2

Remote Rn Insurance Jobs in Des Moines, IA (NOW HIRING)

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Medical Review Nurse

Clive, IA · Remote

$80K - $90K/yr

This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... Insurance for Medical, Dental, Vision and Life Available * 401(k) including Employer Match * HSA ...

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 ...

Licensed Mental Health Professionals (APRN, LMFT, LICSW, LPCC, LP) * Licensed Behavior Analysts ... Medical, dental and vision insurance * Health Savings Account (HSA) and Flexible Spending Account ...

Licensed Mental Health Professionals (APRN, LMFT, LICSW, LPCC, LP) * Licensed Behavior Analysts ... Medical, dental and vision insurance * Health Savings Account (HSA) and Flexible Spending Account ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

next page

Showing results 1-20

Remote Rn Insurance information

See Des Moines, IA salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for remote rn insurance in Des Moines, IA is $41.23, according to ZipRecruiter salary data. Most workers in this role earn between $30.72 and $48.80 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 Des Moines, IA? The most popular types of Rn Insurance jobs in Des Moines, IA are:
What are popular job titles related to Remote Rn Insurance jobs in Des Moines, IA? For Remote Rn Insurance jobs in Des Moines, IA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Des Moines, IA look for? The top searched job categories for Remote Rn Insurance jobs in Des Moines, IA are:
What cities near Des Moines, IA are hiring for Remote Rn Insurance jobs? Cities near Des Moines, IA with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in Des Moines, IA 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 $85,752 per year, or $41.2 per hour.
RN - Utilization Review

RN - Utilization Review

UnityPoint Health

West Des Moines, IA • Remote

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


UnityPoint Health rating

7.3

Company rating: 7.3 out of 10

Based on 355 frontline employees who took The Breakroom Quiz

294th of 874 rated healthcare providers


Job description

  • Remote: Yes

  • Area of Interest: Nursing

  • FTE/Hours per pay period: .9

  • Department: Utilization Management

  • Shift: Monday-Friday, 11:30am-8:00pm (one workday off per pay period)

  • Job ID: 178312

Overview

UnityPoint Health is seeking an RN Utilization Management Specialist to join our team! Under the direction of the Manager of Utilization Management, the RN Utilization Management Specialist serves a key role in coordinating the organization’s interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of high-quality health care, optimal clinical outcomes, and patient and provider satisfaction. The RN UM Specialist will work to track and minimize the inappropriate use of such resources, provides the Utilization Management function for patients admitted to UPH, and facilitates effective utilization of resources through ongoing interactions with physicians, third party payers and regulatory agencies.

Location: Remote - applicants must reside within the UPH footprint of Iowa, Illinois, or Wisconsin

Hours: Monday-Friday, 11:30am-8:00pm (one work day off per pay period)

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options focused on your needs and priorities, no matter what life stage you’re in. Here are just a few:    

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental, health and vision insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Join our team of experts and make a difference with UnityPoint Health.

Responsibilities

  • Performs utilization management reviews using established criteria to confirm medical necessity, appropriate level of care and efficient use of resources.

  • Maximizes positive financial outcomes for patients and hospital by conducting timely initial and ongoing concurrent chart review for hospitalized patients to monitor appropriateness of treatment, resource utilization, quality of care.

  • Applies utilization criteria using designated software to complete documentation related to utilization review activities in an accurate and timely manner for the purpose of providing information for other members of the healthcare team and to facilitate decision making.

  • Requests secondary reviews with physician advisors as appropriate, if admission or continued stay criteria are not met, assuring appropriate and timely level of care status.

  • Assesses patient status, including reviewing outpatient surgical and observation admissions for the appropriate level of care, and continuously monitors length of stay for appropriate and timely medical management.

  • Applies accepted potentially avoidable day logic to reviews for accurate and timely data collection.

  • Proactively monitors insurance approval status in partnership with the UM Administrative Coordinator.

  • Provides education to staff and physicians regarding medical necessity, levels of care and appropriate utilization of resources as needed.

  • Pursues denials at the affiliate level in a timely manner to secure payment of services.

  • Serves as a resource to internal and external staff, providers, payers, and patients on issues related to utilization management.

  • Maintains current knowledge of Utilization Review Methodology, software, criteria, and regulations governing various payment systems.

  • Maintains current knowledge of the UPH Utilization Management Plan.

  • Maintains current knowledge of CMS rules (e.g., Code 44, A – B Rebilling, HINN, etc.) and other regulatory agencies requirements to insure appropriate reimbursement.

  • Coordinates and monitors appeals with internal and external physician advisors for Second Level Review as needed.

  • Provides education to patients and families regarding the role of the Utilization Management Specialist and provides clarification when needed on level of care and their payer source regulatory requirements as needed.

Qualifications

  • Registered Nurse - licensed in Iowa. Will need to obtain RN in Illinois (proivded by UPH)

  • Associates Degree or Diploma (RN) in Nursing required

  • 2 years of nursing experience


What UnityPoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


UnityPoint Health logo

About UnityPoint Health

Sourced by ZipRecruiter

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation's fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Des Moines, IA, US

Year founded

1995