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Remote Rn Insurance Jobs in Albuquerque, NM (NOW HIRING)

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Remote Rn Insurance information

See Albuquerque, NM salary details

$6

$38

$66

How much do remote rn insurance jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote rn insurance in Albuquerque, NM is $38.99, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $46.15 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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What cities near Albuquerque, NM are hiring for Remote Rn Insurance jobs? Cities near Albuquerque, NM with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Albuquerque, NM as of July 2026, with employment types broken down into 1% As Needed, 67% Full Time, 24% Part Time, 2% Temporary, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $81,091 per year, or $39 per hour.
Strategic Clinical Quality Manager - New Mexico/ El Paso Region

Strategic Clinical Quality Manager - New Mexico/ El Paso Region

Fresenius Medical Care

Albuquerque, NM • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Fresenius Medical Care rating

6.8

Company rating: 6.8 out of 10

Based on 1,294 frontline employees who took The Breakroom Quiz

495th of 886 rated healthcare providers

Job description

Position location: You will be able to work remotely, from your home location, in the United States
This is a remote opportunity within the Colorado/New Mexico operational area! The individual selected must reside in the Colorado/New Mexico Region. Travel required!
  • Monday-Friday schedule with no night or weekend shifts.
  • 80% Travel Required - multiple area assignments
  • Eligible for an annual bonus based on both company and individual performance.
  • Position covers all 3 modalities (incenter, inpatient, home therapies).
  • Chance to serve as a quality improvement subject matter expert.
  • Ability to have a significant influence in supporting clinics, patients, and care teams.
  • Career growth and advancement opportunities within the organization.

PURPOSE AND SCOPE:
The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis)
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.
  • Develop and implement action plans to address deficiencies and improve care delivery.
  • Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.
  • Facilitate staff education and training related to quality improvement, patient safety, and best practices.
  • Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.
  • Prepare and present quality reports to clinic leadership and governing bodies.
  • Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.
  • Promote a culture of accountability, safety, and continuous improvement within the clinic.
  • Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).
  • Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
    • Day-to-day work includes desk and personal computer work and interaction with facility staff and physicians.
  • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
  • Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%.

• Travel to Regional, Division and Corporate meetings may be required.
  • Remote: The position could require travel up to 10-15%

SUPERVISION:
  • None

EDUCATION AND REQUIRED CREDENTIALS:
  • Registered Nurse required
  • BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).
  • Certification in Nephrology Nursing or quality preferred

EXPERIENCE AND SKILLS:
  • 3+ years of dialysis experience required.
  • 2+ years' experience in a leadership role.
  • Strong organizational, critical thinking and customer service skills.
  • Demonstrated leadership competencies and adaptability to changes in priorities
    • Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.
  • Strong verbal and written communications skills.
  • Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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