1

Nurses In Insurance Jobs in Georgia (NOW HIRING)

Premise partners with its clients to offer fully connectedcare - in-person and in the digital ... vision, life insurance, 401(k), paidholidays and vacation time, a company-sponsored wellness ...

next page

Showing results 1-20

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.

How to make $300,000 as a nurse?

Nurses can earn $300,000 by working in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and experience. Working overtime, taking on leadership roles, or working in private sectors and specialized facilities can also increase income significantly.

What does a nurse do for an insurance company?

A nurse working for an insurance company typically reviews medical records, assesses claims, and determines coverage eligibility based on medical necessity. They may also provide expert opinions, support claims processing, and ensure compliance with healthcare policies, often using clinical knowledge and documentation skills.

How to make an extra 2000 a month as a nurse?

Nurses can earn an extra $2000 a month by taking on per diem or agency shifts, which often pay higher rates, or by working overtime and weekend shifts. Developing specialized skills in areas like IV therapy, anesthesia, or telehealth can also lead to higher-paying side opportunities. Additionally, some nurses supplement income through telehealth consulting or by offering health education services outside regular hours.

Can nurses work in insurance companies?

Nurses can work in insurance companies in roles such as case managers, claims reviewers, or health consultants. These positions often require clinical knowledge, strong communication skills, and sometimes certifications like a Certified Case Manager (CCM).

What are the key skills and qualifications needed to thrive as a Nurse in Insurance, and why are they important?

To thrive as a Nurse in Insurance, you need a solid nursing background, active RN licensure, and experience in case management or utilization review. Familiarity with insurance claims software, medical coding (ICD-10, CPT), and knowledge of healthcare regulations are typically required. Strong analytical, communication, and negotiation skills help nurses effectively review claims and collaborate with patients, providers, and insurers. These competencies ensure accurate claim assessments, cost-effective care, and compliance with regulatory standards in the insurance industry.

What are nurses in insurance?

Nurses in insurance, often called nurse case managers or insurance nurse consultants, are registered nurses who work for insurance companies to review medical claims, assess patient care needs, and coordinate healthcare services. They use their clinical expertise to evaluate treatment plans, ensure medical necessity, and help contain costs while advocating for appropriate patient care. These nurses play a key role in claims management, utilization review, and sometimes help educate policyholders about health and wellness.

How do nurses in insurance typically collaborate with other professionals within the insurance industry?

Nurses in insurance often work closely with claims adjusters, underwriters, medical directors, and case managers to evaluate medical claims, assess risk, and ensure policyholders receive appropriate care. They review medical records, provide clinical insights, and may communicate directly with healthcare providers to clarify treatment details. This collaborative environment requires strong communication skills and the ability to translate clinical knowledge into insurance-related recommendations, making teamwork an essential part of daily responsibilities.
What are popular job titles related to Nurses In Insurance jobs in Georgia? For Nurses In Insurance jobs in Georgia, the most frequently searched job titles are:
What cities in Georgia are hiring for Nurses In Insurance jobs? Cities in Georgia with the most Nurses In Insurance job openings:
Infographic showing various Nurses In Insurance job openings in Georgia as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, 1% Temporary, and 5% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.
Coordinator-RN Re-entry Program, PRN

Coordinator-RN Re-entry Program, PRN

Northeast Georgia Health System

Gainesville, GA • On-site

Part-time

Posted 25 days ago


Northeast Georgia Health System rating

7.3

Company rating: 7.3 out of 10

Based on 152 frontline employees who took The Breakroom Quiz

303rd of 890 rated healthcare providers


Job description

Job Category:

Physician Services / Physician Clinics

Work Shift/Schedule:

Varies

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:Job Summary

The RN Reentry Coordinator is responsible for overseeing the RN Reentry Program administered by Foothills Area Health Education Center (AHEC). The RN Reentry Coordinator works to assist nurses in the state re-instate their licensure with the Georgia Board of Nursing by guiding candidates through the didactic and clinical requirements of the program including securing clinical sites and preceptors.

Minimum Job Qualifications
  • Licensure or other certifications: Current licensure as a RN in the State of GA

  • Educational Requirements: Required: a degree in Nursing (BSN)

  • Minimum Experience: Registered nurse in the state of Georgia for a minimum of two years of active licensure

  • Other:

Job Summary

The RN Reentry Coordinator is responsible for overseeing the RN Reentry Program administered by Foothills Area Health Education Center (AHEC). The RN Reentry Coordinator works to assist nurses in the state re-instate their licensure with the Georgia Board of Nursing by guiding candidates through the didactic and clinical requirements of the program including securing clinical sites and preceptors.

Minimum Job Qualifications
  • Licensure or other certifications: Current licensure as a RN in the State of GA

  • Educational Requirements: Required: a degree in Nursing (BSN)

  • Minimum Experience: Registered nurse in the state of Georgia for a minimum of two years of active licensure

  • Other:

NGHS Core Competencies

1. I Show Vulnerability when I:

  • trust others and assume positive intent.

  • am emotionally accessible and transparent without hidden agendas.

  • acknowledge weaknesses and accept responsibility for mistakes.

  • am comfortable saying "I don't know" and asking for help.

  • seek and accept feedback in a non-defensive manner.

  • forgive others and give the benefit of the doubt.

2. I Display Empathy when I:

  • seek to know others on a deeper level.

  • work to ensure others feel included.

  • accept others for who they are without judgment.

  • show concern for the well-being and challenges of others.

  • consider the human impact before making decisions.

3. I Demonstrate Courage when I:

  • do not hold back on anything that needs to be said.

  • do the right thing even when that is difficult.

  • speak my own truth, even when that means standing alone.

  • address potential conflict quickly and directly.

  • commit to seeing a difficult conversation through to the end.

4. I Demonstrate Radical Listening when I:

  • seek to understand the other person's viewpoint first, before expressing my own viewpoint.

  • listen for the unsaid.

  • ask questions to confirm understanding.

  • accept others' perceptions as their truth.

  • take action to help others feel fully heard and seen.

  • pursue as many different viewpoints as possible and embrace the bearer of bad news.

5. I Promote Teamwork when I:

  • treat others in a respectful manner, regardless of their position, identity, and background.

  • encourage and support my coworkers.

  • value and acknowledge others for their contributions to the success of the team and NGHS.

  • put the good of the team and NGHS first.

  • strive to find common ground to solve problems for the good of NGHS.

  • cut across boundaries to get things done.

6. I Hold Others Accountable when I:

  • provide clear, consistent, and frequent communication about what is most important.

  • clarify what is less important to establish clear priorities.

  • help others see their blind spots.

  • look for every opportunity to provide reinforcing feedback.

  • provide immediate and actionable corrective feedback.

7. I Strive for Continuous Improvement when I:

  • hold myself personally responsible to seek improvements every day.

  • experiment regularly with new ideas and approaches.

  • demonstrate initiative and perseverance to overcome obstacles and resistance to change.

  • embrace mistakes and pivot quickly if a new approach fails.

  • seek to always be better tomorrow than today.

Organization Expectations
  • Quest: Demonstrates/utilizes Quest tools in department.

  • Talent Development: Coaches and develops staff.

  • Safety: Promotes patient, visitor and staff safety and effectively manages hazards that lead to injury or harm.

  • Productivity: Meets productivity expectations.

  • Regulatory Compliance: Ensures department's compliance with all regulatory, DNV, mandatory education, and similar requirements.

Key Performance Indicators (KPI)

Identifies unit/department level goals that align with the organization's Key Performance Indicators.

HIPAA (Health Insurance Portability and Accountability Act)

If, in the normal course of my duties and responsibilities, I am required to access protected health information (PHI) and electronic protected health information (EPHI) for the purposes of treatment, payment and operations within Northeast Georgia Health System, I will limit such access to only the minimum necessary amount of PHI and EPHI necessary to perform the functions of my job. If access is not required in the normal course of my duties and responsibilities, I will not access PHI or EPHI.


Job Specific and Unique Knowledge, Skills and Abilities
  • Must be a registered nurse in the state of Georgia for a minimum of two years of active licensure.

  • Must understand the requirements of the program and those requirements of the Georgia Board of Nursing.

  • Must have the ability to work with a variety of personalities, ages, and diverse ethnic cultures in a professional manner.

Essential Tasks and Responsibilities
  • Responsible for interviewing candidates for appropriateness for the RN Reentry Program.

  • Responsible for educating the applicant on the requirements of the program and the requirements of the Georgia Board of Nursing as it pertains to the RN Reentry Program.

  • Assists in locating clinical placement for the required clinical hours. Communicates with the clinical facility to initiate an agreement if needed.

  • Works with the clinical facility to coordinate the preceptor and educate the preceptor on their requirements for a clinical rotation with a reentry nurse.

  • Monitors and ensures the requirements for both the Educational Center and the specific clinical site have been met prior to the start of the clinical rotation.

  • Submits a proposal to the Georgia Board of Nursing that includes specific learning objectives for the applicants specific clinical setting.

  • Completes all Form A and will complete Form B at the appropriate time and submits it the Board of Nursing.

  • Monitors the administration of the forty hours of didacitc for continuing education hours. Grades and reviews the corrections with the reentry applicant. Submits required paperwork for the continuing hours certificate.

  • Responsible for inspection of the six months temporary permit prior to beginning clinical.

  • Coordinates the clinical with the identified preceptor and communicates with the preceptor on the requirements and the progress of the reentry nurse.

  • At the completion of the clinical portions, the coordinator reviews all clinical paperwork to make sure the requirements have been met and then submits the final paperwork to the Board of Nursing.

Physical Demands
  • Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

  • Weight Carried: Up to 200 lbs, Occasionally 0-30% of time

  • Vision: Moderate, Constantly 66-100% of time

  • Kneeling/Stooping/Bending: Occasionally 0-30%

  • Standing/Walking: Occasionally 0-30%

  • Pushing/Pulling: Occasionally 0-30%

  • Intensity of Work: Occasionally 0-30%

  • Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.


NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.


What Northeast Georgia Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Northeast Georgia Health System logo

About Northeast Georgia Health System

Sourced by ZipRecruiter

Northeast Georgia Health System (NGHS) is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Through the services of a medical staff of more than 800 physicians, the residents of Northeast Georgia enjoy access to the state’s finest and most comprehensive medical services. It is our mission to improve the health of our community in all we do.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Gainesville, GA, US

Year founded

1951