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Remote Rn Insurance Jobs in Boonton, NJ (NOW HIRING)

RCM Health Care Services

RN Care Manager

New York, NY · On-site +1

$90K - $105K/yr

Remote (Hybrid training required: 2 days onsite / 3 days remote for 4-6 months) Remote / Field-Based Position Summary As an RN Care Manager within an MLTC program, you will conduct telephonic ...

CVS Health

Case Manager, Registered Nurse

New York, NY · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... self-insured clients. * Application and/or interpretation of applicable criteria and clinical ...

Adecco

Registered Nurse Assessor Bronx

New York, NY · Remote

$60/hr

Bronx, NY (3 days in community , 2 days remote) * Hours: Mon-Fri (8am-6pm) | Sat-Sun (10am-6pm ... Benefit offerings include medical, dental, vision, life insurance, short-term disability ...

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Boonton, NJ

Remote Rn Insurance information

See Boonton, NJ salary details

$7

$43

$74

How much do remote rn insurance jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for remote rn insurance in Boonton, NJ is $43.63, according to ZipRecruiter salary data. Most workers in this role earn between $32.55 and $51.63 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 popular job titles related to Remote Rn Insurance jobs in Boonton, NJ? For Remote Rn Insurance jobs in Boonton, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Boonton, NJ look for? The top searched job categories for Remote Rn Insurance jobs in Boonton, NJ are:
What cities near Boonton, NJ are hiring for Remote Rn Insurance jobs? Cities near Boonton, NJ with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Prior Authorization RN

Prior Authorization RN

RCM Health Care Services

New York, NY • On-site, Remote

$90K - $108K/yr

Full-time

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

Job description

Job Description
Pre-Authorization RN
Compensation
Salary Range: $90,000 - $108,000 per year
Bonus / Commission (if applicable):
This role is eligible for a $15,000 sign-on bonus.
Location: Lower Manhattan, NY (Training) / Remote
Hybrid training transitioning to Remote
Position Summary
As a Pre-Authorization RN, you will support care coordination by reviewing and processing authorization requests in alignment with regulatory and organizational guidelines. This role involves collaboration with interdisciplinary teams to ensure timely and appropriate care delivery. Following a structured hybrid training period, this position transitions to a fully remote setting while maintaining high standards of clinical accuracy and compliance.
Responsibilities
? Schedule / Shift
  • Shift details: Monday - Friday (Business Hours)
  • Hours per week: 40

? Key Duties:
  • Review and process authorization requests in accordance with Medicare, Medicaid, and internal guidelines
  • Collaborate with care managers, nurses, and providers to ensure timely and appropriate service delivery
  • Coordinate completion of UAS-NY assessments to reflect members' current clinical status
  • Ensure care plans are accurate, updated, and aligned with member needs
  • Maintain accurate documentation and support compliance with utilization management standards

Requirements
? Education
  • Required: Associate's Degree in Nursing
  • Preferred (if applicable): Bachelor's Degree in Nursing (BSN)

? Licenses & Certifications
  • Required: Active New York State Registered Nurse (RN) license
  • Additional certifications (if applicable): CCM certification preferred

? Skills:
  • Strong knowledge of Medicare and Medicaid regulations
  • Experience in prior authorization or utilization review processes
  • Excellent clinical judgment, assessment, and decision-making skills
  • Proficiency in Microsoft Office (Word, Excel) and familiarity with InterQual preferred

About Us
RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you're stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We're committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.
Equal Employment Opportunity & Reasonable Accommodation
RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.
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