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Nurses In Insurance Jobs in Carmichael, CA (NOW HIRING)

Company Paid Life Insurance * 403(b) Retirement Program * Employee Meal Options * Employee Discount ... therapists/nurses in accordance with the established policies and procedures. * High school ...

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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 to make $300,000 as a nurse?

Nurses can earn $300,000 by working in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and experience. Working overtime, taking on leadership roles, or working in private sectors and specialized facilities can also increase income significantly.

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 policies, often using clinical knowledge and documentation skills.

How to make an extra 2000 a month as a nurse?

Nurses can earn an extra $2000 a month by taking on per diem or agency shifts, which often pay higher rates, or by working overtime and weekend shifts. Developing specialized skills in areas like IV therapy, anesthesia, or telehealth can also lead to higher-paying side opportunities. Additionally, some nurses supplement income through telehealth consulting or by offering health education services outside regular hours.

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 Certified Case Manager (CCM).

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 Carmichael, CA? For Nurses In Insurance jobs in Carmichael, CA, the most frequently searched job titles are:
What job categories do people searching Nurses In Insurance jobs in Carmichael, CA look for? The top searched job categories for Nurses In Insurance jobs in Carmichael, CA are:
What cities near Carmichael, CA are hiring for Nurses In Insurance jobs? Cities near Carmichael, CA with the most Nurses In Insurance job openings:
Infographic showing various Nurses In Insurance job openings in Carmichael, CA as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Psychiatric Mental Health Nurse Practitioner

Eating Recovery Center

Sacramento, CA

Other

Re-posted 9 days ago


Eating Recovery Center rating

6.4

Company rating: 6.4 out of 10

Based on 17 frontline employees who took The Breakroom Quiz


Job description

What You'll Be Doing:

Under the supervision of a credentialed physician, the Psychiatric Nurse Practitioner is responsible for delivering psychiatric healthcare to patients. Operates with latitude and collaborates with other health professionals to provide high quality, cost effective psychiatric health care to patients, manage health care systems, and influence health care decision-making through expert clinical reasoning research and theory-based practice.

ESSENTIAL DUTIES AND RESPONSIBILITIES 

  • Evaluates and monitors the psychiatric condition of patients in collaboration with physicians and other care providers. Adhering to established standards of care or applying appropriate protocols, makes decisions regarding treatment.
  • Determines and assesses the health status of new or existing patients by reviewing records, taking comprehensive psychiatric and medical histories, and performing patient examinations.
  • Analyzes present patient care and the responses to the present care, and helps to develop the patient care plan and treatment.
  • Completes required documentation thoroughly and in a timely manner. Prepares and maintains complete and accurate charts, case files and records.
  • Orders appropriate medications within the limits of the appropriate statutory limitations. Initiates, performs or directs other nurses to perform screenings and orders psychological assessments when appropriate.
  • Collaborates on care delivery by 1) including staff, physicians, other providers and management in both service and patient care improvements; 2) treating all teammates with respect; 3) demonstrating the highest levels of ethical and professional conduct; and 4) behaving in a manner consistent with company mission and values 5) establishing and maintaining contact with referring providers both within that outside of the system 6) establishing and maintaining contact with family members and patient's support persons when appropriate.
  • Advocates for patients including providing consistent and timely documentation regarding the patient's need for level of care and participating in insurance peer reviews to optimize optimal length of stay for treatment.

Administrative Duties:

  • May be assigned to perform leadwork and/or involvement in clinical coordination, responsibility for special projects which may encompass protocol development, management planning, scheduling and other tasks as necessary to support practice environment in the different levels of care
  • Functions as a member of a multi-disciplinary treatment team. Attends staff meetings to present and discuss clinical concerns. Utilizes the principles and practices of effective and persuasive communication to elicit information, contribute psychiatric expertise, problem resolution, and/or garner support for various programs or policies.
  • Achieves quality metrics by 1) focusing on clinically relevant outcome measures; 2) adapting company innovations to continuously improve patient care, program, and organizational efficiency.
  • Maintains established departmental policies and procedures, quality improvement, safety, environmental and infection control standards.
  • Promotes positive interpersonal relationships with fellow employees, physicians, patients and visitors. Treats these individuals with courtesy, dignity, empathy and respect; consistently displays courteous and respectful verbal and non-verbal communications.
  • Enhances professional growth and development through participation in educational programs, receiving current literature, and attending in-service meetings, staff meetings and workshops. Attends, participates in, and contributes to in-services, education, and staff training sessions to maintain/increase skills and teach others.
  • Ensures all duties, responsibilities and competencies are conducted in a manner that is effective and appropriate to patients to whom care, service and treatment is being provided.
  • Receives individual and group supervision from physician and non-physician leaders.
  • Evaluates own performance and recognize opportunities for growth.
  • Provides community education and engages in marketing efforts when requested

Education Requirements:

  • Bachelor's and Master's degrees in Nursing (BSN and MSN)
  • Certification as a Nurse Practitioner
  • Specialization as a Psychiatric Nurse Practitioner required
Licenses and Certifications
  • State licensure as an Advanced Practice Registered Nurse (APRN) with psychiatric specialization
  • Psychiatric Nurse Practitioner or Nurse Practitioner with Post Masters Psych certification PMHNP
  • Training in CPR, Handle With Care, and Basic Life Support (BLS)
REQURIED KNOWELDGE, SKILLS AND ABILILTIES:
  • Knowledge of nursing principles and skill in their implementation
  • Knowledge of community resources for appropriate procedures
  • Skill in applying clinical psychiatric service practices
  • Skill in utilizing the principles and practices of effective and persuasive communication to elicit information, negotiate problem resolution, and/or garner support for various programs or policies. Skill in obtaining information from patients, calming and reassuring patients and motivating patients to accept treatments
  • Ability to exercise initiative and judgment in selecting proper treatment
  • Ability to respond appropriately in emergency situations
  • Ability to prepare accurate reports and documentation
  • Ability to establish and maintain effective working relationships with employees, other departments and the public
  • Willingness to travel up to 25% of the time.

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