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Nurses In Insurance Jobs in New York (NOW HIRING)

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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 cities in New York are hiring for Nurses In Insurance jobs? Cities in New York with the most Nurses In Insurance job openings:
Registered Nurse (RN), Telemetry Float Pool

Registered Nurse (RN), Telemetry Float Pool

RWJBarnabas Health

New Brunswick, NJ

$47.85 - $71.72/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago


RWJBarnabas Health rating

7.6

Company rating: 7.6 out of 10

Based on 323 frontline employees who took The Breakroom Quiz

188th of 877 rated healthcare providers


Job description

Job Title: RN

Location: Main Hospital - New Brunswick

Department Name: Telemetry Float Pool

Req #: 0000253405

Status: Hourly

Shift: Day

Pay Range: $47.85 - $71.72 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

RWJBarnabas Health is seeking a highly dedicated Registered Nurse for our Telemetry Float Pool Department at the New Brunswick campus.

RWJ University Hospital is the primary teaching hospital of the RWJ Barnabas health system and is one of just three Level 1 trauma centers in the state. This academic medical center is renowned for outstanding clinical quality and committed to delivering exceptional care. Our staff is dedicated to providing safe, high-quality care to all patients.

Additionally, RWJ University Hospital has received the Magnet designation 6 times, reinforcing the culture of nursing excellence within the hospital. Nurses in our float pool are highly valued, as they are able to provide extraordinary care to patients across all populations, including trauma, neurology, cardiology, orthopedics, and oncology. Nurses in the float pool demonstrate nursing expertise, flexibility, resilience, effective communication and interpersonal skills, and teamwork. Float pool nurses have proven to be a valuable resource, and we are increasing the size of our team to continue to provide our units with expert nurses.

Qualifications:

Required:

  • ASN or Nursing Diploma
  • Strong communication and organizational skills
  • Proficient computer skills

Preferred:

  • BSN or must be completed within 5 years upon hire
  • At least 2 years of Medical Surgical experience

Certifications and Licenses Required:

  • BLS and ACLS certification
  • Active New Jersey Registered Nurse License

Scheduling Requirements:

  • Day Shift, 24 hours per week, 7a-7:30p
  • Monday – Friday, some weekend and holiday rotation
  • PT

Essential Functions:

  • The Registered Nurse provides nursing care in the health care system within the scope of practice defined by the Nurse Practice Act and regulatory standards and assures awareness of ethical standards of practice as defined by the ANA code of ethics.
  • The Registered Nurse assures safety in practice and is inclusive of the principles of evidence-based practice by maintaining a realization of own individual level of knowledge and experience and assumes responsibility for advancing knowledge of self and others of the patient care team by communication with and utilizing resource persons and programs available.
  • The Registered Nurse is responsible for reporting identified safety issues such as hazardous environments (i.e. damaged floors/walls/ceiling tiles/unsecured areas) and medical errors.
  • The Registered Nurse is responsible for knowledge of the patient population served.
  • The Registered Nurse is responsible for supervising and directing the delegation of tasks to appropriate team members and collaborates with other patient care providers.
  • The Registered Nurse is responsible for consistently setting and evaluating priorities through appropriate interventions with measurable outcomes toward improvement.
  • The Registered Nurse is an individual practitioner and the interdisciplinary team manager, utilizes the nursing process to integrate all aspects of the provision of care and individualizes the plan of care to address a specific patient’s needs.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

  • Paid Time Off (PTO)
  • Medical and Prescription Drug Insurance
  • Dental and Vision Insurance
  • Retirement Plans
  • Short & Long Term Disability
  • Life & Accidental Death Insurance
  • Tuition Reimbursement
  • Health Care/Dependent Care Flexible Spending Accounts
  • Wellness Programs
  • Voluntary Benefits (e.g., Pet Insurance)
  • Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer


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About RWJBarnabas Health

Sourced by ZipRecruiter

RWJBarnabas Health is New Jersey’s largest integrated health care delivery system, providing treatment and services to more than three million patients each year. Throughout RWJBarnabas Health, our dedicated physicians, nurses, and health professionals are committed to providing the highest quality of patient care and health education to the community and region. We aim to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey - whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Orange, NJ, US

Year founded

2015