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From Home Remote Rn Insurance Jobs (NOW HIRING)

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · Remote

... home healthcare services to seniors all across Northern Nevada. From private residences and ... Medical, dental, and vision insurance * 401(k) retirement plan with employer match * Generous paid ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · On-site +1

... home healthcare services to seniors all across Northern Nevada. From private residences and ... Medical, dental, and vision insurance * 401(k) retirement plan with employer match * Generous paid ...

Guideway Care

Clinical Operations Manager

AL · Remote

This role involves managing a team of remote registered nurses who provide triage services to ... Medical Insurance * Vision Insurance * Dental Insurance * Flexible Spending Account (FSA)

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · Remote

... home healthcare services to seniors all across Northern Nevada. From private residences and ... Medical, dental, and vision insurance * 401(k) retirement plan with employer match * Generous paid ...

CVS Health

Case Manager Registered Nurse

Homer, AK · Remote

$60K - $129K/yr

Remote RN Case Manager (Nationwide | Monday-Friday, No Weekends) Join a mission-driven team helping ... Why You'll Love This Role * 100% remote - work from anywhere in the U.S. * Day shift schedule (Mon ...

firsthand Health

Remote Triage Nurse

Boise, ID · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately ...

KYYBA

Be Seen First

REMOTE RN CASE MANAGER

Detroit, MI · Remote

$35 - $39/hr

Support smooth transitions of care between facilities and home to ensure continuity 3. Pay and ... Medical, dental, and vision insurance * $500 gift card after 3 months with Kyyba/Client * All ...

firsthand Health

Remote Triage Nurse

Albuquerque, NM · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately ...

NutraCo

Remote Registered Dietitian

$50K/yr

Must have a full home office including high speed internet, a designated working area without ... Life and Disability Insurance Options * Employee Discounts. Are you a dedicated Registered ...

firsthand Health

Remote Triage Nurse

Eugene, OR · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately ...

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From Home Remote Rn Insurance information

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How much do from home remote rn insurance jobs pay per week?

As of Jul 7, 2026, the average weekly pay for from home remote rn insurance in the United States is $1,956.10, according to ZipRecruiter salary data. Most workers in this role earn between $1,528.85 and $2,288.46 per week, depending on experience, location, and employer.

What is the difference between From Home Remote Rn Insurance vs From Home Remote Medical Coder?

AspectFrom Home Remote Rn InsuranceFrom Home Remote Medical Coder
CredentialsRN license, insurance knowledgeCertification (CPC, CCS), coding training
Work EnvironmentHome-based, insurance companiesHome-based, healthcare facilities or billing companies
Industry UsageInsurance claims, patient supportMedical billing, coding, record review

Both roles are remote healthcare positions requiring specialized certifications. Rn Insurance focuses on insurance claims and patient support, while Medical Coders handle medical record coding for billing. The main difference lies in their core responsibilities and required credentials, but both can be performed from home and serve the healthcare industry.

What cities are hiring for From Home Remote Rn Insurance jobs? Cities with the most From Home Remote Rn Insurance job openings:
What are the most commonly searched types of Remote Rn Insurance jobs? The most popular types of Remote Rn Insurance jobs are:
What states have the most From Home Remote Rn Insurance jobs? States with the most job openings for From Home Remote Rn Insurance jobs include:
From Home Remote Rn Insurance jobs near you
Infographic showing various From Home Remote Rn Insurance job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, 1% Temporary, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $101,717 per year, or $48.9 per hour.
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

Nashville, TN • Remote

Full-time

Re-posted 26 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).