ZipRecruiter

Log In

1

Nurses In Insurance Jobs (NOW HIRING)

Riverside

LPN - Home Health

Newport, VA

$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

Smithfield, VA

$24.25 - $32/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

$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 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 ...

Riverside Health System

LPN Home Health

Smithfield, VA · On-site

$24.25 - $32/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

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 ...

next page

Showing results 1-20

People also search for

All JobsNurses In Insurance Jobs

Nurses In Insurance information

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.

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 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.

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.

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 May 2026, with employment types broken down into 2% Internship, 2% As Needed, 57% Full Time, 12% Part Time, 25% Contract, and 2% Nights. Highlights an 99% Physical, and 1% Remote job distribution.
LPN - Home Health

LPN - Home Health

Riverside

Newport, VA

$24.75 - $33/hr

Full-time

Posted 20 days ago

Job description

Newport News, Virginia


Overview
The 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 maximum rehabilitation to achieve the established goals and objectives identified. 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 to 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 maximum rehabilitation to achieve established goals and objectives identified.
  • 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.
  • 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.


Qualifications
Education

  • Program Graduate, Licensed Practical Nurse (Required)


Experience

  • Nursing experience in acute care setting or home care setting (Preferred)


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

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

Apply