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Remote Rn Insurance Jobs in East Hanover, NJ (NOW HIRING)

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...

Fully Remote* Must reside within the New York Tri-State Area - NY, NJ, or CT. Join our team at Village Care as a Full Time RN- Care Manager ! This exciting position offers the opportunity to work ...

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Documents Needed: · Valid and Current New York State ID · Valid and Current New York State Registered Nurse License and Registration · Valid and Current Malpractice Insurance · Physical, PPD and ...

Intake Nurse - Field RN

Brooklyn, NY · Remote

$100K - $135K/yr

Current Registered Nurse license in the state of New York required Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful ...

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Remote Rn Insurance information

See East Hanover, NJ salary details

$7

$44

$76

How much do remote rn insurance jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for remote rn insurance in East Hanover, NJ is $44.87, according to ZipRecruiter salary data. Most workers in this role earn between $33.46 and $53.12 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 East Hanover, NJ? For Remote Rn Insurance jobs in East Hanover, NJ, the most frequently searched job titles are:
What cities near East Hanover, NJ are hiring for Remote Rn Insurance jobs? Cities near East Hanover, NJ with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in East Hanover, NJ as of June 2026, with employment types broken down into 54% Full Time, 27% Part Time, and 19% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $93,331 per year, or $44.9 per hour.

Clinical Admission Reviewer

Nursing and Rehab

New York, NY • Remote

$75K/yr

Full-time

Posted yesterday


Job description

Clinical Admission Reviewer

Location: Remote – New York
Schedule: Full-Time | Monday–Friday | 9:00 AM – 5:00 PM
Salary: $75,000 Annually

Position Summary

We are seeking an experienced and detail-oriented Clinical Admission Reviewer with a strong background in Skilled Nursing Facility (SNF) admissions. This remote role supports the admissions process across multiple Skilled Nursing Facilities and plays a critical role in reviewing clinical documentation, evaluating admission appropriateness, and ensuring compliance with regulatory and payer requirements.

The Clinical Admission Reviewer will collaborate closely with Admissions Directors, Admissions Coordinators, and facility leadership teams to facilitate timely admissions, optimize census growth, and maintain compliance with all applicable healthcare regulations.

Key Responsibilities
  • Review referral and clinical documentation to determine appropriateness for admission to Skilled Nursing Facilities across multiple locations.

  • Evaluate referrals based on facility capabilities, clinical criteria, and payer requirements.

  • Provide coverage for Admissions Directors during weekends, holidays, vacations, or as needed.

  • Communicate with hospitals, discharge planners, case managers, and facility teams regarding admission status and authorization updates.

  • Obtain and manage insurance authorizations and payer approvals for admissions.

  • Maintain accurate documentation related to referral reviews, authorizations, and admission decisions.

  • Ensure compliance with Medicare, Medicaid, Managed Care, and commercial insurance requirements.

  • Stay current on state and federal regulations related to admissions, transfers, and reimbursement processes.

  • Support facility census development initiatives through efficient referral management and admission review processes.

  • Collaborate with interdisciplinary teams to ensure smooth transitions of care and timely admissions.

Qualifications
  • Minimum of three (3) years of Skilled Nursing Facility (SNF) experience.

  • Strong knowledge of Medicare, Medicaid, Managed Care, and payer authorization processes.

  • Experience reviewing clinical documentation for admission appropriateness.

  • Knowledge of portal systems and payer authorization platforms.

  • Proficiency with EMR and referral management systems, including:

    • PointClickCare (PCC) / SigmaCare

    • CarePort (NaviHealth & Allscripts)

  • Familiarity with state and federal healthcare regulations related to admissions and transfers.

  • Excellent communication, organizational, and time-management skills.

  • Ability to manage referrals for multiple facilities and prioritize competing deadlines in a fast-paced environment.

  • Strong analytical and clinical assessment skills.

  • Proficiency with Microsoft Office Suite and remote communication platforms.

  • Previous experience in admissions, case management, utilization review, or managed care.

  • Experience working remotely and independently.

  • Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) preferred but not required.

Benefits
  • Comprehensive Medical and Dental Coverage

  • Generous Paid Time Off (PTO)

  • 401(k) Retirement Plan

  • Employee Recognition Program

  • Supportive, Team-Oriented Work Environment

  • Company Perks and Employee Discounts

  • Opportunities for Professional Growth and Development

Why Join Our Team?

Join a growing healthcare organization dedicated to providing exceptional post-acute care services. As a Clinical Admission Reviewer, you will play a vital role in supporting admissions operations, ensuring regulatory compliance, and helping patients access the care they need. This is an excellent opportunity to make a meaningful impact while working in a collaborative and supportive remote environment.


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