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Nurses In Insurance Jobs in Memphis, TN (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.

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 Memphis, TN? For Nurses In Insurance jobs in Memphis, TN, the most frequently searched job titles are:
What cities near Memphis, TN are hiring for Nurses In Insurance jobs? Cities near Memphis, TN with the most Nurses In Insurance job openings:
Infographic showing various Nurses In Insurance job openings in Memphis, TN as of June 2026, with employment types broken down into 17% As Needed, 33% Full Time, 17% Part Time, and 33% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

EMERGENCY DEPARTMENT RN/FULL-TIME/NIGHTS

Highland Hills Medical Center

Senatobia, MS

Other

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago


Job description

Highland Hills Medical Center is seeking the right candidate to join our team of nurses in the Emergency Department. This is a full-time position for night shifts. Hospital benefits include health, dental, vision and life insurance, as well as a retirement fund.
This Registered Nurse will coordinate care planning with other disciplines. Provides care that meets the psychosocial, physical, and general aspects of care. Determines priorities of care based on physical and Psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient's status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment.
Regulatory Requirements:

  • Current Mississippi Registered Nurse license.
  • Current BLS Certification.
  • ACLS certified within 6 months of hire.
  • PALS within 6 months of hire.
  • TNCC within one year of hire.
Language Skills:
  • Ability to communicate effectively in English, both verbally and in writing.
  • Additional languages preferred.
Skills:
  • Basic computer knowledge.
  • Demonstrate current competency in those clinical responsibilities for which assigned.
If you meet the qualifications for this job, please fill out the online application.