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Nurses In Insurance Jobs in California (NOW HIRING)

Demonstrated expertise in insurance authorization confirmation and follow-up Demonstrated knowledge ... Ability to work well with a variety of positions, including physicians, nurses, Patient Access and ...

CNA- Part Time

Encinitas, CA · On-site

$23 - $25/hr

... nurses in medical procedures. * Record patient health information (blood pressure, temperature etc ... Health insurance * Paid time off * Vision insurance We are an equal opportunity employer. All ...

LVN Case Manager

Irvine, CA · On-site

$30 - $36.40/hr

Communicate with providers, insurance companies, nurses, pharmacy staff, and patients/families. * Assist AIC nurses in obtaining provider orders, starting IV's & case managing all aspects of patient ...

LVN Case Manager

Irvine, CA · On-site

$30 - $36.40/hr

Communicate with providers, insurance companies, nurses, pharmacy staff, and patients/families. * Assist AIC nurses in obtaining provider orders, starting IV's & case managing all aspects of patient ...

LVN Home Health

Arcadia, CA · On-site

$29 - $37.25/hr

Excell Home Care is actively recruiting for Licensed Vocational Nurses in the above locations to ... Dependable Transportation, Current Driver's License and auto Insurance. * Current CPR * Ability to ...

Showing results 21-40

Nurses In Insurance information

What is the difference between Nurses In Insurance vs Insurance Claims Adjusters?

AspectNurses In InsuranceInsurance Claims Adjusters
Required CredentialsRN license, nursing degreeHigh school diploma or equivalent, licensing may be required
Work EnvironmentInsurance companies, healthcare settings, remote optionsFieldwork, office settings, remote work possible
Industry UsageHealth insurance, disability, life insuranceProperty, casualty, health insurance claims
Job FocusAssessing health-related claims, medical reviewsInvestigating claims, determining coverage validity

While Nurses In Insurance focus on medical assessments and reviews within insurance claims, Insurance Claims Adjusters handle the investigation and evaluation of various insurance claims, including property and casualty. Both roles require understanding insurance policies, but Nurses In Insurance have a healthcare background, whereas Claims Adjusters focus more on claim investigation and settlement processes.

Can a nurse work for an insurance company?

Yes, nurses can work for insurance companies in roles such as claims review, case management, health policy analysis, and medical consulting. These positions often require clinical knowledge, strong communication skills, and sometimes additional certifications or training in insurance procedures.

How much do nurses in insurance make?

Nurses working in insurance typically earn between $60,000 and $80,000 annually, depending on experience, location, and certifications. These roles often require knowledge of healthcare policies, claims processing, and risk assessment, with some positions offering additional bonuses or benefits.

What cities in California are hiring for Nurses In Insurance jobs?

Cities in California with the most Nurses In Insurance job openings:

Infographic showing various Nurses In Insurance job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

$34.55 - $37.58/hr

Full-time

Re-posted 28 days ago


AHMC Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 14 frontline employees who took The Breakroom Quiz


Job description

The primary purpose of this position is to ensure that appropriate authorization and reimbursement resources are in place for elective services provided.  This includes the following: 1) verification of order received from physician and verification of insurance information provided, 2) Accurate and timely determination of authorizations required; 3) Validate that required authorizations are obtained and monitored for  appropriateness of the procedure. 4) Adherence to government and non-government program requirements; 5) Effectively communicating with Scheduling and Patient Access the authorization/ program requirements for their elective procedure, personal payment liabilities if known, and options for care and placement that allow for informed decisions by the patient and his/her family while protecting the financial interest of Seton Medical Center. 6) Provides information to Scheduling and Patient Access when authorizations are delayed, denied for rescheduling procedures when no other options are available.


Demonstrated expertise in insurance authorization confirmation and follow-up
Demonstrated knowledge of Patient Access, Medical Records, and related departments all have on the impact of reimbursement.
Ability to work well with a variety of positions, including physicians, nurses, Patient Access and Patient Financial Services staff. 
Proficient with Microsoft Office Suite, AS400 applications, and database management. 
Ability to utilize software applications to maximize automation and efficiency. 
Able to learn new software applications and/or programs as needed.


EXPERIENCE:
Minimum of 1 year experience working with Commercial Insurance, Medi-Cal and Medicare insurance verification, pre-authorizations and authorizations preferred



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About AHMC Healthcare

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Caring for you and your loved ones is our top priority. We encourage our patients to be involved in the care process, and to communicate with our staff about their experience. From our admitting staff, to nurses, patient experience managers, and administration - we're here because we care. Physicians and facility staff are dedicated to achieving the highest level of clinical excellence. AHMC Healthcare hospitals have advanced diagnostics tools such as the MRI GE Signa HDxt1.5TMR system and the Toshiba Aquilon 128-slice CT scanner. Anaheim Regional Medical Center's Heart Center has the second largest volume of open heart surgeries in Orange County. Members of our Nursing staff have been recognized at the Hospital Heroes Awards and the SeniorServ Senior Care Hero Awards. Whichever AHMC Healthcare hospital you choose, you will be choosing a facility dedicated to delivering quality service and care.

Company size

5,001 - 10,000 Employees

Headquarters location

Alhambra, CA, US

Year founded

2004

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