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Remote Rn Insurance Assessment Jobs in Hamilton, ON

Wawanesa Insurance

Supervisor, Field Claims

Kitchener, ON · Remote

CA$85K - CA$100K/yr

This role is designated as fully remote. You may work from any of the following locations: Winnipeg ... About The Wawanesa Mutual Insurance Company Founded in 1896, The Wawanesa Mutual Insurance Company ...

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Wawanesa Insurance

Supervisor, Field Claims

Ottawa, ON · Remote

CA$85K - CA$100K/yr

This role is designated as fully remote. You may work from any of the following locations: Winnipeg ... About The Wawanesa Mutual Insurance Company Founded in 1896, The Wawanesa Mutual Insurance Company ...

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All JobsRemote Rn Insurance Assessment JobsRemote Rn Insurance Assessment Jobs in Hamilton, ON

Remote Rn Insurance Assessment information

See Hamilton, ON salary details

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

As of Jun 24, 2026, the average hourly pay for remote rn insurance assessment in Hamilton, ON is $37.90, according to ZipRecruiter salary data. Most workers in this role earn between $28.98 and $42.07 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 are Remote RN Insurance Assessment jobs?

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, and why are they important?

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.
Remote Rn Insurance Assessment jobs near you

Bilingual Clinical Specialist, Digital Services Enablement

Vantive

Mississauga, ON • Remote

Full-time

Posted 11 days ago

Job description

Vantive is a vital organ therapy company on a mission to extend lives and expand possibilities for patients and care teams everywhere. For 70 years, our team has driven meaningful innovations in kidney care. As we build on our legacy, we are deepening our commitment to elevating the dialysis experience through digital solutions and advanced services, while looking beyond kidney care and investing in transforming vital organ therapies. Greater flexibility and efficiency in therapy administration for care teams, and longer, fuller lives for patients- that is what Vantive aspires to deliver.

We believe Vantive will not only build our leadership in the kidney care space, it will also offer meaningful work to those who join us. At Vantive, you will become part of a community of people who are focused, courageous and don't settle for the mediocre. Each of us is driven to help improve patients' lives worldwide. Join us in advancing our mission to extend lives and expand possibilities.

Your Role:

The Clinical Support Nurse - PD Telecare is a Registered Nurse specializing in Peritoneal Dialysis (PD) who provides clinical oversight, remote patient monitoring, and operational support through the PD Telecare program. This nurse plays a critical role in optimizing outcomes for patients performing PD at home by monitoring therapy data, identifying clinical concerns, coordinating follow-up with PD program nurses, and ensuring that patient-centred, evidence-based care is maintained across all virtual channels.

Working collaboratively with PD program nurses, the PD Telecare Nurse supports timely intervention, data integrity, and consistent communication to ensure safe, effective, and high-quality home dialysis management.

What you'll be doing:

Remote Patient Monitoring and Clinical Support

  • Review and interpret Remote Patient Management (RPM) data daily to monitor patient adherence, catheter health indicators, and cycler alarms that may affect therapy outcomes.

  • Identify trends or concerns in therapy data and escalate findings to the PD program nurses according to established clinical pathways.

  • Support PD program nurses by documenting assessments, recommendations, and follow-up actions in accordance with privacy and clinical documentation standards.

  • Participate in data reviews and discussions with PD program nurses to ensure continuity of care and appropriate clinical response.

Virtual Care Coordination

  • Serve as a clinical liaison within PD Telecare, maintaining consistent communication with PD program nurses to coordinate data review, follow-up actions, and escalations.

  • Ensure all patient information, alerts, and escalations within the PD Telecare system are accurately documented and actioned in a timely manner.

  • Conduct the initial communication call with the PD program nurses to establish parameters for communication, the cadence of check-ins, and expectations for how ongoing collaboration and escalation will occur.

  • Contribute to continuous improvement of Telecare workflows, escalation tools, and digital resources that enhance efficiency and patient safety.

Quality, Reporting, and Trend Analysis

  • Track and report key performance indicators, including treatment adherence rates, catheter-related complications, and alarm resolution metrics.

  • Analyze recurring trends and collaborate with PD program nurses to develop targeted improvement strategies.

  • Identify opportunities to optimize Telecare escalation protocols, ensuring timely and effective clinical follow-up by PD program nurses.

  • Conduct documentation and process audits to verify alignment with Canadian renal nursing standards and internal quality expectations.

Education and Professional Development

  • Develop and maintain PD Telecare training materials for internal staff and PD program nurses, focusing on adherence monitoring, alarm interpretation, and catheter-health reporting.

  • Support onboarding and mentorship of new Telecare team members in PD data review, escalation processes, and communication protocols.

  • Maintain current knowledge of Peritoneal Dialysis guidelines, ISPD standards, and Canadian home-dialysis practices relevant to Telecare operations.

Collaboration and System Support

  • Collaborate closely with PD program nurses to ensure Telecare data and alerts are reviewed and acted upon in a timely, consistent manner.

  • Maintain and update internal Telecare resources, SOPs, SharePoint tools, and clinical support templates.

  • Contribute to cross-functional initiatives, including quality improvement projects, regional Telecare expansions, and Telecare analytics reporting.

What you'll bring:

  • Bachelor of Science in Nursing (BScN) or equivalent

  • Preferred 2-4 years of experience in Telehealth Nursing, Peritoneal Dialysis or Home Dialysis.

  • Registered Nurse (RN) in good standing with a Canadian provincial regulatory body (e.g., CNO, BCCNM, OIIQ).

  • Bilingual (English and French).

  • Demonstrated knowledge of APD therapy and cycler troubleshooting

  • Experience with Remote Patient Management systems, telehealth platforms, or virtual-care coordination.

  • Strong analytical and critical-thinking skills with the ability to interpret patient data and identify clinical priorities.

  • Excellent communication, tech savvy and documentation skills, adaptable to both virtual and in-person collaboration.

  • Ability to work independently, manage multiple priorities, and contribute to a culture of quality and innovation.

Nice to have:

  • Certification in Nephrology Nursing (CNeph(C))

  • Prior experience with clinical data analysis, remote monitoring, or patient support programs

Number of openings: 2

Work set up: Remote

Existing Opening: Yes

We understand compensation is an important factor as you consider the next step in your career. At Vantive, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $85,000 to $110,000 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. This position may also be eligible for discretionary bonuses. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.

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Votre role :

L'infirmier(ere) de soutien clinique - Telesoins DP est un(e) infirmier(ere) autorise(e) specialise(e) en dialyse peritoneale (DP), responsable de la supervision clinique, de la surveillance a distance des patients et du soutien operationnel dans le cadre du programme Telesoins DP. Ce role est essentiel pour optimiser les resultats des patients effectuant leur DP a domicile en surveillant les donnees de traitement, en identifiant les preoccupations cliniques, en coordonnant les suivis avec les infirmier(ere)s du programme de DP, et en garantissant une approche de soins virtuelle fondee sur les donnees probantes et centree sur le patient.

En collaboration avec les infirmier(ere)s du programme de DP, l'infirmier(ere) Telesoins DP soutient la rapidite des interventions, l'integrite des donnees et la coherence des communications afin d'assurer une gestion sure, efficace et de haute qualite de la dialyse a domicile.

Ce que vous ferez :

Surveillance a distance des patients et soutien clinique

  • Examiner et interpreter quotidiennement les donnees issues des systemes de Gestion a Distance des Patients (RPM) afin de surveiller l'adhesion des patients, les indicateurs de sante du catheter et les alarmes du cycleur pouvant affecter les resultats du traitement.

  • Identifier les tendances ou preoccupations dans les donnees de traitement et transmettre les resultats aux infirmier(ere)s du programme de DP en suivant les cheminements cliniques etablis.

  • Soutenir les infirmier(ere)s du programme de DP en documentant les evaluations, recommandations et actions de suivi conformement aux normes de confidentialite et de documentation clinique.

  • Participer aux revues de donnees et discussions avec les infirmier(ere)s du programme de DP pour assurer la continuite des soins et des interventions cliniques appropriees.

Coordination des soins virtuels

  • Servir de liaison clinique au sein de Telesoins DP, en maintenant des communications constantes avec les infirmier(ere)s du programme pour coordonner les revues de donnees, actions de suivi et escalades.

  • S'assurer que toutes les informations patient, alertes et escalades dans le systeme Telesoins DP sont documentees avec precision et traitees en temps opportun.

  • Effectuer l'appel initial de communication avec les infirmier(ere)s du programme de DP afin d'etablir les parametres de communication, la frequence des suivis et les attentes concernant la collaboration continue et les escalades.

  • Contribuer a l'amelioration continue des flux de travail de Telesoins, des outils d'escalade et des ressources numeriques pour ameliorer l'efficacite et la securite des patients.

Qualite, rapports et analyse des tendances

  • Suivre et rapporter les indicateurs de performance cles, notamment les taux d'adherence au traitement, les complications liees au catheter et les metriques de resolution d'alarmes.

  • Analyser les tendances recurrentes et collaborer avec les infirmier(ere)s du programme de DP pour elaborer des strategies d'amelioration ciblees.

  • Identifier des opportunites d'optimisation des protocoles d'escalade Telesoins pour assurer un suivi clinique rapide et efficace.

  • Realiser des audits de documentation et de processus afin de verifier l'alignement avec les normes canadiennes en soins infirmiers en nephrologie et les attentes internes en matiere de qualite.

Formation et developpement professionnel

  • Developper et maintenir la formation Telesoins DP pour le personnel interne et les infirmier(ere)s du programme, axee sur la surveillance de l'adherence, l'interpretation des alarmes et les rapports sur la sante du catheter.

  • Soutenir l'integration et le mentorat des nouveaux membres de l'equipe Telesoins dans l'examen des donnees DP, les processus d'escalade et les protocoles de communication.

  • Maintenir des connaissances a jour sur les lignes directrices en dialyse peritoneale, les normes ISPD et les pratiques canadiennes de dialyse a domicile pertinentes aux operations Telesoins.

Collaboration et soutien operationnel

  • Collaborer etroitement avec les infirmier(ere)s du programme de DP pour assurer que les donnees et alertes Telesoins soient revisees et traitees de maniere rapide et coherente.

  • Maintenir et mettre a jour les ressources internes Telesoins, les SOP, les outils SharePoint et les modeles de soutien clinique.

  • Contribuer aux initiatives interfonctionnelles, y compris les projets d'amelioration de la qualite, les expansions regionales de Telesoins et les rapports analytiques Telesoins.

Ce que vous apportez :

  • Baccalaureat en sciences infirmieres (B.Sc.Inf.) ou equivalent

  • 2 a 4 ans d'experience en dialyse peritoneale, dialyse a domicile ou soins infirmiers en telesante

  • Infirmier(ere) autorise(e) en regle aupres d'un organisme provincial de reglementation (p. ex., OIIO, BCCNM, OIIQ)

  • Bilinguisme (anglais et francais)

  • Connaissance demontree de la therapie APD et du depannage des cycleurs

  • Experience avec les systemes de Gestion a Distance des Patients, les plateformes de telesante ou la coordination de soins virtuels

  • Solides competences analytiques et en pensee critique, capacite d'interpreter les donnees patient et d'identifier les priorites cliniques

  • Excellentes competences en communication et documentation, adaptees a la collaboration virtuelle et en personne

  • Capacite a travailler de facon autonome, a gerer plusieurs priorites et a contribuer a une culture de qualite et d'innovation

Agreable a avoir:

  • Certification en soins infirmiers en nephrologie (CNeph(C))

  • Experience prealable en analyse de donnees cliniques, surveillance a distance ou programmes de soutien aux patients

Nombre de postes : 2Mode de travail : TeletravailPoste existant : Oui

Nous comprenons que la remuneration soit un facteur important dans votre reflexion sur la prochaine etape de votre carriere. Chez Vantive, nous nous engageons a garantir l'equite salariale pour tous nos employes et nous nous efforcons d'etre plus transparents quant a nos pratiques de remuneration. Le salaire de base estime pour ce poste se situe entre $85,000 et $110,000 par an. Cette fourchette est indicative et peut varier en fonction des donnees du marche et d'autres facteurs, lesquels sont susceptibles d'evoluer. La remuneration individuelle est determinee en fonction du lieu de travail, des competences, de l'experience et d'autres facteurs pertinents. Ce poste peut egalement donner droit a des primes discretionnaires. Pour toute question a ce sujet, concernant notre politique salariale et les avantages sociaux offerts, veuillez contacter le recruteur si vous postulez et etes selectionne(e) pour un entretien.

Reasonable Accommodation

Vantive is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nat...

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