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Nurses In Insurance Jobs in Hillside, NJ (NOW HIRING)

The Inline Group

Psychiatry Physician

Brooklyn, NY

$180/hr

... participate in insurance plans at WFM and work with Psychiatric NP/PAs- The location will be in person or remote (per provider preference) and will involve 4 patients per hour for medication co ...

The Inline Group

Psychiatry Physician

Manhattan, NY

$180/hr

... participate in insurance plans at WFM and work with Psychiatric NP/PAs- The location will be in person or remote (per provider preference) and will involve 4 patients per hour for medication co ...

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All JobsNurses In Insurance JobsNurses In Insurance Jobs in Hillside, NJ

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 become a nurse in insurance?

To become a nurse in insurance, you typically need to be a licensed registered nurse (RN) with a valid nursing license. Gaining experience in clinical nursing and developing knowledge of insurance policies and healthcare regulations can be beneficial. Some roles may require additional certifications or training in insurance or risk management.

Can a nurse work for an insurance company?

Yes, nurses can work for insurance companies in roles such as claims review, case management, health policy analysis, or medical consulting. These positions often require clinical knowledge, strong communication skills, and sometimes additional certifications or training in insurance processes.
What are popular job titles related to Nurses In Insurance jobs in Hillside, NJ? For Nurses In Insurance jobs in Hillside, NJ, the most frequently searched job titles are:
What job categories do people searching Nurses In Insurance jobs in Hillside, NJ look for? The top searched job categories for Nurses In Insurance jobs in Hillside, NJ are:
What cities near Hillside, NJ are hiring for Nurses In Insurance jobs? Cities near Hillside, NJ with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Hillside, NJ as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Case Manager/Medicaid Coordinator

Waterview Nursing and Rehabilitation Center

Queens, NY • On-site

$75K/yr

Full-time

Re-posted 25 days ago

Job description

) Job Title: Insurance Case Manager
About Us: Waterview Nursing Care Center is a leading provider of comprehensive short-term and long-term care services, dedicated to enhancing the quality of life for our residents. We are committed to providing compassionate and personalized care, and we're looking for a skilled Insurance Case Manager to join our team and help us continue to deliver exceptional care.
Position Summary: The Insurance Case Manager will be responsible for managing insurance-related aspects of resident care within our nursing home facility. This role involves coordinating with insurance providers, residents, and families to ensure that all necessary documentation and approvals are in place for optimal care coverage. The ideal candidate will have a strong understanding of insurance policies, excellent organizational skills, and a commitment to providing exceptional service to our residents and their families.
Key Responsibilities:
  • Insurance Coordination:
    • Serve as the primary point of contact for insurance companies, residents, and families regarding insurance-related issues.
    • Review and verify insurance policies, coverage details, and eligibility for residents.
    • Ensure that all required authorizations and referrals are obtained in a timely manner.
  • Documentation and Compliance:
    • Prepare and submit insurance claims, appeals, and other documentation as needed.
    • Maintain accurate and up-to-date records of insurance-related communications and transactions.
    • Ensure compliance with facility policies, insurance regulations, and state and federal guidelines.
  • Resident and Family Support:
    • Provide guidance and support to residents and families regarding insurance benefits and coverage.
    • Address any insurance-related concerns or questions from residents and their families with empathy and professionalism.
    • Assist with the appeals process for denied claims or coverage issues.
  • Collaboration and Communication:
    • Work closely with healthcare providers, social workers, and administrative staff to coordinate care and resolve insurance-related issues.
    • Facilitate communication between residents, families, and insurance providers to ensure clear understanding of coverage and benefits.
  • Continuous Improvement:
    • Stay informed about changes in insurance policies, regulations, and industry best practices.
    • Identify and recommend improvements to processes related to insurance management and documentation.

Qualifications:
  • Education:
    • Bachelor's degree in healthcare administration, business, or a related field preferred. Relevant experience may be considered in lieu of a degree.
  • Experience:
    • Experience in insurance case management or a similar role, preferably in a healthcare or nursing home setting.
    • Strong knowledge of insurance policies, billing procedures, and regulatory requirements.
  • Skills:
    • Excellent organizational and time management skills with a keen attention to detail.
    • Strong interpersonal and communication skills, with the ability to handle sensitive information with confidentiality and professionalism.
    • Proficient in using insurance management software and other relevant tools.

Working Conditions:
  • Full-time position with standard working hours.
  • Work environment is primarily indoors, within a nursing home facility setting.

Why Join Us?
  • Competitive salary and benefits package.
  • Opportunity to make a meaningful impact on the lives of our residents and their families.
  • Supportive and collaborative work environment.

How to Apply: Interested candidates should submit their resume.
Waterview Nursing Care Center is an equal-opportunity employer and encourages applications from individuals of all backgrounds and experiences.

Apply