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Remote Rn Insurance Jobs in Arizona (NOW HIRING)

Bannerhealth

RN, Case Manager

Tucson, AZ · Remote

After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... Through BPN, known nationally as an innovative leader in new health care models, insurance plans ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

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Remote Rn Insurance information

See Arizona salary details

$6

$39

$67

How much do remote rn insurance jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for remote rn insurance in Arizona is $39.37, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $46.59 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance Nurse, and why are they important?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

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

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.
What are popular job titles related to Remote Rn Insurance jobs in Arizona? For Remote Rn Insurance jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Arizona look for? The top searched job categories for Remote Rn Insurance jobs in Arizona are:
What cities in Arizona are hiring for Remote Rn Insurance jobs? Cities in Arizona with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Prior Authorization Nurse - Remote - AZ

Prior Authorization Nurse - Remote - AZ

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Blue Cross Blue Shield Of Arizona rating

5.9

Company rating: 5.9 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

263rd of 281 rated insurance

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
  • Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite: daily onsite requirement based on the essential functions of the job
  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
Ensures accuracy and timeliness in the completion of prior authorization (PA) requests to meet contractual requirements and ensures all reviews utilize nationally recognized and evidence-based standards for the Medicaid Segment which includes Medicaid and Medicare Advantage / Dual Eligible Special Needs Plan (D-SNP), and Affordable Care Act (ACA) members. Ensures the completion, accuracy, and timeliness in the Notice of Action (NOA) process.
QUALIFICATIONS
REQUIRED QUALIFICATIONS
Required Work Experience
  • 3 years of clinical experience
  • 1 year of Medicaid/Medicare experience
  • 1 year prior authorization and member and provider notification (NOA) experience
  • 1 year experience with National Committee for Quality Assurance (NCQA) standards

Required Education
  • Associate degree in Nursing

Required Licenses
  • Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a health professional, including RN or LPN.

Required Certifications
  • N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 3+ years of experience in managed care
  • 3+years of experience in prior authorization/utilization review

Preferred Education
  • Bachelor of Science in Nursing

Preferred Licenses
  • N/A

Preferred Certifications
  • N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
ALL LEVELS
  • Ensures the accuracy and timeliness of prior authorization requests to meet contractual requirements.
  • Coordinates and manages the established preauthorization review process for pre-service requests.
  • Ensures the use of nationally recognized and evidence-based standards in the completion of all pre-service reviews.
  • Utilize clinical skills, chart review, physician communication and appropriate criteria for approval of pre-service requests; escalate pre-service request(s) to the medical director for determination when criteria not met.
  • Clearly define and document review rationale to support approval, Medical Director Review and/or Notice of Action document.
  • Initiates interdepartmental coordination to ensure quality and timely care for members.
  • Participates in Quality Improvement Projects as directed.
  • Participate in department audits and other regulatory activities.
  • Engage cross-functionally and participate in special projects as needed.
  • Performs Notice of Action (NOA) process.
  • Participate in annual policy and procedure review and revision.
  • Perform all other duties as assigned.
  • The position requires a full-time work schedule,40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
  • Computer skills to include Microsoft Office applications, Word, Excel, and Outlook
  • Ability to use electronic medical management systems
  • Analytical problem solving skills

Required Professional Competencies
  • N/A

Required Leadership Experience and Competencies
  • N/A

PREFERRED COMPETENCIES
Preferred Job Skills
N/A
Preferred Professional Competencies
N/A
Preferred Leadership Experience and Competencies
N/A
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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