ZipRecruiter

Log In

2

Remote Rn Insurance Jobs in Boston, MA (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

Boston, MA · 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 ...

next page

Showing results 1-20

All JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Boston, MA

Remote Rn Insurance information

See Boston, MA salary details

$7

$44

$76

How much do remote rn insurance jobs pay per hour?

As of Jun 20, 2026, the average hourly pay for remote rn insurance in Boston, MA is $44.52, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $52.69 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 Boston, MA? For Remote Rn Insurance jobs in Boston, MA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Boston, MA look for? The top searched job categories for Remote Rn Insurance jobs in Boston, MA are:
What cities near Boston, MA are hiring for Remote Rn Insurance jobs? Cities near Boston, MA with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Boston, MA as of June 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution, with an average salary of $92,611 per year, or $44.5 per hour.

RN Case Management (Remote) - RNCMR #002

NavitasPartners

Lowell, MA • Remote

$59 - $60/hr

Other

Posted 11 days ago

Job description

Job Title: RN Case Management (Remote)

Location: Hyannis, MA
Duration: 13 Weeks
Schedule: 4x8-Hour Shifts | 7:00 AM - 3:30 PM
Shift: Days | Rotating Weekends and Occasional Holidays

Compensation

Local Pay Rate: $59 - $60 per hour (Based on Experience)

Position Overview

We are seeking an experienced Registered Nurse Case Manager with a strong background in Clinical Documentation Improvement (CDI) and acute care nursing. This remote position is responsible for conducting comprehensive medical record reviews, collaborating with physicians and healthcare teams, improving clinical documentation accuracy, and supporting compliance with regulatory and reimbursement requirements.

The ideal candidate will possess excellent analytical, communication, and critical-thinking skills, along with extensive knowledge of clinical documentation practices, Medicare guidelines, and healthcare regulations.

Responsibilities
  • Perform comprehensive and timely medical record reviews to ensure accurate clinical documentation.
  • Identify opportunities for documentation improvement and develop clinically appropriate queries.
  • Collaborate with physicians, nursing staff, and Health Information Management (HIM) professionals to improve documentation quality.
  • Participate actively in CDI initiatives, team meetings, educational programs, and task force activities.
  • Monitor and follow up on documentation queries to ensure timely resolution.
  • Communicate effectively with healthcare providers regarding documentation opportunities and compliance requirements.
  • Enter and maintain accurate information within the electronic medical record system.
  • Resolve documentation discrepancies in collaboration with HIM staff.
  • Support organizational clinical documentation strategies and quality improvement initiatives.
  • Manage multiple priorities while maintaining productivity and accuracy.
  • Provide exceptional customer service to patients, families, colleagues, and healthcare partners.
  • Interpret and communicate Medicare Part A and Part B guidelines and their impact on reimbursement and DRG assignments.
Required QualificationsEducation
  • Graduate of an accredited Nursing program.
  • Current and active Massachusetts Registered Nurse (RN) license.
Experience
  • Recent acute care experience required, preferably in:
    • ICU
    • CCU
    • Medical/Surgical Nursing
  • OR a minimum of four (4) years of recent Case Management experience within the past four years.
  • Strong understanding of:
    • Pathophysiology and disease processes
    • Clinical documentation improvement practices
    • Regulatory compliance requirements
    • Medicare Part A and Part B guidelines
Skills & Competencies
  • Excellent organizational, analytical, and documentation skills.
  • Strong written and verbal communication abilities.
  • Critical thinking, problem-solving, and deductive reasoning skills.
  • Ability to work independently and manage multiple priorities.
  • Strong interpersonal and physician collaboration skills.
  • Proficiency with electronic medical records and Windows-based software applications.
  • Professional, positive, and customer-focused demeanor.
Preferred Qualifications
  • Management or supervisory experience.
  • Prior CDI experience in an acute care setting.
Required Certifications & Licensure
  • Active Massachusetts Registered Nurse (RN) License.
  • Basic Life Support (BLS) Certification - AHA.
  • Certified Clinical Documentation Specialist (CCDS) Certification or successful completion of a CDI Competency Examination.
Work Environment
  • Fully Remote Position.
  • Must be available to work rotating weekends and occasional holidays as scheduled.
  • Opportunity to contribute to quality improvement initiatives and clinical documentation excellence within a collaborative healthcare environment.

For more details reach at jknox@navitashealth.com or Call / Text at 732-791-4827.

About Navitas Healthcare, LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Apply