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Remote Rn Insurance Jobs in Fall River, MA (NOW HIRING)

RN - AI Trainer

Providence, RI · 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 ...

RN - AI Trainer

New Bedford, MA · 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 ...

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Remote Rn Insurance information

See Fall River, MA salary details

$7

$42

$72

How much do remote rn insurance jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for remote rn insurance in Fall River, MA is $42.41, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $50.19 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 Fall River, MA? For Remote Rn Insurance jobs in Fall River, MA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Fall River, MA look for? The top searched job categories for Remote Rn Insurance jobs in Fall River, MA are:
What cities near Fall River, MA are hiring for Remote Rn Insurance jobs? Cities near Fall River, MA with the most Remote Rn Insurance job openings:
Clinical Outcomes Manager - Per Diem

Clinical Outcomes Manager - Per Diem

Mass General Brigham

Sandwich, MA • On-site, Remote

$38.25 - $55.64/hr

Part-time

Posted 9 days ago


Brigham and Women's Hospital rating

8.0

Company rating: 8.0 out of 10

Based on 98 frontline employees who took The Breakroom Quiz

126th of 1,001 rated hospitals


Job description

Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Summary
Responsible for improving clinical outcomes by managing, analyzing, and optimizing coding practices, clinical documentation, and healthcare transcription. Works closely with healthcare teams to ensure accurate documentation that supports patient care, quality initiatives, and regulatory compliance.
Does this position require Patient Care?
No
Essential Functions
-Reviews and monitors clinical documentation to ensure accuracy and completeness in coding and transcription practices.
-Collaborates with healthcare providers to improve documentation standards, aligning with best practices and regulatory requirements.
-Completes Inpatient Rehabilitation Facility (IRF-PAI) data, enters and transmits to CMS within federally mandated timeframes and organization policies for admissions and discharges (day 4 post-admit and day 3 post-discharge).
-Monitors and ensures correct LOA dates are recorded on the IRF PAI.
-Assures accurate Impairment Group Codes and co-morbidities in collaboration with coding and CDI staff to determine the correct length of stay estimate and CMG in adherence with CMS IRF Coding standards.
-Communicates ELOS to clinical staff to assist with care/discharge planning.
-Analyzes clinical data to identify trends, track patient outcomes, and assess areas for improvement in clinical documentation.
-Implements training programs for clinical staff on accurate documentation, coding, and transcription standards.
-Coordinates with quality improvement teams to support accurate data collection for performance metrics and patient safety initiatives.
-Assesses clinical documentation for compliance with coding standards, ensuring proper billing and regulatory adherence.
-Prepares detailed reports on clinical outcomes and documentation effectiveness for internal audits and external reporting.
Qualifications
Education
Associate's Degree Related Field of Study required or Master's Degree Occupational Therapy required or Master's Degree Speech Therapy required or Doctor of Physical Therapy Physical Therapy required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Registered Nurse [RN - State License] - Generic - HR Only preferred Speech-language Pathologist [State License] - Generic - HR Only preferred Physical Therapist [State License] - Generic - HR Only preferred Occupational Therapist [State License] - Generic - HR Only preferred
Experience
Experience managing documentation quality or coding 1-2 years required and Previous Occupational Therapy, Physical Therapy, Speech Therapy or Registered Nurse experience 2-3 years required
Knowledge, Skills and Abilities
- Expert knowledge of clinical documentation practices and coding standards.
- Strong analytical skills for data review and outcomes reporting.
- Excellent communication skills for interacting with clinical teams and providing documentation training.
- Proficiency in using electronic health records (EHR) systems.
- Attention to detail and ability to manage compliance requirements effectively.
Additional Job Details (if applicable)
Physical Requirements
  • Standing Occasionally (3-33%)
  • Walking Occasionally (3-33%)
  • Sitting Constantly (67-100%)
  • Lifting Occasionally (3-33%) 20lbs - 35lbs
  • Carrying Occasionally (3-33%) 20lbs - 35lbs
  • Pushing Rarely (Less than 2%)
  • Pulling Rarely (Less than 2%)
  • Climbing Rarely (Less than 2%)
  • Balancing Occasionally (3-33%)
  • Stooping Occasionally (3-33%)
  • Kneeling Rarely (Less than 2%)
  • Crouching Rarely (Less than 2%)
  • Crawling Rarely (Less than 2%)
  • Reaching Occasionally (3-33%)
  • Gross Manipulation (Handling) Constantly (67-100%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Feeling Constantly (67-100%)
  • Foot Use Rarely (Less than 2%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)

  • Remote Type
    Remote
    Work Location
    311 Service Road
    Scheduled Weekly Hours
    0
    Employee Type
    Per Diem
    Work Shift
    Day (United States of America)
    Pay Range
    $38.25 - $55.64/Hourly
    Grade
    7
    At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
    EEO Statement:
    0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
    Mass General Brigham Competency Framework
    At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

    What Brigham and Women's Hospital employees say

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