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

Maxim Health Systems

LVN - Homecare

Monterey, CA

$35 - $50/hr

LVN - Homecare Monterey, California Maxim Healthcare in Monterey, CA is hiring for a Licensed ... Health, Dental, Vision, HSA and Life Insurance * Paid Time Off * 401(k) Savings Plan * Maxcares ...

New

Maxim Healthcare Services

LVN - Homecare

Monterey, CA

$35 - $50/hr

Hourly Pay: $35 - $50 / per hour Maxim Healthcare in Monterey, CA is hiring for a Licensed ... Health, Dental, Vision, HSA and Life Insurance * Paid Time Off * 401(k) Savings Plan * Maxcares ...

UnitiMed

RN Operating Room

Salinas, CA · On-site

Uniti Med is looking for a Registered Nurse (RN) in Salinas, California. This assignment lasts 13 weeks and is scheduled to start on 06-22-2026. Benefits: * * Day 1 Insurance * * Cigna medical ...

New

UnitiMed

RN Labor and Delivery

Salinas, CA

Uniti Med is looking for a Registered Nurse (RN) in Salinas, California. This assignment lasts 13 weeks and is scheduled to start on 06-22-2026. Benefits: * * Day 1 Insurance * * Cigna medical ...

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All JobsNurses In Insurance JobsNurses In Insurance Jobs in Monterey, CA

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 job categories do people searching Nurses In Insurance jobs in Monterey, CA look for? The top searched job categories for Nurses In Insurance jobs in Monterey, CA are:
What cities near Monterey, CA are hiring for Nurses In Insurance jobs? Cities near Monterey, CA with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Monterey, CA as of June 2026, with employment types broken down into 4% As Needed, 35% Full Time, 53% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Case Manager (Per Diem ) - Hospice of the Central Coast

Community Hospital of The Monterey Peninsula

Monterey, CA • On-site

$84.27 - $112.70/hr

Part-time

Posted 26 days ago

Job description

Welcome to Montage Health's application process!

Job Description:

Position Summary

Under the leadership of the director and assistant director of Hospice of the Central Coast, the Case Manager is a Registered Nurse responsible for the smooth operations of the hospice office, fielding informational calls that require an RN, speaking with MD's, taking telephone orders, assisting nurses in the field, speaking and instructing families and patients on hospice. The Hospice Case Manager possesses the skills and knowledge to competently provide appropriate nursing care on the phone or in person. The Case Manager is also responsible to make adjustments in visit schedules, schedule the nurse practitioner, and document and complete re-certifications. The Case Manager will have the IDG complete and up to date for scheduled meetings. The Case Manager will notify Assistant Director or Director of any problems.

Experience

Three years experience as a nurse is required. A minimum of two years home hospice experience within the last five years is required. Spanish speaking preferred.

Education

Bachelor's degree in nursing preferred.

Must pass orientation and initial competency assessment prior to independent assignment of patients requiring the applicable skill, and must complete and pass all annual competencies.

Licensure/Certifications

State of California RN license required. American Heart Association Healthcare Provider BLS required. Hospice certification preferred. Must possess a valid California driver's license.

This position requires driving. In addition to a valid CA driver's license, the following are required: Automobile insurance as required by the State of California with an acceptable driving record of three points or less, participation in the DMV pull-notice program, and an automobile available for daily work.

Equal Opportunity Employer

Assigned Work Hours:

Rotating 0730-1600 and 0830-1700 shifts.

Position Type:

Per Diem

Pay Range (based on years of applicable experience):

$84.27

to

$112.70

The hours employees work determine when a shift differential is paid.

Hourly Evening Shift Differential: $5.50Hourly Night Shift Differential: $8.00

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