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Remote Rn Insurance Jobs in Lowell, MA (NOW HIRING)

Senior Nurse Reviewer

Somerville, MA · Remote

$79K - $115K/yr

Registered Nurse [RN - MA State License] - required * 3+ years of experience in clinical nursing ... Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant working ...

Senior Nurse Reviewer

Somerville, MA · On-site +1

$79K - $115K/yr

Registered Nurse [RN - MA State License] - required * 3+ years of experience in clinical nursing ... Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant working ...

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 ...

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 ...

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 ...

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 ...

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 ...

No insurance headaches. No clawbacks. No payment delays. We handle everything -- you get paid ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

... week REMOTE engagement. The therapeutic areas include Cardiology and Oncology. The engagement will be authoring narratives for complex cases from specified Clinical trials. Qualifications RN, MSN ...

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Remote Rn Insurance information

See Lowell, MA salary details

$7

$41

$71

How much do remote rn insurance jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for remote rn insurance in Lowell, MA is $41.90, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $49.57 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 Lowell, MA? For Remote Rn Insurance jobs in Lowell, MA, the most frequently searched job titles are:
What cities near Lowell, MA are hiring for Remote Rn Insurance jobs? Cities near Lowell, MA with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in Lowell, MA as of June 2026, with employment types broken down into 67% Full Time, 22% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,144 per year, or $41.9 per hour.

Senior Nurse Reviewer

Massgeneralbrigham

Somerville, MA • Remote

$79K - $115K/yr

Full-time

Posted 12 days ago


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

The Senior Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings. This includes audits conducted at Mass General Brigham (MGB) facilities in accordance with the MGB Charge Audit Policy and established departmental policies/procedures. The Senior Nurse Reviewer plays an important role in appealing challenges to charging policy and practice. The increased use of pre- and post-payer audits impacts MGB net revenue, to which the incumbent responds.
Essential Functions
-Coordinates the scheduling of audits with external third-party audit representatives/payors to initiate the audit process.
-Prepares detailed packages for cases selected by audit representatives, including necessary documents needed to initiate the audit process.
-Prepares audit responses and appeals for complex charge and forensic audits.
-Documents, summarizes, and defends audit findings in a clear, concise, and effective manner to preserve MGB appeal rights.
-Conducts post-audit research to support and defend cited charges by obtaining additional documentation.
-Updates internal systems used for tracking and reporting findings, including but not limited to patient accounting systems, spreadsheets, and databases, to facilitate monthly management reporting.
-Provides subject matter knowledge on various billing, coding, and clinical topics to the audit representatives and other key customers as needed.


Qualifications

  • Bachelor's Degree in Nursing required

  • Registered Nurse [RN - MA State License] - required

  • 3+ years of experience in clinical nursing required

  • 2+ years of experience in a quality assurance or clinical review role required


Skill for Success

  • It is essential that the candidate possesses strong appeal writing experience, as this skill is critical for successfully supporting and defending clinical charge audit findings during the appeals process.

  • Strong analytical skills with the ability to interpret clinical data and identify trends.

  • Excellent communication and interpersonal skills, with the ability to collaborate effectively with multidisciplinary teams.

  • Proficient in electronic health record (EHR) systems and clinical documentation tools.

  • Strong organizational skills and attention to detail.

  • Ability to provide constructive feedback and facilitate training for nursing staff.

Working schedule:

  • Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant working station


Additional Job Details (if applicable)


Remote Type

Remote


Work Location

399 Revolution Drive


Scheduled Weekly Hours

40


Employee Type

Regular


Work Shift

Day (United States of America)


Pay Range

$79,560.00 - $115,720.80/Annual


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.