider becoming certified.

One of the ways to signal your qualification as a nurse case manager is to obtain a Professional Certificate. Some of the most common certifications include the following: 

The Accredited Case Management (ACM) Certification offered by the American Case Management Association (ACMA) demonstrates the certificate holder’s professional expertise in the field. To obtain it, you must be a licensed RN or social worker, have at least one year of case management experience and pass a two-part exam consisting of knowledge-based questions and clinical simulations. 

The Nursing Case Management Certification (CMGT-BC) offered by the American Nurses Credentialing Center demonstrates the certificate holder’s competency in the field.

In order to obtain the certificate, you must be a licensed RN who has practiced continuously for the past two years, has a minimum of 2,000 hours in clinical case management in the past three years, and has completed 30 hours of case management education in the past three years.

The exam to obtain the certificate consists of four sections: professional foundation, core coordination, quality management, and health promotion.

Read more: How to List Certifications on Your Resume: Guide + Examples

Learn more about health care with Coursera 

A good case manager knows as much about the health care system and patient care as they do about actual health. If you are considering a career as a nurse case manager, then you might consider taking an online educational course to hone your skill set and reinforce your knowledge.

In The University of Houston’s Value-Based Care Specialization, you'll learn how to lead a culture of collaboration in the workplace focused on value-based care. 

Related articles 

Article sources

1. Glassdoor. “RN Case Manager Salary, https://www.glassdoor.com/Salaries/rn-case-manager-salary-SRCH_KO0,15.htm.” Accessed June 3, 2022. 

2. US Bureau of Labor Statistics. “Occupational Outlook Handbook: Healthcare Occupations, https://www.bls.gov/ooh/healthcare/home.htm.” Accessed June 3, 2022. 

3. US Bureau of Labor Statistics. “Occupational Outlook Handbook: Registered Nurses, https://www.bls.gov/ooh/healthcare/registered-nurses.htm#tab-6.” Accessed June 3, 2022. 

Written by Coursera • Updated on

This content has been made available for informational purposes only. Learners are advised to conduct additional research to ensure that courses and other credentials pursued meet their personal, professional, and financial goals.

Learn without limits