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Nurses In Insurance Jobs in Maryland (NOW HIRING)

Mercy Medical Center

$69.44/hr

Responsibilities Our Registered Nurses in Outpatient Chemotherapy and Infusion independently ... Discounts on auto & home insurance and Verizon plans * Mercy's Rewards & Recognition Program ...

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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 job categories do people searching Nurses In Insurance jobs in Maryland look for? The top searched job categories for Nurses In Insurance jobs in Maryland are:
What cities in Maryland are hiring for Nurses In Insurance jobs? Cities in Maryland with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
RN - Intensive Care Unit - Part Time - Nightshift

RN - Intensive Care Unit - Part Time - Nightshift

Meritus Health

Hagerstown, MD • On-site

$34.75 - $53.50/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Meritus Health rating

6.8

Company rating: 6.8 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

485th of 870 rated healthcare providers

Job description

Registered Nurse - ICU - 48 hrs. biweekly - 630pm - 7am
The Meritus Intensive Care Unit is currently seeking compassionate nurses to join our dedicated team! Our 24 bed Intensive Care unit cares for a diverse patient population with a wide range of complex and critical health needs. As part of our team, you'll provide essential care in a fast-paced, high-acuity environment, while upholding our core values of integrity, quality, community, and teamwork. 4W Critical Care nurses are skilled in ambulating intubated patients, managing intra-aortic balloon pump management, performing continuous renal replacement therapy and assisting with rapid sequence intubation.
What is Important to Our Team:
Our ICU team strives for excellence in all aspects of patient care to ensure the best outcomes for our patients.
Integrity: We hold ourselves to the highest standards of honesty, accountability, and ethics in everything we do.
Quality: We are committed to providing the highest level of patient care, with an emphasis on safety, efficiency, and continuous improvement.
Community: We actively build strong relationships with patients, families, and our staff, fostering a supportive and compassionate environment. Our team lives the Meritus value of being community obsessed as we have the privilege to take care of our community members in their most vulnerable state.
Teamwork: Collaboration is key to providing patient centered care. We value every team member's contributions toward our shared goal of exceptional patient outcomes. We have great rapport with our intensivist team and work closely with departments such as respiratory and physical therapy.
Competence: Nurses in our ICU demonstrate strong critical thinking and decision-making skills and have strong knowledge of advanced life-support techniques such as intubation, tracheostomy care, and advanced hemodynamic monitoring.
Requirements:
Education - ASN required. BSN Preferred. Previously grandfathered active RN's who graduated from an accredited nursing school as a Diploma RN will continue to have ASN requirement waived.
Experience - Minimum of one year of experience in a hospital setting required.
Licensure/Certification - Specialty certification recognized by the Magnet Recognition Program™ preferred. Current license to practice as Registered Nurse in the State of Maryland, or if resident of a state that participates in Nurse Multi-State Compact agreement, holds Registered Nurse License from that state that is designated as "Compact" or "Multi-State Privilege" using primary source verification and provides additional documentation as required by the Maryland Board of Nursing. RN License from a compact state with a designation of "Single State" does not meet the requirement and nurse must obtain a Maryland license. Specialty certification preferred.
Knowledge/Skills/Abilities - Ability to apply the standards of professional nursing practice with compassion and empathy. Basic computer skills required. Must possess a high level of organization and communication skills.
Caring for Our Team
We are committed to supporting the well-being and professional development of our team members through a comprehensive benefits package, which includes:
  • Health, Dental, and Vision Insurance
    Coverage begins on the first of the month following your hire date.
  • Life Insurance & Disability Coverage
    Includes company-paid life insurance, as well as short- and long-term disability benefits to provide peace of mind.
  • Paid Time Off (PTO)
    A generous PTO program designed to help you recharge and maintain a healthy work-life balance.
  • 401(k) Retirement Plan
    Benefit from a robust company match to support your long-term financial goals.
  • Education Assistance & Tuition Reimbursement
    Support for your continued learning and career growth.
  • Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
    Options to save pre-tax dollars for eligible healthcare and dependent care expenses.
  • Shift Differential Pay
    Team members working evening, night, or weekend shifts may be eligible for additional pay.

Happy to Help
At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality-driven closures, and are always Happy to Help.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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