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Remote Rn Insurance Jobs in Fairfield, CA (NOW HIRING)

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Remote Rn Insurance information

See Fairfield, CA salary details

$7

$42

$73

How much do remote rn insurance jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote rn insurance in Fairfield, CA is $42.99, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $50.87 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 job categories do people searching Remote Rn Insurance jobs in Fairfield, CA look for? The top searched job categories for Remote Rn Insurance jobs in Fairfield, CA are:
What cities near Fairfield, CA are hiring for Remote Rn Insurance jobs? Cities near Fairfield, CA with the most Remote Rn Insurance job openings:
Clinical Nurse Specialist Coordinator Acute Care

Clinical Nurse Specialist Coordinator Acute Care

NorthBay Health

Fairfield, CA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


NorthBay Health rating

7.9

Company rating: 7.9 out of 10

Based on 9 frontline employees who took The Breakroom Quiz


Job description

At NorthBay Health the Clinical Nurse Specialist (CNS) is an Advanced Practice Registered Nurse who manages the clinical and educational resources and care standards for the adult medical/surgical/telemetry patient population.  This CNS is a member of the Chief Nursing Officer's leadership team. This CNS's role, along with other members of the patient care services team, is to promote the provision of effective, high quality patient care to all patients. This CNS participates in the development of evidence based care delivery systems and clinical practice programs. The following responsibilities are included: oversight of clinical nursing practice and patient care delivery, development of personnel, compliance with regulatory and professional standards, fostering of interdisciplinary, collaborative relationships and is accountable for bringing innovative ideas from and to the bedside. 

This role will coordinate and provide educational programs for staff which are pertinent to the patient population served, such as patient safety initiatives, pain management strategies, telemetry competency, advanced care planning including proactive discharge planning and other pertinent areas of nursing practice. The CNS works collaboratively with the Advance Practice Nurses, Learning and Leadership Team members, and nursing leaders to develop and validate the clinical competency of staff. This CNS works with physicians in order to establish a collegial and interdisciplinary patient care environment. The CNS is an independent consultant on clinical care issues for patients, families, staff, physicians and other departments. The CNS will be responsible for facilitating and managing patient care services division special projects as assigned.

At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.

Interpersonal Skills and Values

Demonstrates NorthBay Health's True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1-5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

More Information

Visit NorthBay Health Careers for recruitment FAQs and additional information.

Education: 

  • Master's Degree in Nursing required. 
  • MSN major in clinical nurse specialist, clinical nurse leader, education, or related health care field required. 

Licensure and Certification:  

  • Current California RN License required.  
  • Current AHA or equivalent BLS and ACLS certification required.  
  • Current Clinical Nurse Specialist certification is required. 
  • National specialty certification in acute care or medical/surgical nursing is preferred.

Experience:  

  • Demonstrated working knowledge of healthcare practices, patient care equipment, and related products required.

  • Minimum of four (4) years of clinical experience in an acute care setting required.

  • Three (3) years of experience as a Clinical Nurse Specialist with progressive responsibility preferred.

Skills: 

  • Excellent oral and written communication skills required.  
  • Possesses instructional ability, leadership ability, and high professional standards.  
  • Must be well   organized, be able to set priorities, work independently and is an effective team member.  
  • Word Processing skills required. 
  • Statistical/data management skills  preferred.  
  • Must demonstrate and maintain current knowledge and skill in providing care for patients in appropriate age groups: Young Adult through Geriatrics.  Knowledge of regulatory processes and Standards of Practice required (BRN, ANA, TJC, and Title 22).  
  • Completion of annual organizational requirements for employment (TB testing, Safety Training, Corporate Compliance, HIPAA etc.) 

Interpersonal Skills: 

  • Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 

Compensation: 

$85 - $102  based on years of experience in role.


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