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Remote Rn Insurance Jobs in Dallas, TX (NOW HIRING)

Oshi Health

GI- Nurse Practitioner

Dallas, TX · Remote

Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice ... Remote-first -- work from home anywhere in the US * Growth: Advanced training by GI-specialized ...

Bracane Co

Medical Management Specialist I

Plano, TX · Remote

Current driver's license, transportation, and applicable insurance. * Ability and willingness to ... Registered Nurse only LOCATION: Remote: Waco, TX TRAVEL: WORK WEEK: 40 Hours/8 Hours per Day ...

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All JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Dallas, TX

Remote Rn Insurance information

See Dallas, TX salary details

$7

$41

$71

How much do remote rn insurance jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for remote rn insurance in Dallas, TX is $41.79, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $49.47 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 Dallas, TX? The most popular types of Rn Insurance jobs in Dallas, TX are:
What are popular job titles related to Remote Rn Insurance jobs in Dallas, TX? For Remote Rn Insurance jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Dallas, TX look for? The top searched job categories for Remote Rn Insurance jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Remote Rn Insurance jobs? Cities near Dallas, TX with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you

Regulatory Review Specialist (LPN)

VitalCaring Group

Dallas, TX • Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Join VitalCaring - Where Your Expertise Protects Patient Care

Regulatory Review Specialist (RN) - Home Office (Remote)Who We Are

Founded in 2021, VitalCaring has quickly become a leading provider of home health and hospice services across the country. Our mission is simple: deliver exceptional patient care while creating a workplace where team members feel supported, empowered, and inspired.

At VitalCaring, quality and compliance are more than requirements-they're essential to ensuring patients receive the right care at the right time. We are seeking a highly detail-oriented Regulatory Review Specialist (RN) to join our Clinical Regulatory Compliance team and help drive excellence across our organization.

Why Join VitalCaring?

Make a Meaningful Impact
Your expertise will directly support regulatory readiness, compliance excellence, and quality outcomes that protect patient care.

Be Part of Something Bigger
Partner cross-functionally with clinical, operational, billing, and compliance teams to strengthen processes and maintain regulatory integrity.

Work with Purpose and Flexibility
Enjoy the ability to work independently in a remote environment while contributing to high-impact initiatives across the organization.

Grow Your Expertise
Expand your knowledge of healthcare regulations, medical review processes, payer requirements, and compliance strategy.

Position Overview

The Regulatory Review Specialist (RN) serves as a key member of the Clinical Regulatory Compliance team, supporting medical reviews, audit response activities, and regulatory documentation processes across home health and hospice operations.

In this role, you will coordinate and compile documentation for payer audits, CMS and contractor medical reviews, appeals, internal monitoring activities, and compliance initiatives. Success in this role requires strong clinical judgment, exceptional organization, regulatory knowledge, and the ability to thrive in a remote environment.

What You'll Do
  • Support payer audits and medical record reviews, ensuring timely and accurate submission of requested documentation
  • Manage medical review requests and appeals associated with CMS contractors, regulatory agencies, and billing intermediaries
  • Review clinical documentation using established audit and submission checklists
  • Partner with operational and clinical teams to gather and validate required records
  • Participate in chart reviews and compliance monitoring initiatives across the organization
  • Assist with risk identification activities and regulatory readiness efforts
  • Support investigations and corrective actions related to compliance findings
  • Maintain audit tracking and outcomes through documentation systems and reporting tools
  • Navigate multiple EMRs, payer portals, and operational systems to manage submissions and appeals
  • Contribute to training and educational materials that strengthen compliance knowledge across teams
  • Participate in internal quality, billing, and operational review activities
  • Complete additional regulatory and administrative projects as assigned
  •  
What You'll BringRequired Qualifications
  • Current Registered Nurse (RN) license OR Licensed Practical Nurse (LPN)
  • Minimum 3 years of clinical operational leadership or supervision experience within Home Health and/or Hospice
  • Strong knowledge of CMS Home Health regulations and state/federal licensing standards
  • Experience performing clinical chart reviews and documentation audits
  • Ability to independently prioritize and manage work in a remote environment
  • Strong technical skills and comfort navigating multiple systems and portals
  • Excellent communication, organization, and follow-through
Preferred Experience
  • Medical review, appeals, audit response, or utilization review experience
  • Exposure to payer audits and contractor review processes
  • Experience supporting compliance, quality, accreditation, or regulatory initiatives
  • Experience with EMR platforms and documentation tracking systems
  • Background working with billing, reimbursement, or operational compliance functions

Benefits

Health & Wellness

Medical, Dental, and Vision coverage

Pharmacy benefits

Virtual care and mental health support

Flexible Spending Accounts (FSA) and Health Savings Account (HSA)

Supplemental health and life insurance

Financial & Protection

401(k) with company match

Employee referral program

Prepaid legal services

Identity theft protection

Work-Life Balance & Perks

Generous paid time off

Pet insurance

Tuition and continuing education reimbursement

At VitalCaring, our values - trustworthy, capable, compassionate, proactive, and called - guide how we care for our patients and support each other every day.

Apply today and lead care that truly matters.

All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.

Apply