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Nurses In Insurance Jobs in Georgia (NOW HIRING)

Mission Hospital

Trauma Nurse Lead

Augusta, GA · On-site

$32 - $43.25/hr

... home insurance, identity theft protection, legal counseling, long-term care coverage, moving ... of nurses in the United States. Education is key to excellence! As a majority owner of Galen ...

Doctors Hospital of Augusta

RN Med-Surg

Augusta, GA · On-site

... of nurses in the United States. Education is key to excellence! As a majority owner of Galen ... Additional benefits for fertility and family building, adoption assistance, life insurance ...

Doctors Hospital of Augusta

RN Med-Surg

Augusta, GA · On-site

... of nurses in the United States. Education is key to excellence! As a majority owner of Galen ... Additional benefits for fertility and family building, adoption assistance, life insurance ...

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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 much do insurance RNs make?

Insurance RNs typically earn between $60,000 and $85,000 annually, depending on experience, location, and certifications. They often work in claims review, risk assessment, or case management, utilizing their nursing skills in an insurance setting.

How to make 150,000 as a nurse?

Nurses can earn $150,000 by gaining advanced certifications, such as Nurse Practitioner or Nurse Anesthetist, working in high-demand specialties, or in roles with overtime and shift differentials. Working in urban areas, hospitals, or private practices with higher pay scales can also increase earnings, especially with experience and additional responsibilities.

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 regulations, often using clinical knowledge and documentation skills. Certification as a registered nurse (RN) is usually required for this role.

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 licensed practical nurse (LPN) or registered nurse (RN).

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 job categories do people searching Nurses In Insurance jobs in Georgia look for? The top searched job categories for Nurses In Insurance jobs in Georgia are:
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Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Georgia as of June 2026, with employment types broken down into 70% Full Time, 19% Part Time, and 11% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.
Registered Nurse - In Center

Registered Nurse - In Center

Dialysis Care Center

Stone Mountain, GA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description


PURPOSE AND SCOPE:
Supports the mission, core values and customer service of Home Dialysis Services & Dialysis Care Center, LLC (HDS/DCC).
Adheres to the HDS/DCC Policies and Procedures and Compliance Program including all state and federal regulatory requirements.
The In Center Hemodialysis Registered Nurse is responsible for providing and coordinating exceptional care for our Hemodialysis patients in the assigned In Center(s).
PRIMARY DUTIES / ACTIVITIES:
  • Supervises, mentors the Patient Care Technicians (PCTs) and directs the day-to-day patient care.
  • Reviews new staff’s documentation for accuracy.
  • Supervises and performs direct patient care including but limited to taking and monitoring vital signs, pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of dialysis
  • Responsible for documentation, physical nursing assessment of patients, administering dialysis Medications, transcribing physician orders assessing dialysis adequacy, drive catheter reduction.
  • Assist with patient scheduling.
  • Monitoring and reviewing lab results, ordering and following up of labs through Ascend, ensures correct lab tubes are utilized for prescribed lab samples, ensure that all labs are packaged for shipping correctly,
  • Reports alert/panic and abnormal lab results to physician.
  • Communicates all emergencies, patient life-threatening complications, and related situations to the attention of the medical director, physician, and Clinic Manager. Maintains competency with all emergency operational procedures. Ensures verification and availability of adequate emergency equipment.
  • Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as prescribed by physician, assessing target weights.
  • Ensures compliance with safety and infection preventative measures, performing safety and infection audits on a routine basis.
  • Ensuring patient safety and monitoring adverse Event Occurrences.
  • Educates patients and Family members on all aspects of End Stage Renal Disease.
  • Collaborates with other disciplines to ensure patient outcomes are being met, instructs patients on pre and post dialysis care.
  • Provides ongoing continuous education to patients regarding their renal disease, vascular access and dialysis therapy, fluid management, dietary modifications, medication compliance, discuss modality awareness and transplant awareness.
  • Participates in all required staff meetings.
  • Participation in care conferences and in QAPI.
  • Other duties, as assigned.
CUSTOMER SERVICE:
  • Responsible for supporting the values and customer service standards of HDS/DCC.
  • Accountable for outstanding customer service to all staff, clients and vendors
  • Develops and maintains effective relationships through effective and timely communication.
  • Initiates action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
EDUCATION/ QUALIFICATIONS:
  • Graduate of an accredited School of Nursing, RN or BSN
  • Current state licensure as a RN
  • Current CPR Certification EXPERIENCE:
  • Must be PC proficient and able to thrive in a fast-paced setting; experience in Microsoft Office Suite: Outlook, Word and Excel a must
  • Good presentation & communication skills · Must be productive & resourceful with the ability to meet deadlines
OTHER QUALIFICATIONS:
  • A minimum of 6 months hemodialysis experience preferred.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Day to day work includes desk and personal computer work and interaction with prospective and current clients. The position requires travel between assigned facilities and various locations. Travel to scheduled staff meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. The work environment is also characteristic of a dialysis center or a patient’s home and as such the employee may be exposed to infectious and contagious diseases/ materials.
Must be able to lift 30 pounds as needed.

BENEFITS FOR YOUR HEALTH, LIFE AND WELL-BEING:


Voluntary Benefits:

  • Medical, Dental & Vision Insurance
  • Hospital Indemnity, Critical Illness, Accident Insurance & Long-Term Disability
  • Voluntary Life and AD&D
  • Flexible Spending Account (FSA) & Health Savings Account (HSA)

Company-Paid Benefits:

  • Short-Term Disability & Basic Life/AD&D (1× salary)
  • Employee Assistance Program (EAP) & LifeMart discounts
  • 401(k) with Company Match
  • Paid Time Off (PTO) & Extended Sick Leave (ESL)

The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.


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