Full-Time

RN Case Manager

Cottingham & Butler

Cottingham & Butler

501-1,000 employees

Independent broker delivering P&C & benefits

No salary listed

Dubuque, IA, USA

In Person

On-site in Dubuque, Iowa; no remote option stated.

Category
Medical, Clinical & Veterinary

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

Cottingham & Butler is a large, privately held U.S. insurance broker focused on property & casualty and employee benefits. It helps clients manage risk by assessing needs, designing and placing insurance programs with carrier partners, and providing ongoing advisory, service, and claims support. Compared with competitors, it differentiates itself through its independence (not owned by carriers), scale, and a promise of consistent, improved outcomes—articulated as Better Every Day: better advice, better service, and better ideas than peers. The company emphasizes challenging conventional wisdom, innovating its services, and improving client results as it grew from 1887 to become the 3rd largest independently held broker. Its goal is to deliver measurable value for clients every day, helping them reduce risk and optimize benefits while maintaining strong growth and industry expertise.

Company Size

501-1,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Dubuque, Iowa

Founded

1987

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Simplify Jobs

Simplify's Take

What believers are saying

  • Hessling arrived from Gallagher Bassett North America, bringing scaled brokerage and claims-operating experience.
  • July 2026 brought Mark Roling, Taylor Orton, and Ryan Butler into expanded P&C leadership roles.
  • The Des Moines office and July 2026 recruitment signal continued Midwest expansion and client coverage gains.

What critics are saying

  • Transportation clients face nuclear verdict and fraud-ring losses, directly highlighted for August 2026 summit speakers.
  • Mike Hessling started January 19, 2026, making execution dependent on a new leadership structure.
  • The 55-seat West Des Moines office needs rapid hiring; missed recruiting slows Midwest growth.

What makes Cottingham & Butler unique

  • Cottingham & Butler is the 4th largest privately held U.S. insurance broker, according to its December 2025 announcement.
  • Its transportation practice convenes 550 trucking executives at the 2026 Transportation Summit in Schaumburg.
  • Its trucking compensation benchmark survey offers niche data, including tank and bulk segment breakouts.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Health Savings Account/Flexible Spending Account

401(k) Company Match

Profit Sharing

Unlimited Paid Time Off

Paid Holidays

Company-paid ST and LT Disability

Maternity Leave

Parental Leave

Subsidized Parking

Company-paid Term Life/Accidental Death Insurance

Company News

Insurance Journal
Jan 22nd, 2026
People Moves: Cottingham & Butler Names Hessling President; Blessing Named Office President of CRC Group Kansas City Operation

People moves: Cottingham & Butler Names Hessling President; Blessing Named Office President of CRC Group Kansas City Operation. Cottingham & Butler Names Hessling President Cottingham & Butler, headquartered in Dubuque, Iowa, named Mike Hessling as president. Hessling joins Cottingham & Butler from Gallagher Bassett, where he served as CEO of North America. As president, Hessling develops and executes the company's strategic agenda, with a focus on continued growth and long-term planning. Before Gallagher Bassett, Hessling held roles at Bain & Company, Bridge Strategy Group, and Arthur Andersen. Blessing Named Office President of CRC Group Kansas City Operation CRC Group, headquartered in Charlotte, North Carolina, named Matt Blessing as office president in Kansas City, Missouri, where he will continue to lead the firm's Select binding operations. Blessing is responsible for overseeing underwriting strategy, talent development, and market expansion while supporting retail partners. Blessing brings nearly two decades of experience in underwriting and binding authority operations, with a background spanning underwriting management, portfolio development, and complex risk evaluation across multiple lines of business.

x107.1
Mar 11th, 2025
Cottingham & Butler opening Des Moines-area office

Cottingham & Butler is opening a new office in the Des Moines area.

Bulk Transporter
Feb 9th, 2022
Cottingham & Butler, Inc. launched survey for the 2022 edition of Annual Trucking Compensation & Benefits Benchmark Survey Report on Jan 9th 22'.

Cottingham & Butler recently launched a survey for the 2022 edition of its Annual Trucking Compensation & Benefits Benchmark Survey Report, which includes the only comprehensive breakout of data for the tank/bulk segment.

McLeod Express
Jan 6th, 2022
Mcleod Express, Llc partners with Cottingham & Butler, Inc.

Through its partnership with Cottingham & Butler, McLeod Express employees have access to the PerkSpot Employee Discount Program at no cost to them!