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Insurance Nurse Jobs in Ohio (NOW HIRING)

Insurance Specialist

Independence, OH ยท On-site

$15.75 - $21.65/hr

Home Infusion, Hospice, Nursing and Respiratory). * Determine serviceability and make recommendations based on patient's insurance coverage. * Identify the need for and obtain authorizations for ...

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Showing results 1-20

Insurance Nurse information

See Ohio salary details

$22.3K

$56.2K

$92.7K

How much do insurance nurse jobs pay per year?

As of Aug 29, 2026, the average yearly pay for insurance nurse in Ohio is $56,181.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $73,700.00 per year, depending on experience, location, and employer.

What is an insurance nurse?

Insurance nurses, also known as insurance nurse consultants or nurse case managers, are registered nurses who work for insurance companies to assess, review, and manage the medical aspects of insurance claims. They evaluate patient records, coordinate care, and ensure that treatments are medically necessary and cost-effective. Their expertise helps insurance companies make decisions about coverage, benefits, and claims while also supporting patients through care management and education. Insurance nurses often communicate with healthcare providers, patients, and claims adjusters to facilitate the claims process.

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

To thrive as an Insurance Nurse, you need a solid clinical background (often as a Registered Nurse), strong assessment skills, and knowledge of insurance and medical underwriting processes. Familiarity with electronic health record (EHR) systems, medical coding, and claims management software is commonly required. Excellent communication, analytical thinking, and attention to detail are critical soft skills for evaluating medical information and interacting with clients and insurance professionals. These abilities ensure accurate risk assessment, effective case management, and compliance with regulatory standards in the insurance industry.

How does an insurance nurse typically collaborate with underwriters and claims adjusters?

Insurance Nurses play a crucial role in supporting underwriters and claims adjusters by reviewing medical records, evaluating patient histories, and providing expert insights on health-related risks. They frequently communicate their assessments to underwriters to help determine policy eligibility and premiums, and assist claims adjusters by verifying the validity and extent of medical claims. Effective collaboration requires strong communication skills and the ability to translate complex medical information into clear, actionable recommendations, ensuring that both the clinical and administrative aspects of insurance decisions are well-informed.

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

AspectInsurance NurseCase Manager Nurse
CertificationsRN license, possibly insurance-specific trainingRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare insurance departmentsHospitals, clinics, insurance companies, community health
Primary FocusReviewing insurance claims, verifying coverageCoordinating patient care, managing treatment plans

Insurance Nurses primarily focus on reviewing insurance claims and verifying coverage within insurance companies or departments. In contrast, Case Manager Nurses coordinate patient care and develop treatment plans, often working directly with patients and healthcare providers. While both roles require RN licensure, Insurance Nurses typically have specialized training related to insurance processes, whereas Case Manager Nurses often pursue additional case management certifications. Understanding these differences helps clarify career paths and job expectations in the healthcare and insurance industries.

What are the most commonly searched types of Insurance Nurse jobs in Ohio?

The most popular types of Insurance Nurse jobs in Ohio are:

What are popular job titles related to Insurance Nurse jobs in Ohio?

For Insurance Nurse jobs in Ohio, the most frequently searched job titles are:

What cities in Ohio are hiring for Insurance Nurse jobs?

Cities in Ohio with the most Insurance Nurse job openings:

Infographic showing various Insurance Nurse job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 22% Part Time, and 8% Contract. Highlights an 82% Physical, 1% Hybrid, and 17% Remote job distribution, with an average salary of $56,181 per year, or $27 per hour.

Physician / Family Practice / Ohio / Permanent / Hospital Outpatient Care w/Great Compensation Job

ARCH

Portsmouth, OH โ€ข On-site

$236K/yr

Full-time

Retirement, PTO

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

BENEFITSSalary Range:Option : Base salary of $189,000 (for those just completing training) with additional compensation for experience with a guaranteed salary for 2 years. Can be switched to a wRVU production contract when exceeding target. (5% less for those not yet boarded, switched when become boarded)Option : Base salary of $236,000 (75%tile) guaranteed for one year and then switched to production contract. (5% less for those not yet boarded, switched when become boarded)Vacation: 4 weeks plus holidays/sick days (29 PTO days). Additional 5 days when producing 75%tile wRVUs CME/Books & Journals: 5 days and up to $5000 Bonus Incentives: Excellent bonus incentives up to 30% of salary2 year contract also includes:Deferred compensation: 457b plan. Defer compensation up to IRS limit. No matching.Retirement / Savings Plan: 403b plan. Defer compensation up to IRS limit. SOMC matches dollar for dollar up to 2% of base payMalpractice Insurance Coverage: in a claims made insurance, in an amount of $1,000,000, per claim/$3,000,000, aggregateHealth Insurance: nurse practitioner pays small premium, deducted from paycheckNon-compete: 70 mile and 2 year non-compete clauseMedical School Loan Repayment: repayment of $25,000 per year up to $200,000.Signing bonus: 15% of base salary, forgiven over 2 years.Community emergency response plan (CERP) pay for call explained by CFO Production contract is offered after 2 year term is completed, or physician can requested earlier if exceeding target.HOSPITAL:Not-for-profit established in 1966Hospital Beds: 222 staffedService Area: over 120,000Employs: 2200 Medical Staff: 140Surgical Procedure per year: 14,000+ (9,000+ are Same Day)Number of Operating Suites: 2 Open Heart; 1 Hybrid (for peripheral vascular and open cardiac cases); 5 General Surgery Rooms; 4 Orthopedic Rooms; 5 Endo Suites with 1 ERCP Room; and 1 Cysto Suite located in the Endoscopy area (19 total rooms)Newer Construction: $100 million in new construction, expansion and refurbishment: Patient care addition; nursing units and 100 private beds opened July 2009 Open heart/cardiac unit open Dec. 2008 New clinical laboratory New medical library New front entrance New Surgery and Emergency Department New lounge and physician area and Additional parking for physiciansMaternity Department: 11 Private LDRP (Labor, Delivery, Recovery, Post), 1,600 deliveries per year, 5 room triage area, 3 rooms for surgery patients, surgical room, holding nursery, and a 6 bed special care nursery.Critical Care Department: 16 ICU rooms (15 private), Circular floor set-up, Break away doors, sleeping rooms for on-call staff and medical students, and large waiting room with restrooms and vending machines.Emergency Department: 23 beds (21 private) and 4 chairs, special pediatric room, drive-up lane, using computerized radiography (filmless), 2 x-ray rooms and a STAT lab expanding to 47 beds.Teaching opportunities:3rd and 4th year medical students; Emergency Medicine, Family Practice, and OB/Gyn teaching and preceptorship experiences. Staff eligible for Clinical Adjunct Faculty status with Ohio University Heritage College of Osteopathic Medicine.