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Remote Rn Insurance Jobs in Livonia, MI (NOW HIRING)

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Remote Rn Insurance information

See Livonia, MI salary details

$6

$39

$67

How much do remote rn insurance jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote rn insurance in Livonia, MI is $39.53, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $46.78 per hour, depending on experience, location, and employer.

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 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 the most commonly searched types of Rn Insurance jobs in Livonia, MI? The most popular types of Rn Insurance jobs in Livonia, MI are:
What are popular job titles related to Remote Rn Insurance jobs in Livonia, MI? For Remote Rn Insurance jobs in Livonia, MI, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Livonia, MI look for? The top searched job categories for Remote Rn Insurance jobs in Livonia, MI are:
What cities near Livonia, MI are hiring for Remote Rn Insurance jobs? Cities near Livonia, MI with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Livonia, MI as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $82,229 per year, or $39.5 per hour.

Dir ICT Care Coordination PH

Amerihealth Caritas

Southfield, MI • Remote

Full-time

Re-posted 27 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

128th of 301 rated insurance

Job description

Role Overview: The Director, ICT Care Coordination, is responsible for leading the strategic direction, operational execution, and performance of care coordination and population health programs within the assigned market to ensure the delivery of high-quality, compliant, and member-centered clinical and non-clinical services.

Work Arrangement:

  • Remote - Fully remote associate must be located in Michigan (MI).
  • Some travel to state and other meetings will be required

Responsibilities:

  • Partner with the Market Chief Medical Officer (CMO) and other market leaders to develop, execute, and monitor the plan's population health strategy while supporting equitable, whole-person care for members.
  • Collaborate with CMO, Quality Director, and other market leaders and evaluate continuous quality improvement and process optimization efforts across care coordination programs and initiatives
  • Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity program, and Community Outreach
  • Ensure alignment of care coordination programs with population health strategy, enterprise policies, and contractual requirements
  • Direct and oversee Care Coordination - Integrated Care Team (ICT) clinical and non-clinical staff; support staffing, hiring, and professional development
  • Ensure compliance with state, federal, and contract requirements, including the Michigan Department of Health & Human Services (MDHHS) contract
  • Implement processes for identifying, assessing, and developing care plans for members with special healthcare needs
  • Ensure coordination of care across physical health, behavioral health, and community-based services
  • Serve as the primary point of contact with state regulatory agencies on care coordination-related activities
  • Develop and implement engagement strategies for members
  • Ensure effective coordination of services across multiple healthcare entities and providers
  • Drive integration of care coordination and disease management within population health and quality improvement initiatives
  • Lead performance measurement efforts to assess and improve health outcomes and operational effectiveness
  • Monitor transition of care programs and care coordination quality performance metrics; implement corrective actions as needed
  • Serve as liaison between market and enterprise leadership; share best practices and align strategies
  • Partner with regulatory, external quality review organizations such as (but not limited to) the National Committee for Quality Assurance (NCQA), and Quality Assessment and Performance Improvement (QAPI) teams
  • Prepare and deliver reporting, including key performance indicators (KPIs), program performance, and utilization trends
  • Support procurement activities (RFPs/RFIs) and provide subject-matter expertise for care coordination and population health expansion efforts
  • Perform other duties as assigned

Education & Experience:

  • Bachelor's degree in Nursing or other health related field with an active, unrestricted Registered Nurse (RN) licensure in MI required plus a Masters Degree or other advanced degree in nursing, social work, health services research, health policy, information technology, or other relevant field
  • 3 to 5 years of progressive management experience, including staff management, within a Medicaid managed care environment
  • 3 years of experience leading case management programs, including program design, implementation, and strategic execution
  • 3 years of experience with NCQA standards and regulatory guidelines
  • Certified Case Manager (CCM) certification required
  • Experience developing, driving, and measuring clinical operations, population health strategy, and performance improvement initiatives preferred

Licensure:

  • Active, unrestricted RN licensure in MI required.

Skills & Abilities:

  • Strong leadership and team management skills with the ability to lead multidisciplinary clinical and non-clinical teams
  • Deep understanding of population health, care coordination, and managed care operations
  • Knowledge of Medicaid regulations, state contract requirements, and compliance standards
  • Proven ability to design, implement, and optimize clinical programs and operational workflows
  • Strong analytical and performance management capabilities with a focus on outcomes and quality improvement
  • Excellent communication and collaboration skills, with the ability to engage executive leadership and external stakeholders
  • Ability to manage multiple priorities and drive execution in a complex, highly regulated environment
  • Strategic thinker with the ability to translate population health goals into actionable operational plans

  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)

Employment Type: FULL_TIME

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