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Insurance Assessment Nurse Jobs (NOW HIRING)

Healthfirst (New York)

Assessment Nurse

New York, NY · On-site

The Assessment Nurse makes field assessment visits around downstate New York at intervals required ... Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult ...

Fallon Community Health Plan, Inc.

$95K - $100K/yr

The Assessment Nurse Case Manager completes face-to-face home visits for new enrollees within 30 ... Must possess and provide proof of minimal state required auto insurance * Must have reliable ...

New

Fallon Community Health Plan, Inc.

$95K - $100K/yr

The Assessment Nurse Case Manager completes face-to-face home visits for new enrollees within 30 ... Must possess and provide proof of minimal state required auto insurance * Must have reliable ...

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Insurance Assessment Nurse information

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How much do insurance assessment nurse jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for insurance assessment nurse in the United States is $44.36, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $48.56 per hour, depending on experience, location, and employer.

What does an insurance assessment nurse do?

An Insurance Assessment Nurse is a registered nurse who evaluates patients' medical conditions to determine eligibility for insurance coverage, claims, or benefits. They review medical records, assess health status, and may conduct interviews with patients or healthcare providers. Their assessments help insurance companies make informed decisions about policy approvals, claims, and coverage levels. These nurses play a crucial role in ensuring that clients receive appropriate benefits according to their medical needs and insurance policies.

How does an insurance assessment nurse typically collaborate with other professionals in the claims process?

Insurance Assessment Nurses often work closely with claims adjusters, underwriters, and medical directors to evaluate the medical aspects of insurance claims. They review medical records, conduct interviews with claimants, and may consult with treating physicians to gather comprehensive information. This collaborative approach ensures that claims decisions are well-informed and align with both medical standards and company policies. Effective communication and teamwork are essential in this role, as accurate assessments directly impact claim outcomes.

What are the key skills and qualifications needed to thrive as an insurance assessment nurse, and why are they important?

To thrive as an Insurance Assessment Nurse, you need a current RN license, strong clinical assessment skills, and experience with medical record review. Familiarity with insurance guidelines, claims systems, and utilization review software such as InterQual or MCG is typically required. Attention to detail, critical thinking, and effective communication help nurses accurately evaluate cases and collaborate with clients or adjusters. These skills are crucial for making informed coverage decisions, ensuring compliance, and supporting fair and timely claims processing.

What is the difference between Insurance Assessment Nurse vs Case Manager Nurse?

AspectInsurance Assessment NurseCase Manager Nurse
CredentialsRN license, possibly certifications in case management or insuranceRN license, case management certification often preferred
Work EnvironmentInsurance companies, telehealth, or remote assessmentsHospitals, clinics, or community health settings
Employer & IndustryInsurance providers, third-party administratorsHealthcare facilities, insurance companies, community agencies
Primary FocusEvaluating medical claims, determining coverage, assessing health status for insurance purposesCoordinating patient care, managing treatment plans, ensuring healthcare needs are met

While both roles require nursing credentials and involve healthcare assessments, the Insurance Assessment Nurse primarily focuses on evaluating medical claims and insurance coverage, often working remotely. In contrast, the Case Manager Nurse manages patient care plans within healthcare settings. Understanding these differences helps job seekers identify the right career path in the insurance and healthcare industries.

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What states have the most Insurance Assessment Nurse jobs?

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Insurance Assessment Nurse jobs near you
Infographic showing various Insurance Assessment Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $92,274 per year, or $44.4 per hour.

Client Assessment Nurse RN (PRN)

Englewood, CO • On-site

CareBuilders at Home - Lone Tree CO
See more jobs at CareBuilders at Home - Lone Tree COexternal

$60/hr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 17 days ago

Job description

About Us:

CareBuilders at Home is a national, industry leading, non-medical home care company committed to enhancing the quality of life for individuals in need of assistance at home. We provide personalized care and support to help our clients maintain independence and dignity in the comfort of their own homes. As we continue to expand, we are seeking a skilled and dedicated Client Assessment Nurse (RN) to join our team.

Job Description for a Client Assessment Nurse:

We are currently seeking a PRN Client Assessment Nurse (RN) to join our team. The Client Assessment Nurse will be responsible for providing case assessment services to our clients, ensuring they receive the highest level of care and support. This position offers flexibility and the opportunity to make a meaningful impact in the lives of others.         


This position will be part-time, for as little as a few hours per month, as needed to satisfy requirements for the VA. It can be accomplished outside of working hours and in addition to a primary job, when the employee has free time to do it. This is a great opportunity to earn extra cash, but not suitable currently as a primary job, due to the low number of hours. The hours may grow in the future and additional responsibilities may be offered as the company grows.

Client Assessment Nurse (RN) Benefits:

  • Medical insurance

  • Dental insurance

  • Vision insurance

  • Referral program

  • Tuition Reimbursement

  • 401k Plan

  • Life insurance

  • Disability insurance

  • Identity theft insurance

  • Weekly Pay

  • Flexible scheduling options

  • Training and opportunities for career advancement

  • Rewarding work with a positive impact on the community

Responsibilities of a Client Assessment Nurse:

  • Complete periodic assessments of home care clients per VA requirements. Visits will last from 1-2 hours and occur at intervals throughout a client's engagement.

  • Travel independently to client's homes throughout the southern Denver Metro suburbs to provide assessments.

Client Assessment Nurse Skills and Qualifications:

  • Current and valid RN license in the state of Colorado.

  • Strong assessment, communication, and interpersonal skills.

  • Ability to work independently and as part of a team.

  • Compassionate and empathetic approach to patient care.

  • Reliable transportation and willingness to travel to client homes as needed.

Equal Opportunity Employer: CareBuilders at Home is an Equal Opportunity Employer. All applicants will be considered for employment without regards to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other category protected by Federal, State or local law.

M/F/D/V EOE