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Remote Insurance Nurse Jobs in Virginia (NOW HIRING)

Sentara Healthcare

Prevention Nurse Specialist

Richmond, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Travel reimbursement This is a remote PRN status position with Day Shift Hours, requires onsite ... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ...

Sentara Healthcare

Prevention Nurse Specialist

Williamsburg, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote PRN status position within day shift hours. This is not a work from home role and ... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ...

Sentara Healthcare

Virtual Wound Care RN -WOCN

Virginia Beach, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is NOT Remote and is located at the Sentara Independence office in Virginia Beach, VA ... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ...

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All JobsInsurance Nurse JobsRemote Insurance Nurse JobsRemote Insurance Nurse Jobs in Virginia

Remote Insurance Nurse information

See Virginia salary details

$23.3K

$58.6K

$96.7K

How much do remote insurance nurse jobs pay per year?

As of Aug 16, 2026, the average yearly pay for remote insurance nurse in Virginia is $58,588.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,200.00 and $76,800.00 per year, depending on experience, location, and employer.

What are the typical daily tasks and workflow for a remote insurance nurse?

As a Remote Insurance Nurse, your daily tasks often include reviewing and evaluating medical records for insurance claims, conducting telephonic patient interviews, and collaborating with physicians or underwriters to clarify medical information. You'll use digital platforms to document your findings, communicate with clients or policyholders, and submit detailed reports for claims processing or case management. Most remote insurance nurses work independently but interact regularly with a team via virtual meetings and secure messaging. This structure offers flexibility and autonomy, while also requiring diligence and steady communication to ensure accuracy and regulatory compliance.

What is a remote insurance nurse?

A Remote Insurance Nurse is a licensed nurse who works for an insurance company to assess medical claims, review patient records, and ensure proper care management—all from a remote setting. They may conduct telephonic assessments, verify medical necessity for treatments, or assist with case management. This role helps insurers make informed decisions about coverage, care coordination, and cost efficiency. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in the remote insurance nurse position, and why are they important?

To excel as a Remote Insurance Nurse, you must have a valid RN license, thorough clinical experience, and strong knowledge of medical terminology and insurance procedures. Familiarity with health information management systems, telehealth platforms, and secure digital communication tools is important, as well as certifications like CCM (Certified Case Manager) if required. Outstanding critical thinking, attention to detail, and interpersonal communication skills are essential for evaluating claims and guiding clients through insurance processes. These competencies ensure accurate assessments, effective client support, and compliance with regulatory standards while working independently from a remote setting.

What are the most commonly searched types of Insurance Nurse jobs in Virginia?

The most popular types of Insurance Nurse jobs in Virginia are:

What are popular job titles related to Remote Insurance Nurse jobs in Virginia?

For Remote Insurance Nurse jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Nurse jobs in Virginia look for?

The top searched job categories for Remote Insurance Nurse jobs in Virginia are:

What cities in Virginia are hiring for Remote Insurance Nurse jobs?

Cities in Virginia with the most Remote Insurance Nurse job openings:

Remote Insurance Nurse jobs near you
Infographic showing various Remote Insurance Nurse job openings in Virginia as of August 2026, with employment types broken down into 82% Full Time, 12% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $58,588 per year, or $28.2 per hour.

Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Fredericksburg, S

Sentara Healthcare

Spotsylvania, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 887 rated healthcare providers

Job description

City/State
Fredericksburg, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring an Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Fredericksburg, Spotsylvania, VA, and the surrounding areas!
This is a full-time, work-from-home position that requires travel to conduct face-to-face home visits (approx 2-3 times a week) for chronic/complex condition members (asthma, diabetes, heart failure, cancer, heart disease, COPD) Fredericksburg, Spotsylvania, VA, and the surrounding areas!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Applicants must reside in Fredericksburg, Spotsylvania, VA and the surrounding areas!
Primary responsibilities include:
  • Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
  • Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services
  • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
  • Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs
  • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
  • Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
  • Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures
  • May assist in problem solving with provider, claims or service issues.

Target Member Population Includes:
  • High Emergency Room (ER) utilizers
  • Recent hospital discharges
  • Members diagnosed with chronic/complex conditions (Asthma, diabetes, heart failure, cancer, heart disease, COPD)

Education:
  • Associate or Bachelors Degree in Nursing REQUIRED

Certification/Licensure:
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED

Experience:
  • 3 years experience in Nursing REQUIRED
  • Case Management experience highly preferred
  • Managed Care or Health Plan experience preferred
  • Experience working with chronic/complex condition members (Asthma, diabetes, heart failure, cancer, heart disease, COPD) preferred
  • Experience in home health experience, inpatient case management, hospice, transition of care, and discharge planning preferred
  • Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
  • Excellent communication skills, both oral and written, as well as strong problem-solving and analytical

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-104113
Talroo - Health Plan
Managed Care, MCO, Health Plan, Healthcare, Health Insurance, Nursing, RN, Registered Nurse, Medicaid, Chronic, Complex condition members, Asthma, diabetes, heart failure, cancer, heart disease, COPD, home health experience, inpatient case management, hospice, emergency room, ED, Emergency Department, Discharge Planning, Case Management, Transition of Care, TOC, Virginia Fredericksburg, Spotsylvania, VA, Remote, Virginia
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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