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Nurses In Insurance Jobs in Atlanta, GA (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 ...

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Nurses In Insurance information

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.

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 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.

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 popular job titles related to Nurses In Insurance jobs in Atlanta, GA? For Nurses In Insurance jobs in Atlanta, GA, the most frequently searched job titles are:
What cities near Atlanta, GA are hiring for Nurses In Insurance jobs? Cities near Atlanta, GA with the most Nurses In Insurance job openings:

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


Job description

Company Description
Jobs for Humanity is collaborating with Upwardly Global and with Unclassified to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life.
Company Name: Unclassified
Job Description

Job Description: Healthcare Without Rival
Premise Health is the world's leadingdirect healthcare provider and one of the largest digital providersin the country, serving over 11 million eligible lives across morethan 2,500 of the largest commercial and municipal employers in theU.S. Premise partners with its clients to offer fully connectedcare - in-person and in the digital environment. It operates morethan 800 onsite and nearsite wellness centers in 45 states andGuam, delivering care through the Digital Wellness Center andonsite, nearsite, mobile, and event solutions.Premise deliversvalue by simplifying complexity and breaking down barriers to givediverse member populations access to convenient, integrated,high-quality care. We offer more than 30 products, delivering thebreadth and depth of care required to serve organizations' totalpopulations. The result is healthcare that meets the needs ofmembers and their families, helping them live healthier whilelowering costs for organizations.
Premise offers a wide range ofdynamic, purpose-driven career opportunities. We are currentlylooking for a PRN Registered Nurse to join our team in Atlanta,GA.
PRN, Clinic hours: 7a-9p
About the role: This role providesnursing care to client employees and/or contractors and visitors tothe health center.
Essential Functions:
- Uses nursing skills to evaluate patient care needs, prioritizetreatment, and maintain patient flow.
- Conducts a nursing assessment by taking a patient history andphysical assessment and by obtaining vital signs and other medicaltests.
- Provides treatment within scope of practice as defined bystate law.
- Collaborates with Physician or other Licensed IndependentPractitioner to arrange for further medical treatment, whenneeded.
- Identifies equipment that needs repair and brings it to theattention of the lead clinician.
- Performs occupational and health screening tests as defined insite contract (EKG, audiometry, spirometry, vision).
- Conducts appropriate laboratory tests and quality controlprocedures.
- Documents accurately all elements of nursing assessment,treatments, medications administered, discharge instructionsprovided, and follow up care arranged.
- Evaluates health education/promotion needs of patients andprovides necessary training and instruction.
- Identifies emergency situations and provides care within legalscope of practice.
- Administers medications and medical treatments competently asdirected by a Physician or Licensed Independent Practitioner.
- Maintains medical records using (In some health centers it maybe using Electronic Medical Record software).
- Maintains a clean and safe environment. Follows infectioncontrol procedures.
- Maintains patient privacy and confidential patientinformation.
- Participates in follow up phone calls and follow up patientvisits.
- Other duties as assigned.
Job Requirements:
- Certificate from an accredited Nursing School or Associates'degree (A.S.) is required.
- Bachelor's degree (BSN) from four-yearcollege or university is preferred.
- Currently licensed Registered Nurse in state of practicerequired.
- Current hands on training in AHA or ARC Basic Life Support forhealth care providers is required. Advanced Cardiac Life Supportmay also be required based on contract scope of services.
- Certification in Occupational Health Nursing, Certification inEmergency Nursing, or Certificate in Case Managementpreferred.
Preferred Experience:
- At least three years experience as a Registered Nurse in anemergency room, occupational health clinic or other ambulatory careclinic.
- Knowledge of Internet software, Spreadsheet software and WordProcessing software.
- Knowledge and experience with Electronic Medical Recordspreferred.
- Knowledge of workplace health and safety concepts and OSHAregulations preferred.
Work-life balance is at the foundation of howdecisions are made and where Premise is headed. We can only helppeople get, stay, and be well if we do the same for ourselves. Inaddition to competitive pay, Premise offers benefits packagesincluding medical, dental, vision, life insurance, 401(k), paidholidays and vacation time, a company-sponsored wellness program,and much more our talent acquisition team will be happy to sharewith you.
Premise Health is an equal opportunity employer; we valueinclusion, and we do not discriminate based on race, religion,color, national origin, gender, sexual orientation, age, maritalstatus, veteran status or disability status.