ZipRecruiter

Log In

2

Remote Rn Insurance Jobs in Durham, NC (NOW HIRING)

DataAnnotation

RN - AI Trainer

Raleigh, NC · Remote

$50 - $60/hr

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 ...

DataAnnotation

RN - AI Trainer

Cary, NC · Remote

$50 - $60/hr

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 ...

DataAnnotation

RN - AI Trainer

Durham, NC · Remote

$50 - $60/hr

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 ...

Scribe-X

Remote Medical Scribe

Durham, NC · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

next page

Showing results 1-20

All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Durham, NC

Remote Rn Insurance information

See Durham, NC salary details

$7

$40

$69

How much do remote rn insurance jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for remote rn insurance in Durham, NC is $40.82, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $48.32 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 Durham, NC? The most popular types of Rn Insurance jobs in Durham, NC are:
What are popular job titles related to Remote Rn Insurance jobs in Durham, NC? For Remote Rn Insurance jobs in Durham, NC, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Durham, NC look for? The top searched job categories for Remote Rn Insurance jobs in Durham, NC are:
What cities near Durham, NC are hiring for Remote Rn Insurance jobs? Cities near Durham, NC with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Community-Based Nurse Assessor (Durham County)

Community-Based Nurse Assessor (Durham County)

Astyra Corporation

Durham, NC • Remote

$37/hr

Full-time

Medical, Dental, Vision

Posted 8 days ago

Job description

This position requires travel in the field across Durham and surrounding counties. Mileage expenses are reimbursed.
Schedule: Field-based assessments with remote work
 

This field-based role requires you to travel within your region to conduct assessments, and gives you flexibility to work out of your home office as needed. This role supports the Personal Care Services (PCS) program under the North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services, including performing option counseling, QA reviews, customer service, and provider training. 

You'll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs). As a PCS Home Health Registered Nurse, you'll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries, and to help them thrive.

 

Requirements:

  • Registered Nurse, licensed in the state of North Carolina

  • Minimum 2 years of nursing experience

  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work 

Preferred Qualifications:

  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.

  • Experience conducting PCS assessments preferred.

  • Experience with OASIS tool (or similar) preferred.

  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired.

  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired.

What you’ll do:

  • Conduct assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).

  • Ensure that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.

  • Ensure that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.

  • Ensure that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.

  • Include an interview with family members and informal caregivers who are present at the time of the assessment.

  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.

  • Submit the completed assessments using state-approved interface.

  • Participate in the Beneficiary’s mediation and appeal processes.

  • Respond to state inquiries regarding assessments conducted.

  • Develop level of care recommendations based upon clinical evaluations.

  • Read, understand, and adhere to all corporate policies, including policies related to HIPPA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that contract needs may dictate.


Attention Applicants: Please be advised that proper email communication will only be sent from email addresses ending in @astyra.com. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations.
#AC