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Remote Nurse Practitioner Insurance Jobs in Center Line, MI

Belle, LLC

Senior Product Engineer

Detroit, MI · Remote

... insurance plans $38B+ in preventable medical spending every year. Belle trains and manages a ... As these issues arise, a team of remote nurses coordinate care with other healthcare providers ...

Belle, LLC

Senior Product Engineer

Detroit, MI · Remote

... insurance plans $38B+ in preventable medical spending every year. Belle trains and manages a ... As these issues arise, a team of remote nurses coordinate care with other healthcare providers ...

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Pet insurance As a Senior Compliance Auditor you'll contribute to our success in the following ways:

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Pet insurance As a Senior Compliance Auditor you'll contribute to our success in the following ways:

KYYBA

Certified Diabetes Educator

Detroit, MI · Remote

$35 - $38/hr

Bachelor's degree in Health Education, Health Promotion, Nutrition, Nursing, Social Work, or ... Paid Time Off * Health Insurance - Medical, Dental, Vision * 100% remote role with a stable ...

POCKET NURSE

Account Manager

Farmington Hills, MI · On-site +1

Paid time off, personal time, paid holidays, and hybrid onsite/remote work schedule. * Company-paid life insurance. * Voluntary life, disability, accident, and critical illness insurance options.

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All JobsNurse Practitioner Insurance JobsRemote Nurse Practitioner Insurance JobsRemote Nurse Practitioner Insurance Jobs in Center Line, MI

Remote Nurse Practitioner Insurance information

See Center Line, MI salary details

$39K

$122.4K

$187.8K

How much do remote nurse practitioner insurance jobs pay per year?

As of Sep 2, 2026, the average yearly pay for remote nurse practitioner insurance in Center Line, MI is $122,377.00, according to ZipRecruiter salary data. Most workers in this role earn between $101,400.00 and $140,900.00 per year, depending on experience, location, and employer.

What is a remote nurse practitioner insurance?

A Remote Nurse Practitioner Insurance job involves nurse practitioners who work from home or other remote locations, typically for insurance companies or healthcare organizations. Their primary responsibilities include reviewing medical records, conducting telehealth assessments, and determining eligibility for insurance benefits, disability claims, or coverage. They may also provide consultations, coordinate care, and communicate with patients, healthcare providers, and insurance adjusters. This role allows nurse practitioners to use their clinical expertise in a non-traditional, administrative, or evaluative capacity, often with flexible hours.

What are the key skills and qualifications needed to thrive as a remote nurse practitioner insurance?

To thrive as a Remote Nurse Practitioner in Insurance, you need advanced clinical knowledge, a nurse practitioner license, and experience in insurance case review or utilization management. Familiarity with telemedicine platforms, electronic health records (EHRs), and insurance review tools is essential. Strong communication, analytical thinking, and attention to detail help you excel in remote assessments and collaboration with healthcare teams. These skills ensure accurate claim evaluations, regulatory compliance, and quality care recommendations in a virtual insurance environment.

How does a remote nurse practitioner insurance typically collaborate with other healthcare professionals and insurance team members?

Remote nurse practitioners working for insurance companies often collaborate closely with physicians, case managers, underwriters, and claims adjusters. They review medical records, conduct telehealth assessments, and provide medical opinions that help determine coverage or disability status. Communication is primarily through secure digital platforms, emails, and virtual meetings. Being proactive in communication and documentation is essential, as these roles require coordinating care and sharing findings with both internal insurance teams and external healthcare providers.

What is the difference between Remote Nurse Practitioner Insurance vs Remote Physician Assistant Insurance?

AspectRemote Nurse Practitioner InsuranceRemote Physician Assistant Insurance
CredentialsState licensure, Nurse Practitioner certification (e.g., ANCC, AANP)State licensure, Physician Assistant certification (e.g., NCCPA)
Work EnvironmentTelehealth clinics, hospitals, private practicesTelehealth services, hospitals, clinics
Industry UsageHealthcare, telemedicine, outpatient careHealthcare, telemedicine, urgent care

Remote Nurse Practitioner Insurance and Remote Physician Assistant Insurance both cover professionals working in telehealth and outpatient settings. While they share similar credentials and work environments, their coverage may differ based on specific certifications and state licensing requirements. Understanding these differences helps ensure proper insurance protection tailored to each role.

What cities near Center Line, MI are hiring for Remote Nurse Practitioner Insurance jobs?

Cities near Center Line, MI with the most Remote Nurse Practitioner Insurance job openings:

Remote Nurse Practitioner Insurance jobs near you
Infographic showing various Remote Nurse Practitioner Insurance job openings in Center Line, MI as of August 2026, with employment types broken down into 48% Full Time, 36% Part Time, and 16% Contract. Highlights an 100% Remote job distribution, with an average salary of $122,377 per year, or $58.8 per hour.

Utilization Review Medical Director (Contract)

Integra Partners

Troy, MI • On-site, Remote

$150/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations. Role functions within a structured, high-volume authorization review queue and requires adherence to workflow timelines, clinical accuracy standards, and productivity expectations. The Medical Director ensures determinations are made in accordance with Medicare and Medicaid guidelines, health plan-specific criteria, internal policies, and regulatory requirements. This role is best suited for physicians who thrive in a process-driven environment and are committed to consistency, compliance, and evidence-based decision making.
The Utilization Review Medical Director's responsibilities include but are not limited to:
  • Conduct timely clinical reviews of DMEPOS authorization requests using applicable criteria, including LCDs, Medicaid Manuals, InterQual, MCG, internal medical policies, and health plan requirements.
  • Function within a real-time review queue and maintain continuous case throughput in alignment with organizational turnaround and productivity standards.
  • Evaluate clinical documentation, identify missing elements, and render determinations supported by clear clinical rationale.
  • Review cases escalated by UM staff and/or UM Leadership when criteria do not apply to the enrollee's unique clinical situation or when clinical judgment is required.
  • When appropriate, consult with external board-certified reviewers, engage with ordering practitioners, or conduct additional clinical dialogue prior to rendering a determination.
  • Participate in Peer-to-Peer (P2P) discussions, including maintaining availability for scheduled appointment times.
  • Document all clinical decisions clearly, concisely, and consistently in accordance with internal SOPs, NCQA standards, and regulatory expectations.
  • Maintain inter-rater reliability and participate in periodic calibration reviews to support consistency across the UM program.
  • Serve as a clinical resource for UM team, providing guidance on clinical interpretation, criteria application, and complex case review.
  • Support internal and external audit activities as needed, including NCQA accreditation, health plan audits, and state Medicaid reviews.
  • Notify leadership of observed trends, potential quality concerns, or opportunities to strengthen criteria alignment or operational workflows.
  • Maintain up-to-date knowledge of Medicare, Medicaid, DMEPOS policies, clinical standards of care, and regulatory updates relevant to UM.
Requirements:
  • MD or DO degree
  • Board certification in Internal Medicine, Family Medicine, or Physical Medicine & Rehabilitation
  • Eligible for participation in Medicare, Medicaid, and other federally funded programs; no current or past OIG or state sanctions
  • Experience performing utilization management or clinical review activities
  • Strong written and verbal communication skills with emphasis on documentation accuracy
  • Ability to work effectively in a high-volume, queue-based workflow with daily review expectations
  • Familiarity with electronic UM systems and authorization platforms
  • Experience with DMEPOS reviews
  • Experience with NCQA UM accreditation standards
  • Prior UM experience for MLTC, Medicaid, or Medicare Advantage plans

Working Conditions and Additional Expectations:
  • Remote role requiring consistent availability during standard business hours and responsiveness to daily assignments.
  • Case volume and mix vary; continuous throughput and timely review completion are required.
  • Must maintain a quiet, secure, and compliant environment for reviewing PHI and participating in P2P calls.
  • Secondary employment or consulting arrangements are permitted only if they do not interfere with the full-time expectations and require disclosure/approval.
  • Daily accountability measures, productivity monitoring, and adherence to all UM workflows are required.

Salary: $150.00/Hourly
Benefits Offered
  • Competitive compensation and annual bonus program
  • 401(k) retirement program with company match
  • Company-paid life insurance
  • Company-paid short term disability coverage (location restrictions may apply)
  • Medical, Vision, and Dental benefits
  • Paid Time Off (PTO)
  • Paid Parental Leave
  • Sick Time
  • Paid company holidays and floating holidays
  • Quarterly company-sponsored events
  • Health and wellness programs
  • Career development opportunities

Remote Opportunities
We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.
Our Story
Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits.
With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We're looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.
Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

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