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Remote Rn Insurance Jobs in Hyattsville, MD (NOW HIRING)

J29 Inc.

Nurse SME - Contingent

Millersville, MD · On-site +1

$100K - $120K/yr

Remote About J29 J29 is an employee centered healthcare management consulting company that ... Active, unrestricted Registered Nurse (RN) license in at least one U.S. state or territory.

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Hyattsville, MD

Remote Rn Insurance information

See Hyattsville, MD salary details

$7

$42

$72

How much do remote rn insurance jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote rn insurance in Hyattsville, MD is $42.34, according to ZipRecruiter salary data. Most workers in this role earn between $31.59 and $50.10 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 Hyattsville, MD?

For Remote Rn Insurance jobs in Hyattsville, MD, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Hyattsville, MD look for?

The top searched job categories for Remote Rn Insurance jobs in Hyattsville, MD are:

What cities near Hyattsville, MD are hiring for Remote Rn Insurance jobs?

Cities near Hyattsville, MD with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Hyattsville, MD as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 2% Temporary, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $88,071 per year, or $42.3 per hour.

Behavioral Health UM Review

Amerihealth Caritas

Washington, DC • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 26 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

134th of 315 rated insurance

Job description

Role Overview

Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the BH UM Reviewer's discretion to retain requests for additional information and/or request clarification. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that treatment delivered is appropriately utilized and meets the member's needs in the least restrictive, least intrusive manner possible. The BH UM Reviewer will maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application.

Work Arrangement

  • This role will work 4 days a week in the DC office located at 1201 Maine SW; the 5th day of the week is a remote work day.
  • Monday through Friday from 8:00 AM EST to 5:00 PM EST
  • Must work 4 out of 10 recognized company holidays to include Thanksgiving and Christmas (rotating)
  • Must be willing to work 2 to 3 weekends per year. Weekend rotation based on business needs

Education & Experience

  • Registered Nurse candidates: Associate Degree in Nursing required; Bachelor Degree in Nursing preferred
  • Licensed Social Worker candidates: Master Degree in Social Work required
  • Minimum of 2 years of independent clinical practice experience assessing and treating individuals with behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care setting

  • Utilization management experience in a managed care organization preferred

Licensure

  • Requirements for LSW: Active and unencumbered professional licensure/independent licensure in DC: LPC, LICSW, LCMHC, LMFT
    • Must have ability to obtain additional licensure in LA, NC, NH and OH within 12 months from date of hire
  • Requirements for RN: Active and unencumbered RN license in DC
    • Must have ability to obtain additional licensure in LA, NC, NH and DC within 12 months from date of hire

Skills & Abilities

  • Proficiency in Microsoft Office, including Word, Excel, Teams, and Outlook
  • Consistent and accurate typing skills
  • Ability to communicate in a positive/professional manner both orally and written
  • Strong problem-solving skills and decision making skills
  • Strong organizational and time management skills
  • Ability to follow detailed instructions with a high degree of accuracy
  • Ability to work independently; complete tasks in the allotted time frame

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

The targeted hiring range for this role is expected to be between $77,700 and 105,900.The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the D.C. office. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Employment Type: FULL_TIME

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