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Remote Rn Insurance Jobs in New Brunswick, NJ (NOW HIRING)

... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... RN license. * Required Work Experience : 5 years clinical experience in medical insurance, managed ...

ABA Therapist

New York, NY · On-site +1

$20.25 - $26.50/hr

Big Minds, Tiny Hands is looking for ABA Providers to provide Home Base / Remote Care (Telehealth ... Licensed Clinical Social Workers (LCSW) * Special Educators (Birth-Grade 2) * Registered Nurse ...

NP/PA - Virtual Urgent Care

New York, NY · Remote

$116K - $152K/yr

Remote Oscar Medical Group is a blended work culture where everyone, regardless of work type or ... Collaborate with MAs, RNs, and other providers across service lines (e.g. primary care and health ...

NP/PA - Virtual Urgent Care

New York, NY · On-site +1

$116K - $152K/yr

Remote Oscar Medical Group is a blended work culture where everyone, regardless of work type or ... Collaborate with MAs, RNs, and other providers across service lines (e.g. primary care and health ...

New increased hourly compensation: insurance sessions now pay 33% more in select states * $500 ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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 ...

Showing results 41-60

Remote Rn Insurance information

See New Brunswick, NJ salary details

$7

$43

$74

How much do remote rn insurance jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote rn insurance in New Brunswick, NJ is $43.62, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $51.63 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 popular job titles related to Remote Rn Insurance jobs in New Brunswick, NJ? For Remote Rn Insurance jobs in New Brunswick, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in New Brunswick, NJ look for? The top searched job categories for Remote Rn Insurance jobs in New Brunswick, NJ are:
What cities near New Brunswick, NJ are hiring for Remote Rn Insurance jobs? Cities near New Brunswick, NJ with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in New Brunswick, NJ as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 21% Part Time, 2% Temporary, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $90,737 per year, or $43.6 per hour.

Pediatric Care Manager Nurse (RN/NY License) - Remote

EmblemHealth

New York, NY • On-site, Remote

$68K - $118K/yr

Full-time

Medical, Life

Re-posted 21 days ago


EmblemHealth rating

9.4

Company rating: 9.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

7th of 301 rated insurance


Job description

Summary of Position
Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions. Support and enable members to manage their physical, environmental and psycho-social concerns, understand and appropriately utilize their health plan benefits and remain safe and independent in their home or current living environment in collaboration with health care providers. Provide Care Management services to identified high risk members within the community, including but not limited to Physician Practices, Retail Centers/Neighborhood Care Centers, and members' homes. Coordinate and provide care that is safe, timely, effective, efficient and member-centered to support population health, transitions of care, and complex care management initiatives. Engage with the most complex members of the health plan with the goal of improving health care outcomes and appropriate and timely utilization of services across the continuum of care. Assist the entire Care Management interdisciplinary team in managing members with Care Management needs.
Principal Accountabilities
  • Assess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs.
  • Identify appropriate goals, strategies and interventions that may include referrals, health education, activation of community-based resources, life planning, or program/agency referrals based on areas of concern.
  • Develop, communicate and evaluate medical management strategies and interventions including potential for alternative solutions to ensure high-quality, cost-effective continuum of care with the member, caregiver, provider(s) and multidisciplinary team.
  • Include member and family as appropriate.
  • Engage actively with the member PCP / designee.
  • Engage with the member in support of their treatment team to identify and establish attainable goals that positively impact clinical, financial, and quality of life outcomes for member.
  • Work collaboratively with all stake holders to ensure knowledge of the action plan, including participation in telephonic and face-to-face case conferences when appropriate.
  • Assess the needs of members and align them with the appropriate member of the care team (wellness team, registered dietitian, social worker, community health workers).
  • Act as the member's advocate and liaison by completing or facilitating interventions with providers and/or private, non-profit, and governmental agencies.
  • Ensure that all Care Management processes and reporting are compliant with all applicable federal and state regulations, and NCQA and company standards.
  • Participate in delegation collaboration activities, as required.
  • Research evidence-based guidelines, medical protocols, provider networks, and on-line resources in making care management recommendations.
  • Enter and maintain documentation in the Electronic Medical Records System (EMR), meeting defined timeframes and performance standards.
  • Maintain an understanding of Care Management principles, program objectives and design, implementation, management, monitoring, and reporting.
  • Actively participate on assigned committees.
  • Attend and complete all department-mandated training as well as satisfy educational in-service requirements.
  • Perform other related projects and duties as assigned.
  • Provide ongoing monitoring, evaluation, support and guidance to the coordination of the member's health care.
  • Develop, implement and coordinate plan of care and facilitate members' goals.
  • Coordinate interdisciplinary team tasks and activities, with the goal of maintaining team performance and high morale.

Qualifications
  • Bachelor's degree
  • Active and unrestricted RN license required in NY state
  • Compact nursing license preferred
  • CCM certification preferred
  • 4 - 6+ years of clinical experience
  • Organization/prioritization ability; and the ability to effectively manage a caseload of highly complex members
  • Support an integrated care model tapping into appropriate resources both internally and external to the organization
  • Experience in case management/care coordination, managed care, and/or utilization management
  • Strong communication skills (verbal, written, presentation, interpersonal)
  • Trained in the use of Motivational Interviewing techniques
  • Experience working in medical facility or practice and/or with electronic medical records
  • Computer proficiency: MS Office (Word, Excel, Powerpoint, Outlook); mobile technology (wireless phone/laptop, etc.)
  • System user experience in a highly automated environment
  • Bilingual ability (verbal, written)
  • Strong cross-group collaboration, teamwork, problem solving, and decision-making skills
  • Ability to work a flexible schedule (evenings, weekends and holidays) to meet member and/or caregiver and departmental scheduling needs

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