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Remote Rn Insurance Jobs in Columbia, SC (NOW HIRING)

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Logistics Coordinator

Columbia, SC · Remote

$92K/yr

Bachelor's degree in health science, nursing, general science, or equivalent experience in ... Life Insurance * Short and Long Term Disability Benefits * Health and Dependent Care Flexible ...

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Columbia, SC

Remote Rn Insurance information

See Columbia, SC salary details

$6

$34

$58

How much do remote rn insurance jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote rn insurance in Columbia, SC is $34.49, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $40.82 per hour, depending on experience, location, and employer.

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 the key skills and qualifications needed to thrive as a Remote RN Insurance nurse?

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 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 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 are popular job titles related to Remote Rn Insurance jobs in Columbia, SC?

For Remote Rn Insurance jobs in Columbia, SC, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Columbia, SC look for?

The top searched job categories for Remote Rn Insurance jobs in Columbia, SC are:

What cities near Columbia, SC are hiring for Remote Rn Insurance jobs?

Cities near Columbia, SC with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Columbia, SC as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $71,748 per year, or $34.5 per hour.

Clinical Documentation Integrity Specialist I, Full-Time, Days

Prisma Health

Columbia, SC • On-site, Remote

$32.25 - $43.25/hr

Full-time

Posted 25 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 350 frontline employees who took The Breakroom Quiz

382nd of 891 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Job Profile Summary
Reviews medical records to identify documentation opportunities to accurately represent the severity of illness, risk of mortality, length of stay, intensity of service, and hospital quality metrics. Reviews medical records, submits provider queries, and reconciles discharged records. Collaborates with Coding and other departments to facilitate the highest level of accuracy, quality, and completeness of provider documentation as well as accurate code assignment.

This position can be 100% remote

Essential Functions

  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion.Be the difference.

  • Conducts concurrent medical record reviews of selected patient health records to address clarity, completeness, consistency and accuracy of clinical documentation.

  • Employs the query process as needed to provide accurate documentation reflective of patient's severity of illness, risk of mortality, comorbid conditions, length of stay, principal diagnosis, and present on admission (POA) status.

  • Completes the reconciliation process to ensure accurate coding reflective of patient's severity of illness, risk of mortality, comorbid conditions, length of stay, principal diagnosis, and present on admission (POA) status.

  • Develops and maintains supportive, collaborative relationships with providers and health care team members to include education and follow up.

  • Stay current with coding guideline changes, changes in treatment modalities, clinical disease indicators, and compliant query policies.

  • Serves as a resource for co-workers, providers, and other support departments (coding, case management, quality, nutrition, etc.)

  • Assigns a working DRG for health care team discharge planning and CDI use.

  • Performs other duties as assigned

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

  • Education - Associate degree in Nursing, Health Information Management, or related field of study

  • Experience - Two (2) years -adult medical/surgical/critical care/ER/PACU nursing coding or related experience

In Lieu Of

  • In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: MD/DO/PA/NP

Required Certifications, Registrations, Licenses

  • RHIA/RHIT/CCS/CIC/or Licensure in related field of study/ Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.

Knowledge, Skills and Abilities

  • Computer skills

  • Communication skills with ability to interact with providers.

  • General knowledge of IPPS, ICD10 Coding, MS-DRG/APR-DRG and HCPCS coding systems preferred

Work Shift

Day (United States of America)

Location

Corporate - Columbia - Taylor at Marion

Facility

7001 Corporate

Department

70017540 Clinical Documentation Integrity

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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