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Remote Rn Insurance Jobs in California (NOW HIRING)

Atlas Home Health

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

Flexible schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation: ~ $60 ... and private insurance requirements You will supervise field RNs/LVNs, guide clinical decision ...

Atlas Home Health Inc

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

Flexible schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation: ~ $60 ... and private insurance requirements You will supervise field RNs/LVNs, guide clinical decision ...

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How much do remote rn insurance jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for remote rn insurance in California is $41.69, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $49.33 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 the most commonly searched types of Rn Insurance jobs in California? The most popular types of Rn Insurance jobs in California are:
What are popular job titles related to Remote Rn Insurance jobs in California? For Remote Rn Insurance jobs in California, the most frequently searched job titles are:
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Remote Rn Insurance jobs near you
RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)

RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)

Morgan Stephens

San Diego, CA • Remote

$85K/yr

Other

Retirement, PTO

Posted 13 days ago

Job description

Job Title: Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation
Company: Leading Managed Care Organization (serving CA Medicaid members)
Location: Remote - Must reside and be licensed in California
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $85,000

Position Summary
A managed care organization serving California Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team in a fully remote capacity. This position is responsible for coordinating and facilitating admissions to long-term care and rehabilitation facilities for members requiring skilled or extended care services. The ideal candidate will have a background in home health, senior living intake, or long-term care admissions, along with a strong understanding of Medicaid eligibility, coverage, and placement protocols.

Key Responsibilities

  • Coordinate and oversee admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or subacute rehabilitation settings.

  • Independently review clinical documentation and assessments to determine appropriate placement based on member needs and CaliforniaMedicaid guidelines.

  • Serve as the primary liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure smooth and timely placements.

  • Manage prior authorization processes, approve services within scope, and confirm Medicaid eligibility.

  • Collaborate with Utilization Management and Case Management teams to support continuity of care and efficient resource utilization.

  • Provide education to members and families regarding benefits, services, and expectations during care transitions.

  • Maintain accurate, detailed documentation in EMR and care management systems.

  • Ensure compliance with all state regulations, HIPAA requirements, and internal quality standards.

Qualifications

  • Active, unrestricted RN license in the State of CA(required).

  • Minimum of 3 years of clinical experience in home health, long-term care, rehabilitation, or admissions/intake coordination.

  • Strong knowledge of CaliforniaMedicaid systems, authorizations, and coverage criteria.

  • Excellent communication, critical thinking, and documentation skills.

  • Proficiency with electronic medical records (EMR) and care coordination software.

  • Ability to work independently and remotely in a fast-paced environment.

Preferred Experience

  • Managed care, health plan, or insurance case management background.

  • Experience in discharge planning, transitional care, or post-acute navigation.

  • Bilingual English/Spanish is a plus but not required.

Benefits Include
Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and remote work flexibility.

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