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Location
In office (Dubuque)
Seniority
Junior · 2+ years exp

Confirmed on the employer's own hiring board on Nov 13, 2026. First seen by Alion on Jul 2, 2026. Cottingham & Butler scores B on the Alion truth index.

Overview
Company
Impact
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Cottingham & Butler is a privately held national insurance broker headquartered in Dubuque, Iowa, providing property and casualty coverage, employee benefits consulting, captives and programs, safety management and claims management services. Established in 1887, it describes itself as the third-largest privately and independently held broker in the US, serves many trucking and transportation clients, and owns SISCO, a benefits administrator founded in 1980 that serves more than 600 employers and a million members. It hires entry-level and experienced sales executives, account managers, client service and member services staff, benefits consultants, placement specialists and HR staff.

RN Case Manager

Location: Onsite in Dubuque, IA. 

We are seeking a compassionate and detail-oriented RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment. 

Key Responsibilities:

  • Provide telephonic case management and utilization review for assigned consumers.
  • Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
  • Collaborate with healthcare providers, payors, and internal teams to coordinate care.
  • Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
  • Track and report case outcomes, including cost savings and quality improvements.

Qualifications:

  • Education:  RN licensure in the State of Iowa required. BSN or higher preferred.
  • Experience:  Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.
  • Skills:  Strong communication, problem-solving, and computer skills. Ability to work independently.

Full-Time Benefits - Most benefits start day 1

  • Medical, Dental, Vision Insurance
  • Flex Spending or HSA
  • 401(k) with company match
  • Profit-Sharing/Defined Contribution (1-year waiting period)
  • PTO/Paid Holidays
  • Company-paid ST and LT Disability
  • Maternity Leave/Parental Leave
  • Subsidized Parking
  • Company-paid Term Life/Accidental Death Insurance

About Cottingham & Butler:

At Cottingham & Butler, we sell a promise to help our clients through life’s toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that’s who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. 

Want to learn more? Follow us on www.CottinghamButler.com  | LinkedIn  |  Facebook

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