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Remote Rn Insurance Jobs in Gilbert, AZ (NOW HIRING)

TEEMA Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ... Remote or onsite depending on business needs * Must have a secure home office setup if remote

Tia

Registered Nurse, Virtual Care - Remote

Phoenix, AZ · Remote

$40 - $45/hr

About the Role As a Virtual RN on Tia's Care Connect team, you will support patients through ... is a remote role. You must maintain a quiet, secure, HIPAA-compliant workspace and reliable ...

Renalogic

Clinical Nurse Coach (RN) (Remote)

Phoenix, AZ · Remote

$78K - $82K/yr

US; remote with minimal travel Schedule: PST hours with some evening and weekend hours Who We Are ... Must have an active RN license in good standing and be willing to obtain licensure in other states.

TEEMA

RN Clinical Quality Reviewer

Phoenix, AZ · Remote

$40 - $43/hr

Job Summary RN Clinical Quality Reviewer TEEMA Full-time Remote | Phoenix, AZ, United States Overview: We are partnering with a leading organization supporting a large-scale federal healthcare ...

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How much do remote rn insurance jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote rn insurance in Gilbert, AZ is $42.11, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $49.86 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 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 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 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 Gilbert, AZ? For Remote Rn Insurance jobs in Gilbert, AZ, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Gilbert, AZ look for? The top searched job categories for Remote Rn Insurance jobs in Gilbert, AZ are:
What cities near Gilbert, AZ are hiring for Remote Rn Insurance jobs? Cities near Gilbert, AZ with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Gilbert, AZ as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,587 per year, or $42.1 per hour.

REMOTE RN - Quality Review

TEEMA Group

Phoenix, AZ • Remote

$42 - $43.50/hr

Full-time

Posted 8 days ago

Job description

Overview:
TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
What you will be doing:

  • Review medical records to identify potential quality, safety, and utilization concerns

  • Conduct detailed case analysis and prepare clear, well-documented summaries and recommendations

  • Support peer review processes and quality improvement initiatives

  • Analyze trends and assist in identifying patterns in care delivery and outcomes

  • Collaborate with clinical leadership, including Medical Directors, to review findings

  • Participate in quality committees and performance improvement efforts

  • Ensure compliance with regulatory requirements and program standards

  • Coordinate with cross-functional teams such as case management, care coordination, and program integrity


What you must have:

  • Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW)

  • Minimum 3+ years of clinical experience (medical/surgical and/or behavioral health)

  • U.S. Citizenship required

  • Ability to obtain and maintain a Department of Defense (DoD) background clearance

  • Strong analytical and critical thinking skills

  • Excellent written communication skills


Nice to have:

  • Bachelor’s degree in Nursing or healthcare-related field

  • Experience in clinical quality, utilization review, or case review

  • Familiarity with federal or government healthcare programs

  • Experience with clinical criteria tools (InterQual or similar)

  • Exposure to healthcare data analysis or reporting

Technical Skills

  • Proficiency with Microsoft Office (Word, Excel, Outlook)

  • Comfortable working across multiple systems and electronic medical records

What makes you successful

  • Strong clinical judgment and attention to detail

  • Ability to work independently and manage multiple priorities

  • Analytical mindset with problem-solving ability

  • Clear and professional communication skills

  • Comfortable working in a structured, compliance-driven environment


Other Information:

  • Remote or onsite depending on business needs

  • Must have a secure home office setup if remote

  • Occasional extended hours may be required


Salary/Rate Range: $85,000 – $92,000 annually; Hourly Equivalent: Approximately $41 – $44/hour