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Remote Rn Insurance Jobs in Texas (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working in the insurance or managed care industry using ...

Ardent Health

Charge RN / Virtual Care

Tyler, TX · Remote

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

Ardent Health

Charge RN / Virtual Care

Tyler, TX · Remote

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

Ardent Health

Charge RN / Virtual Care

Tyler, TX · On-site +1

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

Ardent Health

Charge RN / Virtual Care

Tyler, TX · Remote

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

Ardent Health

Charge RN / Virtual Care

Tyler, TX · On-site +1

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

Ardent Health

Charge RN / Virtual Care

Tyler, TX · Remote

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

Renalogic

Clinical Nurse Navigator (RN)

Houston, TX · Remote

US; fully remote with minimal travel Schedule: Mostly standard business hours, with some flexing to ... The RN inherits and expands upon all Clinical Nurse Coordinator (LPN) responsibilities. Some ...

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All JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Texas

Remote Rn Insurance information

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$39

$67

How much do remote rn insurance jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote rn insurance in Texas is $39.36, 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.
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Remote Rn Insurance jobs near you
Utilization Review Nurse

Utilization Review Nurse

Bracane Co

Plano, TX • Remote

Full-time

Posted 15 days ago

Key responsibilities

  • Performs initial and concurrent review activities and discharge care coordination to determine the efficiency, effectiveness, and quality of medical and surgical services.

  • Acts as a liaison between providers and medical and network management divisions.

  • Collects clinical and non-clinical data and verifies eligibility in accordance with contract guidelines.

Job description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment

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