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Nurses In Insurance Jobs in North Ridgeville, OH

Jobs for Humanity

Nurses

Akron, OH

$105K - $133K/yr

In performing Disability Assessments,you will review medical records electronically through a web ... Training and continued support provided Health Insurance options available Computer supplied ...

Jobs for Humanity

Nurses

Akron, OH

$105K - $133K/yr

In performing Disability Assessments,you will review medical records electronically through a web ... Training and continued support provided Health Insurance options available Computer supplied ...

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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.
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Nurses In Insurance jobs near you

Licensed Practical Nurse / LPN - Copley, OH

Flagstar Nursing

Akron, OH

$38 - $40/hr

Full-time

Posted 21 days ago

Job description

Hiring Licensed Practical Nurses (LPNs) for Skilled Nursing Facility

FS Nursing puts Licensed Practical Nurses in the driver’s seat when it comes to managing their careers and work-life balance. LPNs have the flexibility to choose assignments that fit their schedules and short- and long-term financial goals.

Licensed Practical Nurses can select from a variety of opportunities that allow them to be present for both their families and the patients they serve, while filling critical gaps in geriatric care.

If you are looking for a team that takes care of its Licensed Practical Nurses with the same level of compassion that is provided to the community, then we want to hear from you!

Hourly pay rate: $38-$40

LPN/ Licensed Practical Nurse Job Duties and Requirements:

  • Currently holds an active state issued LPN license.
  • CPR Certified (BLS or ALS accepted)
  • Meets all State and Federal requirements for US employment in a Nursing Facility
  • Strong patient assessment skills and demonstrated clinical competency

· Assess and record symptoms and/or reactions and progress in patients.

· Administer patient medications as prescribed by the treating physician.

· Assist in rehabilitation in accordance with the physician's established plan of treatment.

Licensed Practical Nurse/ LPN schedule and Benefits:

· Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!)

· Paid Orientations

· Competitive Weekly Pay with Direct Deposit

· Paid Sick Leave in accordance with applicable laws

· Dedicated Office staff & 24-hour On-call Service

· Medical, dental, vision, and other insurance options available

· Lucrative Referral Bonuses