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Remote Rn Insurance Jobs in Edmond, OK (NOW HIRING)

Essity

Wound Care Sales Specialist

Oklahoma City, OK · On-site +1

This will be a remote position responsible for covering Oklahoma and West Arkansas. The ideal ... The ability to interact with advanced practice clinicians (Surgeons, Physician Assistants, Nurse ...

Lantern

Strategy Analyst

Edmond, OK · Remote

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Lantern

Strategy Analyst

Oklahoma City, OK · Remote

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

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Remote Rn Insurance information

See Edmond, OK salary details

$5

$31

$54

How much do remote rn insurance jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for remote rn insurance in Edmond, OK is $31.78, according to ZipRecruiter salary data. Most workers in this role earn between $23.70 and $37.60 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 Edmond, OK?

For Remote Rn Insurance jobs in Edmond, OK, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Edmond, OK look for?

The top searched job categories for Remote Rn Insurance jobs in Edmond, OK are:

What cities near Edmond, OK are hiring for Remote Rn Insurance jobs?

Cities near Edmond, OK with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Edmond, OK as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $66,107 per year, or $31.8 per hour.

Telephonic Quality Outreach Professional

Oklahoma City, OK • On-site, Remote

Humana
Health Care and Social Assistance • 10K+ employees
Learn more about Humanaexternal

$48K - $65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
The Telephonic Quality Outreach Professional supports the EPSDT program requirements in a telephonic outreach environment by evaluating member needs and helping families achieve or maintain an optimal state of wellness. The Telephonic Outreach Care Coach Professional 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on straightforward moderate complexity assignments that are routine and structured in nature.
The Telephonic Quality Outreach Professional employs a variety of strategies and techniques to coordinate services and resources that facilitate HEDIS gap closure and improve pediatric health outcomes. The supervisor limits decisions to defined parameters around work expectations, quality standards, priorities and timing, and supervises closely and/or works within established policies/practices and guidelines with minimal opportunity for deviation.

Position Responsibilities:

  • Telephonic outreach to close HEDIS gaps for Medicaid pediatric population
  • Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access to primary care and overall well-being
  • Collaborate with EPSDT Senior Quality Improvement Professional and Coordinator related to strategic outreach to maximize HEDIS outcomes
  • Collaborate with other departments
  • Provide vaccine awareness and education following Bright Futures and EPSDT preventive health guidelines
  • Empower member independence through education and outreach that promote ongoing self-sufficiency in managing preventive and primary care needs
  • Other responsibilities as assigned

Use your skills to make an impact

Required Qualifications

  • Unrestricted Licensed Practical Nurse (LPN) in the state of Oklahoma
  • Remote/hybrid- 2 days a week in office
  • Prior experience in a insurance or health care setting
  • At least 2 years of technical experience
  • Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint
  • Must be passionate about contributing to an organization focused on improving consumer experiences

Preferred Qualifications

  • Bilingual -Spanish
  • Experience working with Medicaid members to coordinate services, care needs, or benefits
  • Prior experience working with HEDIS measures or quality performance metrics
  • Remote or Telephonic experience
  • Knowledge of community health and social service agencies and additional community resources

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$48,300 - $65,300 per year


Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Benefits

Hours and flexibility

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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