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Part Time Insurance Nurse Reviewer Jobs in Indiana

Communicarehealth

LPN Part Time

Dyer, IN

$34/hr

... caring nursing professionals! Starting at $34/hr We are currently recruiting for Part Time ... Company Paid Life Insurance and much, much, more! QUALIFICATIONS & EXPERIENCE REQUIREMENTS:

Centurion

Registered Nurse PT Days (81163)

Plainfield, IN · On-site

$38 - $49/hr

We are currently seeking a part-time Registered Nurse to join our team at Plainfield Correctional ... Health, dental, vision, disability and life insurance * 401(k) with company match * Generous paid ...

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All JobsInsurance Nurse Reviewer JobsPart Time Insurance Nurse Reviewer JobsPart Time Insurance Nurse Reviewer Jobs in Indiana

Part Time Insurance Nurse Reviewer information

What is a part time insurance nurse reviewer?

Part-time insurance nurse reviewers are registered nurses who work with insurance companies to review medical records, claims, and treatment plans, often on a flexible or reduced-hour schedule. Their primary role is to ensure that the care provided meets established guidelines and is medically necessary according to the insurer's policies. These nurses use their clinical expertise to assess documentation and help determine the appropriateness of claims, frequently working remotely or in office settings. By working part time, they often balance this role with other professional or personal commitments.

What is the difference between Part Time Insurance Nurse Reviewer vs Part Time Insurance Claims Processor?

AspectPart Time Insurance Nurse ReviewerPart Time Insurance Claims Processor
Required CredentialsRN license, insurance knowledgeBasic insurance knowledge, data entry skills
Work EnvironmentRemote or office-based, healthcare settingRemote or office-based, administrative setting
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, third-party administrators
Common Search & ComparisonYesNo

The Part Time Insurance Nurse Reviewer primarily evaluates insurance claims from a healthcare perspective, requiring nursing credentials and clinical knowledge. In contrast, the Part Time Insurance Claims Processor handles administrative tasks like data entry and claim processing, often with less clinical background. Both roles are common in insurance companies and may be performed remotely, but they differ significantly in responsibilities and required qualifications.

What skills and qualifications are needed to thrive as a part time insurance nurse reviewer?

To thrive as a Part Time Insurance Nurse Reviewer, you need a nursing degree, active RN licensure, and strong knowledge of medical terminology and healthcare guidelines. Familiarity with utilization review software, electronic medical records, and insurance coding systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective written communication help set top performers apart in this role. These skills and qualities ensure accurate case assessments, compliance with regulations, and clear justification for insurance coverage decisions.

What are common challenges faced by part time insurance nurse reviewers, and how can they be managed?

Part Time Insurance Nurse Reviewers often face challenges such as managing a high volume of case reviews within tight deadlines and staying updated on changing insurance policies and medical guidelines. Balancing accuracy with efficiency is crucial, as the role requires careful attention to detail when evaluating medical records and making coverage determinations. Effective time management, ongoing professional development, and strong communication skills are key to overcoming these challenges and maintaining high-quality work while collaborating with claims adjusters, physicians, and other team members.
Part Time Insurance Nurse Reviewer jobs near you
Infographic showing various Part Time Insurance Nurse Reviewer job openings in Indiana as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution.

Home Infusion Registered Nurse (Part-Time)

CSI Pharmacy

Indianapolis, IN • On-site

$45 - $50/hr

Part-time

Posted 23 days ago

CSI Pharmacy rating

7.1

Company rating: 7.1 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Job Title
Home Infusion Registered Nurse (Part-Time)
Location
Indianapolis, IN, USA
Additional Location(s)
Employee Type
Employee
Working Hours Per Week
24
Job Description
Summary
This position is available for licensed Registered Nurses (RN). Under the supervision of a Clinical Nurse Supervisor (CNS), the role involves a range of technical, clerical, clinical, and general infusion nurse tasks related to home infusion services. Responsibilities include patient home care, including assessment, obtaining IV and port access, administering intravenous and injectable medications, and providing education. Additionally, the role supports pharmacy operations through quality control activities, maintenance of pharmacy and nursing records, inventory management and preparation of medication orders.
Compensation Range: $45/hr - $50/hr (DOE) + $.48/mile
Location: Northern Indianapolis, IN
Travel: Must be willing to travel up to 2 hours out from Northern Indianapolis, IN to see patients in their homes which is included in work hours and is compensated for hourly + $.48/mile
Essential Duties and Responsibilities
The following duties are representative of the responsibilities of this position. Additional tasks may be assigned as necessary.
General Responsibilities
  • Provide in-home infusion therapy with regular travel required to and from patient residences.

Clinical Responsibilities
  • Administers prescribed specialty medications through intravenous (IV), subcutaneous, or other appropriate routes in accordance with provider orders and established protocols.
  • Monitors patients closely throughout the infusion process to identify and respond promptly to any adverse reactions or complications.
  • Conducts comprehensive pre-treatment assessments, including review of the patient's medical history, allergies, and current medications to ensure safe and effective therapy.
  • Evaluates and monitors the patient's physical condition and vital signs (e.g., blood pressure, heart rate) before, during, and after infusion procedures.
  • Identifies, documents, and communicates any potential risks, adverse reactions, or complications associated with infusion therapy in accordance with clinical protocols.
  • Educates patients and caregivers on prescribed medications, including their purpose, mechanism of action, potential side effects, and what to expect throughout the treatment process.
  • Provides clear post-infusion guidance, including instructions for managing side effects and responding to potential emergencies at home.
  • Monitors patients continuously during and after infusions to promptly identify and address any immediate adverse reactions.
  • Coordinates and conducts follow-up communications, including calls or visits, to assess patient progress and monitor for delayed side effects.
  • Provides clinical feedback and collaborates on care plan adjustments based on patient response, condition changes, or reported concerns.

Documentation and Compliance
  • Maintains thorough and accurate documentation of the infusion process, including patient responses, adverse events, and medication administration details.
  • Records patient education and follow-up instructions in compliance with healthcare regulations, clinical standards, and pharmacy policies.

Collaboration and Communication
  • Collaborates closely with the nursing team, pharmacists, and pharmacy staff to ensure coordinated, high-quality patient care and effective implementation of treatment plans.
  • Communicates promptly with the Clinical Nurse Supervisor regarding any concerns related to treatment effectiveness, patient responses, or adverse reactions.

Medication and Safety Management
  • Ensure proper preparation and handling of medications in accordance with established safety protocols and regulatory standards.
  • Verifies medication accuracy, confirming the correct drug and dosage are prepared and administered for each individual patient.
  • Maintains strict adherence to sterile techniques and safety protocols throughout the infusion process to ensure patient safety and procedural integrity.
  • Follows established infection control guidelines to prevent contamination during the preparation and administration of medications.

Inventory and Insurance Support
  • Monitors inventory levels of specialty medications and infusion-related supplies to ensure consistent availability and prevent shortages.
  • Collaborates with the pharmacy team to manage inventory effectively, ensuring timely replenishment and accurate stock control.
  • Provides support for insurance verification and prior authorization processes related to specialty medications, ensuring timely access to prescribed therapies.

Additional Responsibilities for IgCN-Certified Nurses
Clinical staff who hold an active IgCN certification may be required to participate in CSI's Immunoglobulin Mentorship Program as part of their role. Participation is dependent on operational needs and program assignments.
  • Serve as an IgCN mentor to new or transferring nursing staff who are local or regional to the mentor, as assigned.
  • Provide guidance, coaching, and professional support to less experienced nurses to support safe and effective immunoglobulin therapy delivery.
  • Assist with training activities as outlined by the Ig educator, including review of educational materials, infusion protocols, and patient care standards.
  • Support skills development through direct observation, coaching, and feedback related to immunoglobulin administration and patient management.
  • Act as a clinical resource to the assigned mentee throughout the defined orientation or transition period.
  • Participate in document review, including competency checklists, orientation materials, and required training records.
  • Conduct direct observation of clinical practice as required and assess the mentee's level of competency within the defined orientation period.
  • Document mentorship activities, observations, and competency assessments in accordance with CSI policies and accreditation requirements.

Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Must possess the ability to multi-task and frequently change direction.
  • Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to a reliable automobile.
  • College degree/ certification required or equivalent experience.
  • RN: 2 years (Required)
  • ER/ICU/Infusion: 1 year preferred (critical thinking)
  • Accessing PIV lines, Ports and maintaining PICC lines: 1 year (Required)
Infusion experience in a hospital or Home Health setting: 1 year (Preferred)
NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
By supplying your phone number, you agree to receive communication via phone or text.
CSI Pharmacy is an Equal Opportunity Employer

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