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Remote Rn Insurance Assessment Jobs (NOW HIRING)

This role involves managing a team of remote registered nurses who provide triage services to ... Medical Insurance * Vision Insurance * Dental Insurance * Flexible Spending Account (FSA)

Position Details: ๐ŸŒ Remote RN Opportunity Non-Patient Contact Role | Must Reside Within 1 hour ... Dental & Vision Insurance * ๐Ÿ•’ PTO/Vacation Time * ๐Ÿ’ฐ Employer-Matched Retirement Funds ...

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Remote RN Care Coordinator - Michigan Only (Contract to Hire) Department: BCCC Commercial ... Uses the case management process to assess, develop, implement, monitor, and evaluate care plans ...

Cadence in Seattle is seeking an RN Supervisor to oversee a remote team of Registered Nurses in a high-volume triage environment. The role entails managing real-time patient alerts and ensuring ...

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REMOTE RN Case Manager Location: Michigan (100% Remote) Position Type: Contract - 12 Months ... The Case Manager RN uses the case management process to assess, develop, implement, monitor, and ...

The Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the ...

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Remote Rn Insurance Assessment information

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$14

$38

$72

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

As of Jun 3, 2026, the average hourly pay for remote rn insurance assessment in the United States is $38.99, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $43.27 per hour, depending on experience, location, and employer.

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.

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 cities are hiring for Remote Rn Insurance Assessment jobs? Cities with the most Remote Rn Insurance Assessment job openings:
What are the most commonly searched types of Rn Insurance Assessment jobs? The most popular types of Rn Insurance Assessment jobs are:
What states have the most Remote Rn Insurance Assessment jobs? States with the most job openings for Remote Rn Insurance Assessment jobs include:
Clinical Operations Manager

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 9 days ago


Job description

About Guideway Care*

Guideway Care isThe Patient Activation Company. Wedon'tjust "engage" patients; weactivatethem. Byutilizingour proprietary Motivational Patient Guidance (MPG) model and AI-powered technology, we resolve the practical and psychological barriers that prevent patients from taking their "next right action."

Job Summary:

TheClinical Operations Managerwill oversee the entire Remote RN Triage service line, ensuring high-quality patient care, operational efficiency, and team effectiveness. This role involves managing a team of remote registered nurses who provide triage services to patients, coordinating care, and guiding clinical decisions. The Manager willbe responsible fordeveloping and implementing policies and procedures, ensuring compliance with healthcare regulations, and driving continuous improvement in service delivery.


Essential Functions:

1. Service Line Management:

  • Lead and manage the Remote RN Triage service line, including staffing, scheduling, and resource allocation.
  • Ensure the service line meets organizational goals for patient care, quality, and operational efficiency.
  • Develop andmaintainpolicies, protocols, and procedures to guide the triage process and ensure consistency in patient care.

2. Team Leadership:

  • Interview, train, and supervise a team of remote registered nurses, providing regular feedback and performance evaluations.
  • Foster a positive work environment that promotes collaboration, professional development, and high employee engagement.
  • Ensure the team is adequately trained and prepared to handle a variety of patient scenarios, including emergency situations.

3. Quality Assurance:

  • Monitor and evaluate the quality of care provided by the RN Triage team, ensuring adherence to best practices and regulatory requirements.
  • Implement quality improvement initiatives to enhance patient outcomes and service efficiency.
  • Oversee the development and execution of training programs tomaintainhigh standardsof clinical competence.

4. Customer Coordination:

  • Ensure effective communication and coordination between the triage team, customer success team, and healthcare providers.
  • Develop strategies to streamline care coordination and improve patient satisfaction.
  • Address escalated patient concerns and work to resolve complex clinical issues.

5. Operational Oversight:

  • Manage the day-to-day operations of the service line, including scheduling, workload distribution, and technologyutilization.
  • Analyze performance metrics and operational data toidentifytrends and areas for improvement.
  • Ensure compliance with all legal, regulatory, and accreditation requirements relevant to telehealth and remote triage services.
  • Any other duties necessary to drive our values, fulfill our mission, and abide by our company values.


Required Skills/Abilities

  • Education:Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)required
  • Licensure:Active and unrestricted Registered Nurse (RN) Compact license.
  • Experience:
    • Minimum of 5 years of clinical nursing experience
    • Previousexperience inleadershipor management role overseeing clinical staff.
    • Oncology Experience Required
  • Skills:
    • Strong leadership and team management skills.
    • Excellent communication and interpersonal skills.
    • Proficiencyin using telehealth platforms and electronic health records (EHR) systems.
    • Ability to analyze data and implement quality improvement initiatives.
    • In-depth knowledge of healthcare regulations and telehealth best practices.


Supervisory Responsibilities:100%

Travel Requirements: 0 %

Work Authorization:

  • Guideway Caredoes not offer Immigration or work visa sponsorship

Total Rewards:

The salary range for this position is $80,000 - $100,00 annually. An individual's salary is based on multiple factors including but not limited to skills, experiences, licensure, certifications, and other business and organizational considerations.

In addition, team members enjoy ...

Benefits package including:

  • Medical Insurance
  • Vision Insurance
  • Dental Insurance
  • Flexible Spending Account (FSA),
  • Company paid short- and long-term disability,
  • Employee Assistance Program,
  • Life Insurance,
  • Accident insurance,
  • and other voluntary benefit programs for employees and their eligible dependents.
  • 401(k) retirement plan with a company match

Essential Duties and Responsibilities

  • Able to work remotely at home in a private HIPAA compliant workspace
  • Able to house company equipment needed to perform job
  • Broadband Internet Access
  • Internet download speed must be at least 24mbpsand upload speed at least 4mbps
  • Immigration or work visa sponsorship will not be provided
  • Physical Demands:
  • Ability to hear in normal range and wear a headset / earpiece
  • Good visual acuity to read computer screens, scripts,formsetc.
  • May sit 100% of the time when taking calls
  • Access to the electronic medical record (EMR) system may require the use of your personal mobile device for authentication purposes.
  • Guideway Care requires all candidates to successfully complete a background check, drug screening, and identity verification process, including third-party checks and real-time confirmation, prior to employment to ensure a secure and consistent candidate experience.

We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.


Guideway Care is the parent company of Sequence Health.