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Remote Rn Insurance Jobs in Cary, NC (NOW HIRING)

Amerihealth Caritas

Mgr Quality Management

Raleigh, NC · On-site +1

Bachelor's Degree in a Health Related field required. * RN strongly preferred. * 3 to 5 years ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...

Scribe-X

Medical Scribe (Remote)

Raleigh, NC · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Summary of Position Description: The Scribe-X medical scribe is a critical member ...

MDS Communications

Remote Call Center Agent

Cary, NC · Remote

$15 - $16/hr

We are fully registered in all 50 states and uphold the highest standards of legal and ethical ... Health insurance eligibility after just 2 months. MDS pays 75% of base employee premiums. Paid time ...

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Remote Rn Insurance information

See Cary, NC salary details

$6

$39

$66

How much do remote rn insurance jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for remote rn insurance in Cary, NC is $39.14, according to ZipRecruiter salary data. Most workers in this role earn between $29.18 and $46.30 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 Cary, NC? For Remote Rn Insurance jobs in Cary, NC, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Cary, NC look for? The top searched job categories for Remote Rn Insurance jobs in Cary, NC are:
What cities near Cary, NC are hiring for Remote Rn Insurance jobs? Cities near Cary, NC with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Cary, NC as of June 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 32% Full Time, 48% Part Time, 16% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $81,402 per year, or $39.1 per hour.
Mgr Quality Management

Mgr Quality Management

Amerihealth Caritas

Raleigh, NC • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 8 days ago

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

87th of 261 rated insurance

Job description

Under the direction of the Director, Quality Management, the Manager of Quality Management is responsible for providing oversight, direct supervision and day-to-day management of the Quality Management Team. This position oversees integration of quality monitoring and interventions for improving HEDIS rates and provides process assistance to business owners for performance improvement projects. The incumbent provides direction and support to the Quality Management team and assists the Director in ensuring Plan compliance with state regulations and accreditation standards.

  • Directs the Quality Operations Program, following the National Committee for Quality Assurance (NCQA) Standards and Guidelines Quality Management, as well as, the contract with the State and requirements of regulatory bodies
  • Maintains current knowledge of Health Plan Policy and Procedures, State Requirements, NCQA Standards and HEDIS specifications.
  • Participates in the planning, developing, and implementing Health Plan activities related to the HEDIS process, improving HEDIS rates and member satisfaction.
  • Ensures the Quality Management Team complies with all applicable statutory provisions, contracts, and established policies and administrative procedures.
  • Participates and assists in the development of all necessary protocols, policies and procedures, operational strategies and plans to develop and implement Quality Management programs.
  • Ensures complete, accurate and timely reporting to regulatory bodies.
  • Supports the development and implementation of quality management programs and pilot programs designed to improve HEDIS rates and/or member satisfaction.

  • Identifies barriers to project and program success and works toward resolution by informing the accountable functional area and presenting plans to resolve the issue when possible.

Education/ Experience:

  • Bachelor's Degree in a Health Related field required.
  • RN strongly preferred.
  • 3 to 5 years management experience in Quality Improvement.
  • 10 or more years progressively responsible experience in a health related position.

Other Skills:

  • Performance/Quality Improvement Coordinator (Manager) shall be a certified professional in healthcare quality (CPHQ) or certified in health care quality and management (CHCQM) or comparable education and experience in data and outcomes measurement required.
  • Previous experience in managed care required.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Employment Type: FULL_TIME

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