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Remote Lpn Insurance Jobs in Baltimore, MD (NOW HIRING)

Empire State Careers

Remote Insurance Agent

Baltimore, MD · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

Lone Star Careers

Remote Insurance Agent

Baltimore, MD · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

BetterHelp

Licensed Psychologist - Remote

Baltimore, MD · Remote

$55 - $70/hr

No insurance headaches. No clawbacks. No payment delays. We handle everything -- you get paid ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Nexera

Entry Level Remote Insurance Sales

Baltimore, MD · Remote

$1.5K - $3.2K/wk

We'll train you and get you licensed. Why recent grads skip the "traditional job" path Typical ... remote, open to all U.S. locations * Able to pass a background check * Life and Health Insurance ...

Lone Star Careers

Remote Life Insurance Agent

Baltimore, MD · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

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Remote Lpn Insurance information

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$15

$29

$43

How much do remote lpn insurance jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote lpn insurance in Baltimore, MD is $29.69, according to ZipRecruiter salary data. Most workers in this role earn between $24.62 and $33.46 per hour, depending on experience, location, and employer.

What is a remote Lpn insurance?

A Remote LPN Insurance job involves using your nursing knowledge to assess medical claims, perform utilization reviews, or provide case management for an insurance company from a home-based or remote setting. Responsibilities may include reviewing patient records, ensuring treatments meet policy guidelines, and collaborating with healthcare providers. This role typically requires an active LPN license, clinical experience, and familiarity with insurance policies. It allows nurses to apply their skills in a non-clinical environment while helping manage healthcare costs and coverage decisions.

What does a remote Lpn insurance do?

As a Remote LPN Insurance professional, your daily tasks generally include reviewing medical records, processing insurance claims, conducting patient assessments for coverage eligibility, and communicating with both patients and healthcare providers to gather additional information. You may also be responsible for documenting all decisions and actions in the company's digital systems and collaborating with physicians, case managers, and other insurance professionals to coordinate care or resolve complex claims. Most work is conducted online or via phone, requiring a high level of comfort with technology and independent time management. This role offers the opportunity to utilize your clinical expertise in a non-bedside setting, making it ideal for LPNs seeking remote work with regular business hours.

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

To thrive as a Remote LPN Insurance professional, you need a valid LPN license, strong clinical knowledge, and experience in patient assessment and documentation, often paired with prior insurance or case management experience. Familiarity with insurance claims systems, case management software, and electronic health records (EHRs) is typically required. Outstanding attention to detail, strong written communication skills, and the ability to work independently are essential soft skills in this remote role. These competencies ensure accuracy in claims assessment, effective communication with patients and providers, and overall efficiency in a virtual work environment.

What are popular job titles related to Remote Lpn Insurance jobs in Baltimore, MD?

For Remote Lpn Insurance jobs in Baltimore, MD, the most frequently searched job titles are:

What job categories do people searching Remote Lpn Insurance jobs in Baltimore, MD look for?

The top searched job categories for Remote Lpn Insurance jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Remote Lpn Insurance jobs?

Cities near Baltimore, MD with the most Remote Lpn Insurance job openings:

Remote Lpn Insurance jobs near you
Infographic showing various Remote Lpn Insurance job openings in Baltimore, MD as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $61,745 per year, or $29.7 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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