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Remote Rn Insurance Assessment Jobs in Baltimore, MD

Cinqcare

Registered Nurse

Laurel, MD · Remote

Conducting Caregiver assessments are also part of the Care Management process. The Grace at Home ... Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions.

Eminence Home Care

Field Registered Nurse

Baltimore, MD · Remote

$79K - $101K/yr

Conduct in-home assessments and develop personalized care plans * Monitor and evaluate patient ... Voluntary Life Insurance * Critical Illness, Group Hospital Indemnity, Accident Insurance

Eminence Home Care

Field Registered Nurse

Ellicott City, MD · Remote

$79K - $101K/yr

Conduct in-home assessments and develop personalized care plans * Monitor and evaluate patient ... Voluntary Life Insurance * Critical Illness, Group Hospital Indemnity, Accident Insurance

Eminence Home Care

Field Registered Nurse

Baltimore, MD · Remote

$79K - $101K/yr

Conduct in-home assessments and develop personalized care plans * Monitor and evaluate patient ... Voluntary Life Insurance * Critical Illness, Group Hospital Indemnity, Accident Insurance

Eminence Home Care

Field Registered Nurse

Baltimore, MD · On-site +1

$77K - $98K/yr

Conduct in-home assessments and develop personalized care plans * Monitor and evaluate patient ... Voluntary Life Insurance * Critical Illness, Group Hospital Indemnity, Accident Insurance

Eminence Home Care

Field Registered Nurse

Bel Air, MD · Remote

$79K - $101K/yr

Conduct in-home assessments and develop personalized care plans * Monitor and evaluate patient ... Voluntary Life Insurance * Critical Illness, Group Hospital Indemnity, Accident Insurance

CINQCARE

Registered Nurse (0767)

Baltimore, MD · Remote

Conducting Caregiver assessments are also part of the Care Management process. The Grace at Home ... Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions.

SalvoHealth

Bi-Lingual, RN Care Coordinator

Annapolis, MD · On-site

$25 - $26/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...

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Remote Rn Insurance Assessment information

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$39

$72

How much do remote rn insurance assessment jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote rn insurance assessment in Baltimore, MD is $39.19, according to ZipRecruiter salary data. Most workers in this role earn between $29.96 and $43.50 per hour, depending on experience, location, and employer.

What is a remote RN insurance assessment?

Remote RN Insurance Assessment jobs involve registered nurses working from home to assess patients' health status for insurance companies. These nurses review medical records, conduct telephonic or virtual health assessments, and document findings to help insurance companies make decisions on coverage, claims, or wellness programs. The role requires strong clinical knowledge, attention to detail, and excellent communication skills. It offers flexibility and the opportunity to use nursing expertise outside of traditional clinical settings.

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

To excel as a Remote RN Insurance Assessment Nurse, you need a current RN license, strong clinical assessment skills, and a thorough understanding of medical terminology and insurance protocols. Proficiency in telehealth platforms, electronic medical records (EMR), and insurance assessment tools such as MCG or InterQual is typically required. Exceptional communication, attention to detail, and the ability to work independently are crucial soft skills for this role. These competencies ensure accurate patient evaluations, effective remote collaboration, and compliance with insurance guidelines, ultimately leading to high-quality service and informed decision-making.

What are some common challenges faced by remote RN insurance assessment nurses, and how can they overcome them?

Remote RN Insurance Assessment nurses often encounter challenges such as managing a high volume of assessments, navigating various electronic health record systems, and ensuring thorough documentation while working independently. Effective time management, strong organizational skills, and ongoing communication with team members and supervisors are essential for success. Utilizing available training resources and participating in regular team meetings can also help nurses stay updated on best practices and maintain a collaborative work environment, even while working remotely.

What is the difference between Remote Rn Insurance Assessment vs Remote Rn Case Manager?

AspectRemote Rn Insurance AssessmentRemote Rn Case Manager
CredentialsRegistered Nurse (RN) license, insurance assessment certificationsRegistered Nurse (RN) license, case management certifications
Work EnvironmentRemote, primarily conducting assessments via phone or onlineRemote, coordinating patient care and services
Employer & IndustryInsurance companies, third-party administratorsHealthcare providers, insurance companies, managed care organizations

While both roles require an RN license and involve remote work, Remote Rn Insurance Assessment focuses on evaluating insurance claims and determining coverage eligibility. In contrast, Remote Rn Case Managers coordinate ongoing patient care, manage treatment plans, and liaise with healthcare providers. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

What are the most commonly searched types of Rn Insurance Assessment jobs in Baltimore, MD?

The most popular types of Rn Insurance Assessment jobs in Baltimore, MD are:

Remote Rn Insurance Assessment jobs near you
Infographic showing various Remote Rn Insurance Assessment job openings in Baltimore, MD as of August 2026, with employment types broken down into 4% As Needed, 48% Full Time, 28% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $81,516 per year, or $39.2 per hour.

CMS PACE Audit Leads - Non-Clinical & Clinical RN Positions

Baltimore, MD • Remote

NEXTPHASE HEALTH SOLUTIONS LLC
See more jobs at NEXTPHASE HEALTH SOLUTIONS LLCexternal

Part-time

Posted 22 days ago

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Job description

Join our remote federal oversight team to lead and execute compliance audits for the Programs of All-Inclusive Care for the Elderly (PACE). We are actively recruiting qualified compliance and clinical leaders to fill three specialized leadership roles for the upcoming audit cycle.


Overview & Work Arrangement

Primarily part-time; 100% Remote (must reside and perform all work within one of the 50 United States).


Available Positions & Role-Specific Requirements

1. PACE Audit Lead [Non-Clinical or Clinical (RN)]

  • Directs the full end-to-end audit lifecycle, coordinating planning, staffing, schedules, and conferences across multidisciplinary teams while integrating cross-element findings and overseeing root cause analyses.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated experience planning, coordinating, and leading CMS PACE program audits and review activities; comprehensive knowledge of CMS PACE regulations, guidance, and audit protocols; skilled in developing audit reports, corrective action recommendations, and communicating results directly to CMS and PACE organizations.

2. Service Delivery, Access, and Grievances (SDAG) Lead [Non-Clinical or Clinical (RN)]

  • Directs the compliance evaluation of participant requests, service delivery workflows, appeals, and grievances to ensure adherence to federal timeframes, required notices, and participant protections.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated expertise in CMS PACE SDAG audit protocols; thorough understanding of service delivery requirements, appeals, and grievance processes; experience reviewing case documentation, validating evidence, and evaluating workflows for CMS compliance.

3. Provision of Services Lead [Clinical (RN)]

  • Directs the clinical review element, evaluating whether required services were authorized, coordinated, and delivered in accordance with participant needs and federal program requirements.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required.
  • Requirements: Extensive clinical knowledge of PACE interdisciplinary care delivery and participant assessment requirements; hands-on experience evaluating clinical records, care planning, service authorizations, quality of care standards, and clinical evidence to substantiate findings.


Mandatory Qualifications

  • Auditor Training: Successfully completed the CMS PACE 2026 auditor training.
  • Audit Experience: Verified participation in a minimum of two (2) CMS PACE audits during the 2026 audit cycle.
  • Experience: At least 2 years of relevant healthcare compliance, auditing, or clinical oversight experience.
  • Core Skills: Strong analytical, project management, and written communication skills to evaluate data, synthesize evidence, and produce defensible audit documentation.