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Remote Rn Insurance Assessment Jobs in Baltimore, MD

CareFirst

Clinical Appeals Nurse (Remote)

Baltimore, MD · Remote

... other RN direct patient care or health insurance payor experience. Preferred Qualifications ... Excellent analytical and problem-solving skills to assess the medical necessity and appropriateness ...

CareFirst

Clinical Appeals Nurse (Remote)

Baltimore, MD · Remote

... other RN direct patient care or health insurance payor experience. Preferred Qualifications ... Excellent analytical and problem-solving skills to assess the medical necessity and appropriateness ...

Corvel

Telephonic Case Manager I

Nottingham, MD · Remote

$63K - $95K/yr

This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS ... Provide assessment, planning, implementation, and evaluation of patient's progress * Evaluate ...

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All JobsRn Insurance Assessment JobsRemote Rn Insurance Assessment JobsRemote Rn Insurance Assessment Jobs in Baltimore, MD

Remote Rn Insurance Assessment information

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

As of Aug 8, 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 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 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 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 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 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

Telephonic Case Manager I - California RN License Required

CorVel Healthcare Corporation

Nottingham, MD • Remote

$63K - $95K/yr

Full-time

Posted 23 days ago

Job description

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel.

This is a remote role.

California RN license is required for this role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source
  • Provide assessment, planning, implementation, and evaluation of patient's progress
  • Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
  • Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician
  • Make medical recommendations of available treatment plans to the payer
  • Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services
  • Devise cost-effective strategies for medical care
  • Required to prepare organized reports within a specified timeframe
  • Minimum Productivity Standard is 95% per month
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Ability to make independent medical decisions and recommendations to all parties
  • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment
  • Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers
  • Excellent written and verbal communication skills
  • Ability to meet designated deadlines
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
  • Strong interpersonal, time management, and organizational skills
  • Ability to work both independently and within a team environment

    EDUCATION & EXPERIENCE:

    • Bachelor’s degree required, BSN preferred
    • Graduate of accredited school of nursing
    • Current RN Licensure in state of operation
    • 3 or more years of recent clinical experience, preferably in rehabilitation
    • URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire
    • Strong clinical background in orthopedics, neurology, or rehabilitation preferred
    • Strong cost containment background, such as utilization review or managed care helpful
    • Certification as a CIRS or CCM preferred

    PAY RANGE:

    CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

    For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

    Pay Range: $63,739 - $95,264

    A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

    In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

    ABOUT CORVEL:

    CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

    A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

    CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

    #LI-Remote