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Remote Rn Insurance Jobs in Pennsylvania (NOW HIRING)

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

At Novacore, we're not your average insurance company. We're a team of driven professionals ... The Medical Review Nurse is a registered nurse who can assist Novacore's Claim and Underwriting ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

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How much do remote rn insurance jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for remote rn insurance in Pennsylvania is $42.35, according to ZipRecruiter salary data. Most workers in this role earn between $31.59 and $50.10 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 Pennsylvania? The most popular types of Rn Insurance jobs in Pennsylvania are:
What are popular job titles related to Remote Rn Insurance jobs in Pennsylvania? For Remote Rn Insurance jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Pennsylvania look for? The top searched job categories for Remote Rn Insurance jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Rn Insurance jobs? Cities in Pennsylvania with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Pennsylvania as of July 2026, with employment types broken down into 79% Full Time, 16% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $88,079 per year, or $42.3 per hour.
Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...

Clinical Triage Specialist, Registered Nurse, Connect to Care, Full Time Evenings/Night, Remote P...

St. Luke's University Health Network

Allentown, PA • Remote

Full-time

Posted 5 days ago

St. Luke's University Health Network rating

7.2

Company rating: 7.2 out of 10

Based on 264 frontline employees who took The Breakroom Quiz

328th of 877 rated healthcare providers

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed and triaged using approved nursing protocols and guidelines to assist in obtaining the appropriate level of care and/or self-care advice.

JOB DUTIES AND RESPONSIBILITIES:

  • Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed.

  • Verifies patient demographic information and accurately enters the updated information into electronic health record.

  • Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures.

  • Manages and responds to escalated electronic patient messages whenever not answering inbound patient calls and uses clinical judgment to prioritize and accommodate patients.

  • Creates a positive patient experience at every encounter, attempting to independently resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role.

  • Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center.

  • Utilizes all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule appointments, or refer calls when necessary to the appropriate medical facility or personnel.

  • Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response.

  • Partners with other Access Center teams/PODs and respective practice clinical team on behalf of the patient to assist with clinical concerns, medication refills, or scheduling appointments.

  • Other duties as assigned.

EDUCATION:

Graduate of an accredited nursing program.Active Registered Nurse licensure in the state of Pennsylvania and New Jersey or other nursing compact state and other states as deemed necessary by state law.

TRAINING AND EXPERIENCE:

  • Minimum 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room is required.

  • Strong communication skills

  • Focused on compliance

  • Demonstrates continuous growth

  • Quality-driven

  • Service-oriented

  • Excels at time management

  • Strong problem-solving skills

Ability to work from home in accordance with the Network Work from Home Policy if needed.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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