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Nurses In Insurance Jobs in Riverside, CA (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 Riverside, CA? For Nurses In Insurance jobs in Riverside, CA, the most frequently searched job titles are:
What cities near Riverside, CA are hiring for Nurses In Insurance jobs? Cities near Riverside, CA with the most Nurses In Insurance job openings:
Labor & Delivery Meal Relief RN in Riverside, CA

Labor & Delivery Meal Relief RN in Riverside, CA

Vivian Health

Riverside, CA

$58 - $82/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Job description

Meal Relief RN Labor and Delivery Hourly Wage Estimate: $58.00 - $82.00 / hour
Learn more about the for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Are you looking for a place to deliver excellent care patients deserve? At Riverside Community Hospital we support our colleagues in their positions. Join our Team as a Meal Relief RN in Labor and Delivery and access programs to assist with every stage of your career.

Benefits

Riverside Community Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Meal Relief RN opening and continue to learn!

Job Summary and Qualifications

The Meal Relief Registered Nurse servicing the Maternal/Child Units, as a professional practitioner, assumes responsibility and accountability for the application of the nursing process and the delivery of patient care while he/she is relieving other licensed nurses during break/meal periods

  • According to the established standards of nursing practice and standards of care, he/she demonstrates an ability to make clinical nursing judgement in an efficient and effective manner 
  • He/She demonstrates critical thinking and performance ability in the coordination of patient care and consistently performs according to the standards of the profession
  • The Registered Nurse is responsible for the delivery of skilled, high quality patient care; for assisting in planning, organizing, implementing and evaluating nursing practice and collaborating with members of the healthcare team

Qualifications:

  • Valid California RN license required
  • Current BCLS certification required
  • Current ACLS (required in Labor & Delivery ONLY)
  • National RN Certification preferred
  • Current NRP
  • Graduate from an accredited school of nursing
  • Minimum of one-year acute care hospital experience in Labor and Delivery required

Founded in 1901, Riverside Community Hospital is a 542-bed full-service acute care hospital. We are in the heart of the Inland Empire and house the largest Emergency Room and Level I Trauma Center in the region and are one of Riverside County's only STEMI (heart attack) receiving centers. We are also a fully accredited Chest Pain Center and Comprehensive Stroke Center. Our centers of excellence includes the HeartCare Institute, which offers invasive and non-invasive cardiac procedures, and a Level III Neonatal Intensive Care Unit.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If growth and continued learning is important to you, we encourage you to apply for our Meal Relief RN LD opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews.Unlock the possibilities apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.