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Nurses In Insurance Jobs (NOW HIRING)

Riverside

LPN

Newport, VA · On-site

$24.50 - $33.50/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

New

DenMar Health and Rehab

LICENSED NURSE

Rockport, MA · On-site

Looking for a motivated, hard working, caring individual who works well in a team and alone. We are a COVID FREE nursing facility We offer great Medical, Dental, Vision and Life Insurance for all FT ...

DenMar Health and Rehab

LICENSED NURSE

Rockport, MA · On-site

Looking for a motivated, hard working, caring individual who works well in a team and alone. We are a COVID FREE nursing facility We offer great Medical, Dental, Vision and Life Insurance for all FT ...

Riverside Health System

LPN - Home Health

Newport News, VA · On-site

$23.50 - $31.25/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

Riverside

$23 - $30.75/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

Riverside Health System Non-Providers

$23 - $30.75/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

Holyoke Hospital

CNA/Nursing Assistant

Holyoke, MA · On-site

Job Title Assists nurses in providing safe and effective patient care, which encompasses age groups ... Low cost health insurance with no deductibles when using HMC services Dental and vision insurance ...

Riverside

LPN - Home Health

Newport, VA · On-site

$24.75 - $33/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

Riverside Health System

LPN - Home Health

Newport News, VA · On-site

$23.50 - $31.25/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

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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.
More about Nurses In Insurance jobs
What cities are hiring for Nurses In Insurance jobs? Cities with the most Nurses In Insurance job openings:
What states have the most Nurses In Insurance jobs? States with the most job openings for Nurses In Insurance jobs include:
What job categories do people searching Nurses In Insurance jobs look for? The top searched job categories for Nurses In Insurance jobs are:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in the United States as of June 2026, with employment types broken down into 13% As Needed, 38% Full Time, 13% Part Time, and 36% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
LPN

LPN

Riverside

Newport, VA • On-site

$24.50 - $33.50/hr

Part-time

Posted 2 days ago

Job description

Newport News, Virginia
Overview
The Hospice Licensed Practical Nurse works under the supervision of the Care Manager to assist the Physicians/Registered Nurses in the care of clients in their homes by provision of comprehensive skilled nursing services directed toward pain and symptom management and end of life teaching/support. Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and procedures. Demonstrate the knowledge and skills necessary to provide age-appropriate care. Ability to assess data reflective of the client's status and current requirements. Able to provide care in accordance with departmental policy and procedure guides. The LPN may be required to work every other weekend depending upon client census. Supplements the nursing care needs of the client as provided by the Registered Nurse.
What you will do
  • Assists the physicians/registered nurses in the care of clients in their homes through provision of comprehensive skilled nursing services directed toward pain and symptom management and end of life teaching/support
  • Implements and evaluates plan of care, treatments and procedures that contribute to the physiological and psychosocial outcomes of the patient. Collaborates with the primary RN in providing quality patient care needs as established in the Plan of Care. Provides services according to agency policies and supplements the nursing care needs of the client as provided by the RN. Assists the RN or physician in performing specialized procedures and duties.
  • Builds trusting collaborative relationships with a multi-disciplinary team to support patient care needs. Actively participates in multi-disciplinary team meetings as assigned.
  • Prepares clinical and progress notes documenting outcomes of interventions. Accurately completes all required clinical documentation consistently per RHC standards which includes completing and "locking" patients notes and verbal orders within 24 hours.
  • Provides comprehensive skilled nursing services to assigned patients in case load. Remains fully cognizant of Medicare, Medicaid, and Commercial insurance requirements, along with scope of service.

Qualifications
Education
  • Program Graduate, Licensed Practical Nurse (Required)

Licenses and Certifications
  • Licensed Practical Nurse (LPN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required)
  • CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)
  • Drives personal vehicle for RHS business 25% or more of the time to perform essential functions of the job
  • Valid Drivers License Required
Other Requirements
  • Call Rotation
  • Weekend Shifts
  • Work/Float in more than one work location

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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