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

LVN Case Manager

Irvine, CA · On-site

$30 - $36.40/hr

Communicate with providers, insurance companies, nurses, pharmacy staff, and patients/families. * Assist AIC nurses in obtaining provider orders, starting IV's & case managing all aspects of patient ...

LVN Case Manager

Irvine, CA · On-site

$30 - $36.40/hr

Communicate with providers, insurance companies, nurses, pharmacy staff, and patients/families. * Assist AIC nurses in obtaining provider orders, starting IV's & case managing all aspects of patient ...

LVN's in Corona

Corona, CA · On-site

$28.50 - $38.25/hr

Medical and Dental insurance, Vacation/sick days, 401(k) * Professional, fun, and positive work ... Provides direct patient care as defined in State's Nurse Practice Act * Implements plan of care ...

26/27 LVN in School

Hemet, CA

$27.50 - $37.25/hr

The School Nurse may also be in a supervisory position within the contracted services. The School ... Health, dental, vision, and life insurance * 401(k) savings plan * Awards and recognition programs

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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 to make $300,000 as a nurse?

Nurses can earn $300,000 by working in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and experience. Working overtime, taking on leadership roles, or working in private sectors and specialized facilities can also increase income significantly.

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 policies, often using clinical knowledge and documentation skills.

How to make an extra 2000 a month as a nurse?

Nurses can earn an extra $2000 a month by taking on per diem or agency shifts, which often pay higher rates, or by working overtime and weekend shifts. Developing specialized skills in areas like IV therapy, anesthesia, or telehealth can also lead to higher-paying side opportunities. Additionally, some nurses supplement income through telehealth consulting or by offering health education services outside regular hours.

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 Certified Case Manager (CCM).

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 job categories do people searching Nurses In Insurance jobs in Riverside, CA look for? The top searched job categories for Nurses In Insurance jobs in Riverside, CA 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:
Infographic showing various Nurses In Insurance job openings in Riverside, CA as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
LVN Case Manager

LVN Case Manager

Oso Home Care

Irvine, CA • On-site

$30 - $36.40/hr

Full-time

Posted 26 days ago


Job description

LVN Case Manager

Job Description

Oso Home Care Inc. is looking to hire a full-time LVN case manager. Our main office is located in Irvine, CA where the 405 and 55 freeways meet. Candidate must be IV certified. This is an in office/in clinic LVN role supporting our home and clinic infusion patients and nurses. Training to take place in our Irvine location and then transfer to our Long Beach, CA ambulatory infusion center.

Hours:

Monday through Friday, 8:00 am – 7:00 pm (8 hours shifts: varying starting/closing shifts to support business needs)

Responsibilities:

  1. Organize patient's plan of care from the moment the patient starts on service to the moment they discharge from the agency.
  2. Communicate with providers, insurance companies, nurses, pharmacy staff, and patients/families.
  3. Assist AIC nurses in obtaining provider orders, starting IV’s & case managing all aspects of patient care needs.
  4. Willingness to learn all aspects of infusion therapy within the scope of an LVN.

Requirements:

  1. Current unrestricted CA LVN license.
  2. IV certification.
  3. Strong communication, organizational, and documentation skills are a must.
  4. Ability to work independently and as part of a team
  5. Flexibility to train/interview in our Irvine location with future possibility to transfer to our Long Beach ambulatory infusion center location when training is complete.

Preferred:

  1. Experience with PICC lines, implanted ports, and IV therapy within LVN scope of practice.
  2. Experience starting IV’s and drawing blood.
  3. Spanish speaking is a plus but not required.
  4. Prior experience working in a fast-paced clinical support environment.

Oso Home Care Inc is an Equal Opportunity Employer and complies with all local, state, and federal laws.

Applicant and employee privacy policy can be found at: https://osohomecare.com