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Remote Rn Insurance Jobs in California (NOW HIRING)

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Remote Rn Insurance information

See California salary details

$7

$41

$71

How much do remote rn insurance jobs pay per hour?

As of Jun 28, 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:
What job categories do people searching Remote Rn Insurance jobs in California look for? The top searched job categories for Remote Rn Insurance jobs in California are:
What cities in California are hiring for Remote Rn Insurance jobs? Cities in California with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in California as of June 2026, with employment types broken down into 81% Full Time, 11% Part Time, and 8% Contract. Highlights an 2% In-person, and 98% Remote job distribution, with an average salary of $86,717 per year, or $41.7 per hour.

Population Health RN - Clinical Operations Leader

Vigilance Health

Thousand Oaks, CA • Remote

Full-time

Posted 17 days ago


Job description

Population Health RN — Clinical Operations Leader

Vigilance Health  |  Remote  |  Full-Time

You\'ve Done This Before. Now Do It at Scale.

You know what it takes to run a remote care management program. You\'ve wrestled with ACO quality measures, figured out why patients aren\'t picking up the phone, and coached a care manager through a tough case at 4pm on a Friday. You\'ve sat in rooms with FQHCs, IPAs, and payers and spoken their language fluently.

Now imagine doing that with the full backing of an organization whose entire mission is built around it — and where your work directly shapes the clinical programs that serve thousands of patients across diverse communities. That\'s what we\'re offering.

Who We Are

Vigilance Health partners with FQHCs, ACOs, IPAs, and payers to deliver Population Health and Care Management services that actually move the needle. We run Care Management, APCM, Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI) programs — and we measure success the way our partners do: quality metrics, patient engagement, and outcomes that show up in data.

Our purpose is simple, and we mean it: Change People\'s Lives — no matter their circumstances.

The Role

As our Population Health RN, you\'ll be the clinical engine behind our care management programs. This is a leadership role with real ownership — you\'ll build and coach the care management team, design and refine the clinical workflows they follow, and hold the clinical bar high across every service line we run.

You\'ll be working closely with our partners, most of whom are laser-focused on ACO quality measures and patient engagement. When they ask why HEDIS rates are moving or why patients aren\'t scheduling follow-ups, you\'ll be the one with answers — and a plan. This role is remote, and you\'ll be leading a remote team, so your ability to build culture, accountability, and clinical consistency across distance is critical.

What You\'ll Own

Team Leadership

You\'ll recruit, onboard, coach, and develop a team of care managers. You set the standard for what great care management looks like and hold the team to it — with support, not just expectations.


Clinical Workflow Design

You\'ll build and continuously improve the clinical workflows that drive better outcomes. That means protocols that are practical, documented, and actually followed — not binders that collect dust.


ACO Quality & Patient Engagement Performance

Our partners live and die by their quality metrics. You\'ll monitor performance across ACO quality measures, identify where the gaps are, and lead the interventions that close them. Patient engagement is core to everything — including call answer rates, appointment scheduling rates, and no-show reduction. You\'ll understand why those numbers look the way they do and know what levers to pull.


Partner Collaboration

You\'ll be a trusted clinical voice for our partner sites — joining meetings, co-managing escalations, and making sure the clinical work we do is tightly aligned with what partners need to succeed with their payers and regulatory bodies.


Clinical Oversight Across Programs

Care Management, APCM, BHI, RPM — you\'ll ensure clinical standards, regulatory alignment, and documentation quality across all of them.

What Good Looks Like in 12 Months

  • Your care managers are hitting productivity targets and delivering high-quality, personalized care.
  • ACO quality measure performance is trending up across partner panels.
  • Patient engagement rates — calls answered, appointments kept, no-shows reduced — are measurably improving.
  • Clinical workflows are standardized, followed, and audit-ready.
  • Partners view you as an extension of their clinical leadership team.
  • Leadership has clear, real-time visibility into performance, risk, and opportunity.

What You Bring

Experience That Matters Most

  • Active RN license (required)
  • Experience working in or directly with FQHCs, ACOs, IPAs, or payers — you know how they operate and what they care about
  • Deep familiarity with ACO quality measures (HEDIS, UDS, or equivalent) — you can speak to them without looking them up
  • Prior leadership of a remote care management program — you\'ve managed remote clinical staff and know how to build accountability at a distance
  • 5+ years of clinical experience, with meaningful time in population health or care management
  • BSN required; MSN a plus

Nice to Have

  • CCM, CPHQ, or population health certification
  • Behavioral Health Integration (BHI) experience
  • Experience launching or scaling new care management service lines

The Kind of Person Who Thrives Here

You\'re not waiting to be told what to do — you see the gap and start building the solution. You can zoom out to think strategically and zoom in to coach a care manager on a specific patient interaction. You communicate clearly with clinical teams, operations leads, and external partners without losing anything in translation. And when the data doesn\'t look right, you don\'t shrug — you dig in.

Why Vigilance Health

  • Direct impact — your work shapes outcomes for real patients in real communities
  • Leadership with latitude — we give you room to build programs the right way
  • Mission-aligned partners — we work with organizations that care as much as we do
  • Growth-oriented culture — solutions-focused, no bureaucracy for its own sake
  • A team that has your back — driven, collaborative, and invested in each other

If you\'ve been looking for a role where your population health expertise actually drives the clinical direction of an organization — this is it.

Apply today. Let\'s change lives together.

Vigilance Health is an equal opportunity employer committed to building a diverse, inclusive team.