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Nurses In Insurance Jobs in Maryland (NOW HIRING)

LPN - Licensed Practical Nurse

Laurel, MD · On-site

$25.75 - $34.75/hr

Care First BCBS Group medical Insurance available with employer contribution to reduce cost. * Care ... Our clients receive our nurses in their own homes the day after discharge. We work as a team with ...

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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.

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 Maryland? For Nurses In Insurance jobs in Maryland, the most frequently searched job titles are:
What cities in Maryland are hiring for Nurses In Insurance jobs? Cities in Maryland with the most Nurses In Insurance job openings:
Licensed Practical Nurse (10-Month Position School Environment)

Licensed Practical Nurse (10-Month Position School Environment)

City of Baltimore, Mayor's Office of Employment Development

Baltimore, MD • On-site

Full-time

Medical, Dental, Vision, Life

Posted 12 days ago


City Of Baltimore rating

8.6

Company rating: 8.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

124th of 646 rated public administrative organizations


Job description

Position Overview

We are seeking dedicated and compassionate Licensed Practical Nurses (LPNs) to provide quality patient care in clinical, home, and community-based settings. This role supports patient care under the direction of a physician or registered nurse.

This position may require flexibility, including rotating shifts, evenings, and weekends. Work is performed in environments where exposure to illness, disease, and high-demand situations may occur.

Key Responsibilities

  • Provide practical nursing care to patients and clients
  • Support physicians and registered nurses in delivering care
  • Monitor patient conditions and report updates
  • Maintain accurate patient records and documentation
  • Communicate effectively with patients, families, and care teams

Minimum Qualifications

Experience:

  • Minimum of two (2) years of experience as a Licensed Practical Nurse

Licensure:

  • Current Licensed Practical Nurse (LPN) license in the State of Maryland or a Multi-State Licensure Compact license

Knowledge, Skills & Abilities

  • Knowledge of practical nursing practices and standards
  • Ability to provide quality patient care
  • Strong interpersonal and communication skills
  • Ability to maintain accurate records
  • Ability to work effectively with healthcare teams and patients

Additional Requirements

  • Must be willing to complete a criminal background check and/or fingerprinting if selected
  • Selected candidates must complete a six-month probationary period
  • Education must be from an accredited institution (international education must be evaluated for U.S. equivalency)

Benefits

Comprehensive benefits package may include:

  • Medical, dental, and vision coverage
  • Prescription drug coverage
  • Life and AD&D insurance options
  • Flexible Spending Accounts (FSA)
  • Wellness programs, support groups, and workshops

Selection Process

Qualified applicants who meet minimum requirements will be placed on an eligible list. Candidates will be evaluated based on education, training, and relevant experience.

Employment Type: FULL_TIME

City of Baltimore logo

About City of Baltimore

Sourced by ZipRecruiter

Through strategic partnerships and collaborations, DHR ensures human resources services, policies, procedures, and systems are properly aligned with the City's aim to be an employer of choice. By attracting, developing, and retaining a high performing and diverse workforce, DHR guides City Agencies to foster a healthy, safe, and productive work environment for employees, their families, and the community.

Industry

Public administration

Company size

201 - 500 Employees

Headquarters location

Baltimore, MD, US

Year founded

1968