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Remote Rn Insurance Jobs in Massachusetts (NOW HIRING)

Massgeneralbrigham

Insurance Coordinator

Boston, MA · On-site +1

$19.37 - $27.71/hr

This position is primarily REMOTE, but may require an on-site meeting once per quarter. The full ... Working very closely with nurses, physicians and other clinical staff members to ensure a quality ...

DaVita

Registered Nurse RN Case Manager

East Weymouth, MA · Remote

$42 - $55/hr

This is a remote position requiring the teammate to support both ESKD and CKD patients throughout ... The teammate must hold a valid RN license in California, Oregon, and Washington , or be willing to ...

BetterHelp

Licensed Psychologist - Remote

Boston, MA · Remote

No insurance headaches. No clawbacks. No payment delays. We handle everything -- you get paid ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Massachusetts

Remote Rn Insurance information

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$8

$46

$78

How much do remote rn insurance jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote rn insurance in Massachusetts is $46.14, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $54.62 per hour, depending on experience, location, and employer.

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 the key skills and qualifications needed to thrive as a Remote RN Insurance nurse?

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 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 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 are the most commonly searched types of Rn Insurance jobs in Massachusetts?

The most popular types of Rn Insurance jobs in Massachusetts are:

What are popular job titles related to Remote Rn Insurance jobs in Massachusetts?

For Remote Rn Insurance jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Massachusetts look for?

The top searched job categories for Remote Rn Insurance jobs in Massachusetts are:

What cities in Massachusetts are hiring for Remote Rn Insurance jobs?

Cities in Massachusetts with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Massachusetts as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $95,962 per year, or $46.1 per hour.

Clinical Documentation Specialist II- RN- Remote

Beth Israel Lahey Health

Burlington, MA • Remote

$125K - $160K/yr

Full-time

Re-posted 19 days ago

Beth Israel Lahey Health rating

6.9

Company rating: 6.9 out of 10

Based on 150 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

**This position is remote. Candidates must be local to New England States for consideration**
The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.

Job Description:

  • Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation.
  • Evaluates documentation for assignment of working and possible DRG.
  • Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, core measures, and patient safety/quality.
  • Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation.
  • Interacts directly with physicians to request and obtain additional documentation when needed.
  • Timely follow-up on all unanswered queries based on the query escalation policy.
  • Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement.
  • Maintains a collaborative working relationship with the Health Information Coding staff and serves as a clinical resource.
  • Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management.
  • Performs mortality reviews and optimizes the risk of mortality.
  • Maintains review worksheet on all records using CDI software.
  • Ensures the accuracy of clinical information used for measuring and reporting physician and hospital quality outcomes.
  • Reviews, evaluates, analyzes, and interprets data related to documentation on an ongoing basis. Identifies trends or potential problems and assists in developing action plans to address.
  • Participates in additional projects such as developing physician education materials, CDI week advertisements, etc.
  • Adheres to ethical and professional business practices.
  • All other duties as assigned.
  • It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Minimum Qualifications:

Education:

Bachelor’s in Nursing, required

Licensure, Certification & Registration:

  • RN License
  • Clinical Documentation Specialist Certification via ACDIS or AHIMA

Experience:

  • 2-5 years of medical/surgical nursing experience in the acute hospital setting.
  • Experienced Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role
  • Critical Care and/or Emergency Nursing experience required

Skills, Knowledge & Abilities:

  • Proficient skill in query writing to physicians
  • Knowledge to accurately complete chart audits
  • Organizational and critical thinking skills required
  • Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access

Pay Range:

$125,000.00 USD - $160,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. 

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

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