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

Vivian Health

Cath Lab Nurse in Wildomar, CA

Wildomar, CA · On-site

$76K - $125K/yr

... Nurses with experience in any of the following areas are strongly encouraged to apply: Circulate ... Adoption Assistance, Disability Insurance, EAP, Employee Stock Purchase Plan, FSA, Healthgrades ...

Prime Providers

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 ...

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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
Home Health RN in Corona, CA

Home Health RN in Corona, CA

Vivian Health

Corona, CA

Other

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

Job description

RN Field Nurse, Home Health
Overview:

RN Field Nurse

Location: Corona

Position: RN Field Nurse

Position Type: Full-Time

Remote/Virtual Position: No

Coverage Area: Temecula & surrounding areas

Find Your Passion and Purpose as an RN Field Nurse

Salary: $108-$132k/yr depending on experience

Offer Based on Years of Experience

What You Need to Know:

Reimagining Your Career in Home Health

Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. 

We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. 

Be the Best RN Field Nurse You Can Be

If you meet these qualifications, we want to meet you!

  • Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
  • One (1) year experience as a RN.

Required Certifications and Licensures:

  • Licensed to practice as a registered nurse in the state of agency operation.
  • Must possess and maintain valid CPR certification while employed in a clinical role.
  • Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations.

Our Investment in You

Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include:

  • Medical, dental, and vision coverage 
  • Paid time off and paid holidays 
  • Professional development opportunities 
  • Company-matching 401(k) 
  • Flexible spending and health savings accounts 
  • Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app
  • Programs to celebrate achievements, milestones, and fellow employees
  • Company store credit for your first AccentCare-branded scrubs for patient-facing employees 
  • And more!
Why AccentCare?:

Come As You Are 

  • At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
Posted Salary Range: USD $108,058.78 - USD $132,071.84 /Yr.

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