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

Bastion Health

Urologist Telehealth - WV

Charleston, WV · Remote

We are looking for a 100% Remote Urologist eager to be at the forefront of a new model of care ... Malpractice insurance provided * On-going training on latest products * Robust management and ...

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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 Jul 6, 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
Infographic showing various Remote Rn Insurance job openings in Charleston, WV as of July 2026, with employment types broken down into 67% Full Time, 18% Part Time, 4% Temporary, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,396 per year, or $41.1 per hour.
Contract Physician - Medical Necessity Review (Genetic Testing)

Contract Physician - Medical Necessity Review (Genetic Testing)

Everlywell

Charleston, WV • Remote

Contractor

Posted 10 days ago

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Job description

Everlywell is a digital health company pioneering the next generation of biomarker intelligence—combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into life-changing insights—seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens.
Over the past decade, Everlywell has delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners. In 2025, an estimated 1 in 94 U.S. adults received an Everlywell test, solidifying our spot as the #1 at-home testing company in the country. Fueled by AI and built for scale, we’re breaking down barriers, closing care gaps, and unlocking a more connected healthcare experience that is smarter, faster, and more personalized.

PWN Remote Care Services, P.A. (PWN) is a telehealth practice facilitating access to high-quality, diagnostic-driven patient care. PWN is part of a provider network affiliated with Everlywell, a leading remote-based healthcare company. At PWN our mission is to enable access to diagnostic testing, treatment, and professional guidance that empowers individuals to improve their health. Our suite of services enables a broad spectrum of health industry clients to provide seamless access to diagnostic testing and related care interventions. We are a 50-state physician, registered nurse, and genetic counselor network with a strong care coordination and patient support team and technology infrastructure.
 
Our model integrates genetic counselors, physicians, and technology to ensure clinically appropriate and compliant genetic testing services. We are seeking physicians to support asynchronous medical necessity review following a completed genetic counseling session. Services rendered under this role will support claims submitted to federal payers. As such, strict adherence to documentation standards, medical necessity criteria, and applicable state and federal regulations is required.
Responsibilities
  • Review clinical documentation completed by a Genetic Counselor following patient history intake and pre-test counseling.
  • Assess and determine medical necessity for genetic testing.
  • Review and authorize testing orders & sign required supporting documents, when deemed appropriate.
  • Ensure compliance with state regulations, payer requirements, and internal clinical protocols.
  • Maintain HIPAA compliance and documentation standards.
Qualifications
  • Active, unrestricted medical license in good standing. License in Kansas or Arkansas (along with residence in KS or AR) prioritized.
  • Medicare enrollment required. Enrollment in Kansas or Arkansas Medicaid preferred, or willingness to enroll with administrative support.
  • Board Certified in primary care specialty (Internal Medicine, Family Medicine, Pediatrics, or other relevant specialty).
  • Ability to independently evaluate clinical documentation and render medical necessity determinations.
  • Comfortable working in a fully asynchronous, technology-enabled workflow.
  • Strong attention to detail and documentation accuracy.
  • Telehealth or virtual care experience preferred.
Ideal Experience
  • Prior experience with genetic testing
  • Familiarity with payer medical necessity criteria
  • Experience working with Medicaid populations
Benefits
  • Fixed payment per review
  • Flexible schedule
  • 100% Remote
  • Professional Liability Insurance
Security Notice: Everlywell never requests fees, payment, or banking information at any stage of the recruitment process. Official communications and interview invitations will only come from verified email addresses ending in @everlywell.com or @everlyhealth.com. To ensure your application is secure, always apply directly through our official careers page at https://www.everlywell.com/careers/.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.