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Nurses In Insurance Jobs in Portland, OR (NOW HIRING)

PeaceHealth

Referral Coordinator - Hospice

Vancouver, WA · On-site

$25.62 - $34.58/hr

Preferred: Registered Nurse Skills * Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures ...

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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 much do insurance RNs make?

Insurance RNs typically earn between $60,000 and $85,000 annually, depending on experience, location, and certifications. They often work in claims review, risk assessment, or case management, utilizing their nursing skills in an insurance setting.

How to make 150,000 as a nurse?

Nurses can earn $150,000 by gaining advanced certifications, such as Nurse Practitioner or Nurse Anesthetist, working in high-demand specialties, or in roles with overtime and shift differentials. Working in urban areas, hospitals, or private practices with higher pay scales can also increase earnings, especially with experience and additional responsibilities.

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 regulations, often using clinical knowledge and documentation skills. Certification as a registered nurse (RN) is usually required for this role.

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 licensed practical nurse (LPN) or registered nurse (RN).

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 Portland, OR? For Nurses In Insurance jobs in Portland, OR, the most frequently searched job titles are:
What job categories do people searching Nurses In Insurance jobs in Portland, OR look for? The top searched job categories for Nurses In Insurance jobs in Portland, OR are:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Portland, OR as of June 2026, with employment types broken down into 66% Full Time, 21% Part Time, and 13% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Nurse Representative (Southwest Washington)

WSNA

Portland, OR • On-site

$87K - $140K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

WASHINGTON STATE NURSES ASSOCIATION

Position Title: Nurse Representative

Reports to: Director of Labor

Bargaining Unit: *Exempt

Job Location: Vancouver, Washington (Based in Southwest Washington, and includes other areas of Washington, as assigned.)


Position Summary

The Nurse Representative is responsible for representing WSNA and nurses in all activities of the Labor Executive Council (LEC) program.

Duties and Responsibilities Common to All Positions

  • Supports WSNA Purpose, Mission, Vision, and Goals.
  • Works with others, role modeling collaboration, communication, and teamwork. Strives for excellence in work performance.
  • Remains current in the field of expertise.
  • Performs other duties as assigned to meet association needs, including participation in staff teams and committees.
  • Acquires and maintains knowledge of Microsoft Office.

Duties and Responsibilities

    • Collaborates with labor counsel in developing proposals for negotiations and prepares local unit negotiating team for negotiations.
    • Collaborates with labor counsel in preparation for arbitration.
    • Investigates and processes grievances.
    • Serves as a resource for local unit members about WSNA, local unit, contract, or practice issues.
    • Collaborates with local unit leaders in contract administration and in work of local unit meetings, professional, and practice activities.
    • Develops and maintains knowledge of state and national laws and regulations related to the representation of nurses.
    • Participates in developing, using, and maintaining databases that support the Labor Executive Council program activities.
    • Collaborates with staff in other departments and works with local units.
    • Develops and presents training programs for local unit leaders and members.
    • Provides information for WSNA publications.
    • Promotes, develops, and maintains liaison relationships with other groups whose concerns relate to the representation or support of nurses.
    • Meets with employer representatives on behalf of local unit members.
    • Provides information to the Director of Labor.
    • Visits hospitals and other clinical settings to observe work conditions and meet with local unit members.

    Education/Experience

    Licensure as a registered nurse in the State of Washington is required.

    Essential Skills/Competencies

    • Experience in WSNA or another local unit preferred. Knowledge of trends in labor relations and health care. Experience in working with association volunteers.
    • Experience in participation in organizing activities and supporting members and others in active participation in union campaigns.
    • Proficient in writing and speaking to multiple audiences.
    • Demonstrated interpersonal skills and ability to consult with and motivate others and manage conflict.
    • Able to handle multiple priorities, organize workload, and take initiative.

    Physical requirements

    This job requires:

    • An ability to mobilize long distances when in the field; move about inside the WSNA office or other location to access files, equipment, personnel, or other individuals.
    • Ability to travel extensively and work flexible hours. Ability to accept overnight stays with some travel.
    • A valid driver's license in the state of residence and access to an operational motor vehicle that is currently insured.


    *The WSNA Nurse Representative is included in the Program Specialist job classification and is subject to the WSNA-Teamsters Local #117 Contract provisions. This salary ranges from $87,024.28 to $140,596.14 annually.
    WSNA provides a generous benefits package that includes employer-paid individual health, dental, vision, and life insurance; fifteen paid holidays; twelve personal days per year; twenty-two vacation days per year; one day of sick leave per month; and a defined-benefit pension plan.

    The Washington State Nurses Association is the leading voice and advocate for nurses in Washington. As a professional association and union, we represent more than 20,000 nurses, and we advocate for the interests of all Washington registered nurses. For more than 100 years, WSNA has championed issues that support nurses, advance professional standards, and improve health and health equity for Washingtonians.