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Remote Rn Insurance Jobs in Carlisle, PA (NOW HIRING)

Lantern

Strategy Analyst

Harrisburg, PA · Remote

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

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Remote Rn Insurance information

See Carlisle, PA salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote rn insurance in Carlisle, PA is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $48.65 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 Carlisle, PA? The most popular types of Rn Insurance jobs in Carlisle, PA are:
What are popular job titles related to Remote Rn Insurance jobs in Carlisle, PA? For Remote Rn Insurance jobs in Carlisle, PA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Carlisle, PA look for? The top searched job categories for Remote Rn Insurance jobs in Carlisle, PA are:
What cities near Carlisle, PA are hiring for Remote Rn Insurance jobs? Cities near Carlisle, PA with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Carlisle, PA as of June 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 100% Remote job distribution, with an average salary of $85,497 per year, or $41.1 per hour.

Registered Nurse (RN) - HEDIS Abstraction Specialist (Remote - Pennsylvania)

The CKHobbie Group

Harrisburg, PA • Remote

$40 - $45/hr

Full-time

Posted 27 days ago

Job description

This is a remote position.

Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance.

In this role, you will be responsible for reviewing and abstracting clinical data from medical records in accordance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze documentation related to preventive care, chronic disease management, and behavioral health services, ensuring all information is accurately captured and compliant with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data.

You will utilize abstraction tools and electronic medical record systems to document findings while meeting strict productivity and quality benchmarks. This includes maintaining audit readiness, ensuring a high level of accuracy, and consistently meeting deadlines during peak reporting periods. The work you perform directly impacts healthcare quality scores, reimbursement, and public reporting, making your contribution vital to both patient care recognition and organizational success.

Collaboration is also a key component of this position. You will work closely with healthcare providers, health plans, and internal quality teams to resolve discrepancies and clarify documentation when needed. Simultaneously, the role offers a high level of independence, allowing you to manage your workflow in a structured remote environment while maintaining performance expectations.

This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry.

Qualified candidates must hold an active RN license and have a strong understanding of medical terminology, clinical documentation, and healthcare data. Experience with electronic medical records and familiarity with coding systems such as ICD-10 and CPT are highly preferred. The ideal candidate is detail-driven, organized, and comfortable working independently in a fully remote environment while maintaining high standards of accuracy and productivity.