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Remote Rn Insurance Jobs in Charleston, WV (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

Charleston, WV · 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 ...

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Charleston, WV

Remote Rn Insurance information

See Charleston, WV salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for remote rn insurance in Charleston, WV is $41.06, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $48.61 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 Charleston, WV? For Remote Rn Insurance jobs in Charleston, WV, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Charleston, WV look for? The top searched job categories for Remote Rn Insurance jobs in Charleston, WV are:
What cities near Charleston, WV are hiring for Remote Rn Insurance jobs? Cities near Charleston, WV with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you

RN Telehealth Administrator on Call, Remote, PRN

Communicarehealth

Charleston, WV • Remote

Part-time

Posted 10 hours ago

Job description

Job Address:

10123 Alliance Road, Suite 320 Blue Ash, OH 45242


Telehealth Administrator on Call (Registered Nurse), Remote Position

The PHP Telehealth Administrator on Callhas a passion for providing remote administrative, clinical triage, and care coordination support for the PHP Telehealth provider team, as well as seniors and other residents in a variety of healthcare settings that can include, but are not limited to, skilled nursing facilities, assisted living, and independent living communities, etc. They deliver support in a high touch, person-centered care model and collaborate with the interdisciplinary team to ensure that all residents receive the right care at the right time.

PRN Position

Option for 8 hour shift

Option to choose 1 shift for month and stay on shedule

Personalized Health Partners (PHP) is the medical practice arm for the CommuniCare Family of Companies. The Administrator on Call would directly support both the PHP Telehealth provider group as well answering calls for triage from our other telehealth use cases outside of the Skilled Nursing and Assisted living environments. The goal of the Administrator on Call is to support the Telehealth provider team as well as our patients to increase wellness, prevent illness, improve clinical outcomes and focus on customer experience and satisfaction.

PRIMARY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS

Duties of all PHP Telehealth Administrators on Call

  • Coordinate with telehealth providers to ensure appropriate patients receive telemedicine services.
  • Communicate with onsite nursing teams to ensure all clinical needs are coordinated
  • Oversee provider queue in Never Alone
  • Support technical issues that arise for telehealth provider team
  • Monitor EMR to triage routine clinical lab requests, routine imaging results, notifications, etc. that result after hours.
  • Maintain timely documentation of encounters with facility nurses in the EMR
  • Record information directly into CRM system
  • Connect patients that need to be seen acutely by an in-house provider the next day with Central Scheduling
  • Answer and triage calls from Never Alone use cases outside of the SNF use case
  • Provide health education
  • Provide an excellent customer experience to foster high customer satisfaction/retention
  • Practice ethically and in accordance with the Scope and Standards of Practice of their profession and Board Certification.
  • Follow all state and federal regulations, guidelines, and laws

Additional duties of PHP Telehealth Administrator on Call

  • Collaborate with telehealth provider group
  • Participation in monthly staff meetings
  • During downtime there may be some additional project related work related to the development of protocols, initial quality review of previous encounters, or projects to be defined as the role evolves.

EDUCATION and QUALIFICATION:

Required:

  • Must have valid RN or LPN license
  • Must be willing to be licensed in the 7 states served (Indiana, Ohio, Maryland, Virginia, West Virginia and Kentucky)
  • Excellent communication and critical thinking skills
  • Good technology aptitude

Preferred Qualifications:

  • Training or clinical experience in geriatrics, primary care/internal medicine and/or ED or urgent care
  • 3+ years clinical experience
  • Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
  • Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
  • Training or experience in outpatient primary care setting

Apply