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Nurses In Insurance Jobs in Boston, MA (NOW HIRING)

Unit manager, rn

Everett, MA · On-site

$54 - $56/hr

Must possess current licensure by the State Board of Examiners of Nurses in the nursing center ... Health, Dental, Vision, Company-paid life insurance, 401 K, Paid Time Off *Free 24/7virtual health ...

Nurses (RN/LPN)

Needham, MA · On-site

$33 - $47/hr

Maintain accurate documentation in accordance with orders provided Qualifications of LPN / RN: * A ... Company sponsored life insurance * Employee assistance program (EAP) resources Join our team at ...

Senior Actuarial Data Analyst

Quincy, MA · On-site

$88K - $110K/yr

... nurse, nutritional counseling, and mental health resources • Full-service cafeterias • Free ... Experience with regulatory or statutory reporting in insurance or financial services. * Demonstrate ...

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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 Boston, MA? For Nurses In Insurance jobs in Boston, MA, the most frequently searched job titles are:
What cities near Boston, MA are hiring for Nurses In Insurance jobs? Cities near Boston, MA with the most Nurses In Insurance job openings:
Infographic showing various Nurses In Insurance job openings in Boston, MA as of May 2026, with employment types broken down into 68% Full Time, and 32% Part Time. Highlights an 89% In-person, and 11% Remote job distribution.
Labor & Delivery Registered Nurse Per Diem

Labor & Delivery Registered Nurse Per Diem

Boston Medical Center

Brighton, MA • On-site

$39.02 - $90.05/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


Boston Medical Center rating

7.0

Company rating: 7.0 out of 10

Based on 105 frontline employees who took The Breakroom Quiz

472nd of 993 rated hospitals


Job description

Position: Registered Nurse
Location: Labor & Delivery
Schedule: Per Diem
ABOUT THE LABOR & DELIVERY DEPARTMENT AT St. Elizabeth's Medical Center:
Registered Nurses in Labor and Delivery provide the highest quality of care to our diverse patient population. Our L&D team has a strong quality improvement focus and our nurses are always developing unique solutions for their patients.
JOB RESPONSIBILITIES:
  • Deliver exceptional nursing care in the, including assessing, diagnosing, planning, intervening, evaluating, and educating patients
  • Communicate with various health care team members, patients, and their families
  • Coordinate and delegate appropriate patient care activities to inter-professional colleagues
  • Update and manage patient records
  • Enter and interpret computerized data/information
  • Follow guidelines and policies established by SEMC's nursing organization
  • Assist the leadership team as needed in quality improvement projects

JOB REQUIREMENTS:
  • Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts.
  • Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 years
  • Certification in basic life support (BLS)
  • Advanced Cardiac Life support (ACLS)
  • Neonatal Resuscitation (NRP) certification
  • Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Electronic Fetal Monitoring (EFM) Intermediate or Advance Certification
  • 2 years experience Labor and Delivery
  • Experience with electronic health record preferred
  • Effective verbal and written communication skills
  • Physical ability to meet job responsibilities.
  • Basic computer proficiency.
  • Fluency in another language a plus.

JOB BENEFITS:
  • Competitive pay
  • Staff self-scheduling
  • Weekend/Night shift differentials
  • Tuition reimbursement
  • Highly subsidized medical, dental, and vision insurance options
  • Nurse staffing plans that often exceed state standards for quality and safety
  • Supportive work environment with a focus on training, professional development, and growth

Compensation Range:
$39.02- $90.05
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

What Boston Medical Center employees say

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Boston Medical Center logo

About Boston Medical Center

Sourced by ZipRecruiter

Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Boston, MA, US

Year founded

1996