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Remote Rn Insurance Jobs in Humble, TX (NOW HIRING)

SUN Behavioral Houston

Remote Intake Coordinator

Houston, TX · On-site +1

$17.25 - $23.50/hr

Assesses or ensures necessary assessment by a licensed RN for patients who present for assessment ... insurance company/third-party payor. Able to work through and accept referrals through various ...

Pride Health

Patient Services Representative

Houston, TX · Remote

$19/hr

Location: 100% Remote * Schedule: 8-hour shift within a time range of 6 a.m.- 11 p.m. EST (weekend ... This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky ...

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · Remote

$80K - $95K/yr

... Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain ... RN, LVN, or LPN license in a state or territory of the U.S., required 2 years of prior experience ...

Scribe-X

Remote Medical Scribe

Houston, TX · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Scribe-X

Remote Medical Scribe

Houston, TX · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Summary of Position Description: The Scribe-X medical scribe is a critical member ...

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Humble, TX

Remote Rn Insurance information

See Humble, TX salary details

$6

$36

$62

How much do remote rn insurance jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for remote rn insurance in Humble, TX is $36.48, according to ZipRecruiter salary data. Most workers in this role earn between $27.21 and $43.17 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 Humble, TX? For Remote Rn Insurance jobs in Humble, TX, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Humble, TX look for? The top searched job categories for Remote Rn Insurance jobs in Humble, TX are:
What cities near Humble, TX are hiring for Remote Rn Insurance jobs? Cities near Humble, TX with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Remote Intake Coordinator

Remote Intake Coordinator

SUN Behavioral Houston

Houston, TX • On-site, Remote

$17.25 - $23.50/hr

Other

Posted 25 days ago

Job description

Position Summary:
Receives inquiry calls and assists the caller with scheduling a face-to-face assessment or provide triage to the appropriate community referral based on patient need. Assesses or ensures necessary assessment by a licensed RN for patients who present for assessment. Upon assessment of the patient, coordinates with the physician to ensure appropriate treatment is provided either at the hospital or another appropriate provider in the community. Ensures appropriate screening of medical and behavioral emergency conditions. Completes all administrative processes of the admission for treatment including, as appropriate, the initial authorization of care with the insurance company/third-party payor. Able to work through and accept referrals through various platforms, Kno2, Carelink, Open Beds, Xferral, Bed Board.
Position Responsibilities:
Clinical / Technical Skills (40% of performance review)
  • Demonstrates excellent phone skills including inquiry calls, explanation of assessment processes, scheduling appointments and successful closure of a call while avoiding phone therapy.
  • States the procedure for managing a crisis call and identifies when to activate EMS services. Identifies safety and risk of each call.
  • Documents all inquiry calls, completely, to include all applicable information on prospect form in Wellsky.
  • Makes appropriate referrals to community resources if not scheduling an assessment
  • States the process and reasoning for all follow up calls either to confirm an assessment, inquire about no-show status, or rescheduling an assessment to include documentation reflecting same.
  • Enters all inquiry calls into Wellsky with all data needed to further action or follow up
  • Shows competency and understanding of the review of the medical screen; as appropriate, notifies the RN for additional review and action.
  • States the working definition and procedure for managing medically and psychiatric emergencies according to EMTALA guidelines as well as hospital policies.
  • Identifies and triages emergent patients and prioritizes care based on same.
  • Completes the clinical screening and assessment tool (intake assessment) with concise, clear documentation.
  • As applicable, identifies the need for additional screening for substance use, nutrition needs, functional needs, and abuse for children/adolescents, school and development screening.
  • Demonstrates understanding of admission criteria for inpatient, partial hospitalization, intensive outpatient hospitalization and outpatient levels of care.
  • Documents any special needs related to spiritual or cultural needs.
  • Demonstrates a working knowledge of community mental health and substance use programs/referral to be offered for all patients not at imminent risk nor requiring services at a higher level of care as provided at the hospital.
  • By demonstrating competency and thorough clinical understanding, ensures that each patient is seen by a physician or has had a consult by a physician to obtain treatment recommendations and disposition.
  • Upon admission to a treatment program within the hospital, notifies the unit staff of the patients level of acuity, chief compliant and history of illness leading to admission, medical concerns and attending physician.
  • Evidences understanding of all hospital required forms for admission and completion of these admission forms for each department as applicable.
  • Knowledge of state local laws, ordinances and practices governing involuntary hospitalization and ensure compliance with same.
  • Ensure correct information on EMTALA log to include all timelines and no blanks in documentation.
  • Demonstrates understanding of utilization review process to include treatment criteria and precertification payor to obtain initial authorization of care and document same with pass to the Utilization Management team for concurrent reviews.
  • Demonstrates an ability to be flexible, organized and function well in stressful situations.
  • Treats patients and their families with respect and dignity, ensures confidentiality of patients records.
  • Interacts professionally with patient/family and provides explanations and verbal reassurance as necessary.
  • Ensures that documentation meets current standards and policies.
  • Answers the telephone in a polite manner and communicates information to the appropriate staff/family member.
  • Individuals with a Registered Nurse license:
    • Enter orders into Wellsky for admission and other orders as needed. This includes the follow up documentation required for PRN medication and first dose monitoring
    • Knowledgeable of medications, including psychotropic drugs, and their correct administration based on the age of the patient and their clinical condition as demonstrated by observation of education completed with the patient/family members
    • Conducts nurse to nurse report.
  • Perform other duties as required

Safety (15% of performance review)
  • Strives to create a safe, healing environment for patients and family members
  • Follows all safety rules while on the job.
  • Reports near misses, as well as errors and accidents promptly.
  • Corrects minor safety hazards.
  • Communicates with peers and management regarding any hazards identified in the workplace.
  • Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
  • Participates in quality projects, as assigned, and supports quality initiatives.
  • Supports and maintains a culture of safety and quality.

Teamwork (15% of performance review)
  • Works well with others in a spirit of teamwork and cooperation.
  • Responds willingly to colleagues and serves as an active part of the hospital team.
  • Builds collaborative relationships with patients, families, staff, and physicians.
  • The ability to retrieve, communicate, and present data and information both verbally and in writing as required
  • Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
  • Demonstrates adequate skills in all forms of communication.
  • Adheres to the Standards of Behavior

Integrity (15% of performance review)
  • Strives to always do the right thing for the patient, coworkers, and the hospital
  • Adheres to established standards, policies, procedures, protocols, and laws.
  • Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
  • Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
  • Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
  • Exemplifies professionalism through good attendance and positive attitude, at all times.
  • Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
  • Ensures proper documentation in all position activities, following federal and state guidelines.

Compassion (15% of performance review)
  • Demonstrates accountability for ensuring the highest quality patient care for patients.
  • Willingness to be accepting of those in need, and to extend a helping hand
  • Desire to go above and beyond for others
  • Understanding and accepting of cultural diversity and differences

Education
  • Required: Meeting state requirements, a Bachelors or Masters degree in Nursing, RN license.
  • Maintains education and development appropriate for position.

Experience
  • Required: One to three years of experience in a behavioral health setting.
  • Preferred: Previous assessment and evaluation experience in a behavioral health setting.

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