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Insurance Company Nurse Practitioner Jobs in Rochester, NY

MJHS

Nurse Practitioner

Rochester, NY

$140K - $150K/yr

Insures development of care planning and access to preventive care services in accordance with ... NYS RN/NP License, Registration, DEA certificates

Carease Health - NY

Nurse Practitioner

Fairport, NY · On-site

$75K - $77K/yr

Rochester, New York Company: Carease Health We are seeking an experienced Nurse Practitioner (NP) or Physician Assistant (PA) to join our team at Carease Health - NY, a leading provider of remote ...

HAN Staff

Nurse Practitioner

Rochester, NY · On-site

$89.22/hr

Nurse Practitioner - Rochester,NY Travel Pay: $89.22/hour Travel Rate (based on 36 hours): Hrly $89 ... insurance, and Employee Assistance Program. Shift Details: * Full Time * 40 hours /week Nurse ...

MJHS

Nurse Practitioner

Rochester, NY · On-site

$140K - $150K/yr

Insures development of care planning and access to preventive care services in accordance with ... NYS RN/NP License, Registration, DEA certificates

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All JobsInsurance Company Nurse Practitioner JobsInsurance Company Nurse Practitioner Jobs in Rochester, NY

Insurance Company Nurse Practitioner information

See Rochester, NY salary details

$40.9K

$128.6K

$197.3K

How much do insurance company nurse practitioner jobs pay per year?

As of Sep 4, 2026, the average yearly pay for insurance company nurse practitioner in Rochester, NY is $128,558.00, according to ZipRecruiter salary data. Most workers in this role earn between $106,600.00 and $148,000.00 per year, depending on experience, location, and employer.

What does an insurance company nurse practitioner do?

An Insurance Company Nurse Practitioner (NP) evaluates medical records, conducts patient assessments, and helps determine eligibility for insurance coverage or claims. They work closely with insurance underwriters and claims adjusters to review medical histories and provide expert opinions on healthcare needs. Their role is crucial in ensuring that insurance decisions are medically sound, fair, and compliant with regulations. Insurance company NPs may also help develop wellness programs and guidelines for policyholders.

What are the key skills and qualifications needed to thrive as an insurance company nurse practitioner?

To thrive as an Insurance Company Nurse Practitioner, you need advanced clinical assessment skills, a nurse practitioner license, and experience in case management or utilization review. Familiarity with medical coding systems, claims review platforms, and electronic health records (EHRs) is typically required. Strong analytical thinking, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate medical evaluations, compliance with insurance policies, and effective collaboration with healthcare and insurance teams.

How does an insurance company nurse practitioner collaborate with claims adjusters and other professionals during case reviews?

As an Insurance Company Nurse Practitioner, you work closely with claims adjusters, medical directors, and occasionally legal teams to review medical records, assess treatment plans, and provide clinical expertise on claims. Your role is pivotal in evaluating the medical necessity of treatments and helping to determine the appropriateness of coverage decisions. Effective communication and documentation are essential, as you must translate complex medical information into clear, actionable recommendations for non-clinical colleagues. This collaborative process ensures fair, evidence-based outcomes for both the insurance company and policyholders.

What is the difference between Insurance Company Nurse Practitioner vs Claims Nurse?

AspectInsurance Company Nurse PractitionerClaims Nurse
CredentialsRegistered Nurse (RN), Nurse Practitioner (NP), state licensure, possibly certification in case managementRegistered Nurse (RN), often with experience in claims or case management
Work EnvironmentInsurance company offices, telehealth, or remote settingsInsurance claims departments, often office-based, sometimes remote
Employer & IndustryInsurance companies, healthcare industry

The Insurance Company Nurse Practitioner and Claims Nurse roles both operate within insurance and healthcare sectors, often requiring similar nursing credentials. The Nurse Practitioner provides clinical assessments and patient care, while the Claims Nurse focuses on reviewing claims, managing cases, and ensuring proper documentation. Both roles may be remote and involve collaboration with healthcare providers, but their core responsibilities differ in clinical versus administrative focus.

What are popular job titles related to Insurance Company Nurse Practitioner jobs in Rochester, NY?

For Insurance Company Nurse Practitioner jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Insurance Company Nurse Practitioner jobs in Rochester, NY look for?

The top searched job categories for Insurance Company Nurse Practitioner jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Insurance Company Nurse Practitioner jobs?

Cities near Rochester, NY with the most Insurance Company Nurse Practitioner job openings:

Insurance Company Nurse Practitioner jobs near you
Infographic showing various Insurance Company Nurse Practitioner job openings in Rochester, NY as of August 2026, with employment types broken down into 36% Full Time, 16% Part Time, and 48% Contract. Highlights an 84% In-person, and 16% Hybrid job distribution, with an average salary of $128,558 per year, or $61.8 per hour.

Nurse Practitioner (NP)- Inpatient Program

Helio Health

Rochester, NY • On-site

$65 - $82/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Overview

Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission of Helio Health, the Nurse Practitioner (NP) will provide medical and psychiatric evaluation, order routine lab work and diagnostic testing to medically assess the psychiatric and substance use disorder level of care needs for patients. The NP will also make appropriate medical and psychiatric referrals, assist staff in understanding patient's needs, with all work performed under the medical and clinical supervision of the program's Service Director and Executive Medical Director.

The Nurse Practitioner (NP) will work on a Full-Time basis out of Helio Health's Inpatient Program.

Pay Rate: $65.00- $82.00 per hour.

In addition to Helio Health's comprehensive benefits package, Full-Time NPs are eligible to receive a Sign-On incentive up to $8,000!

Responsibilities
  • Provide direct patient care of medical examination and monitoring, psychiatric consultation, implementation of medical orders, and treatment of psychiatric conditions.
  • On-call responsibilities required.
  • Serve on special review and quality assurance committees as assigned.
  • Provide and document medical and psychiatric consultation, assessment, examination, treatment planning and review consistent with agency policy and requirements.
  • Other related assignments and duties consistent with training and experience.
Qualifications
  • Must be a Nurse Practitioner licensed and currently registered by the New York State Education Department.
  • At least one year of experience in the treatment of mental health and substance use disorders.
  • Have prescriptive authority and DEA number.

Our Comprehensive Employee Benefits Package (For full time employment) Includes:    

  • Health insurance including dental and vision for employees and families.
  • Paid Vacation and Sick leave - No Waiting Period for accruals.
  • Paid holidays, including a floating birthday holiday.
  • 401(k) plan with up to 5% company match.
  • Company paid short-term disability insurance.
  • Company sponsored life insurance.
  • Employee Assistance Program (EAP).

Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law.

Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health's good faith belief of what is accurate at the time of posting. Salary and hourly compensation offers are based on candidate's education level and experience relevant to the position and also take into account information provided by the hiring manager and program.

IND123A

Employment Type: FULL_TIME

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