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Remote Rn Insurance Jobs in New Hope, PA (NOW HIRING)

VIVA USA INC

Nurse Case Manager

Trenton, NJ · On-site +1

Fully remote (never coming onsite) ICM Case Manager RN Position Summary: Help us elevate our patient care to a whole new level! Join our client team as an industry leader in serving dual eligible ...

Monogram Health

Market Physician Executive

Trenton, NJ · Remote

Review and approve APP, RN, SW, and Pharmacy plans of care. * Review, approve, and co-sign APP ... Disability insurance * Health and flexible spending accounts * Paid holidays * Flexible vacation ...

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Showing results 21-40

All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in New Hope, PA

Remote Rn Insurance information

See New Hope, PA salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for remote rn insurance in New Hope, PA is $41.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.91 and $49.09 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 New Hope, PA?

For Remote Rn Insurance jobs in New Hope, PA, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in New Hope, PA look for?

The top searched job categories for Remote Rn Insurance jobs in New Hope, PA are:

What cities near New Hope, PA are hiring for Remote Rn Insurance jobs?

Cities near New Hope, PA with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in New Hope, PA as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $86,227 per year, or $41.5 per hour.

Clinical Coding and OASIS Reviewer

Pennsauken, NJ • Remote

BAYADA Home Health Care
Health Care and Social Assistance • 10K+ employees
Learn more about BAYADA Home Health Careexternal

$77K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Bayada Home Health Care rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

Job description

Remote role but must be willing to work 8:30-5 Eastern time.

Please note- Candidates must have COS-C, HCS-O or COQS and HCS-D or BCHH-C certifications in order to be considered.

BAYADA Home Health Care has an immediate opening for a Full Time, Quality Reviewer with OASIS certification to work remotely. RN’s with certifications will be considered for this role.

The Quality Reviewer is responsible for auditing, validating, and optimizing the patient’s Plan of Care (Form CMS-485) and OASIS assessments. This role ensures clinical accuracy, regulatory compliance with Medicare/CMS guidelines, and appropriate reimbursement for home health services.

BAYADA Perks:

  • This is a fully remote position.
  • Base Salary: $77,000 - $80,000 / year
  • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit, and employee assistance program.

Responsibilities:

  • Compare the CMS-485 against referral documents, History & Physical (H&P), OASIS, and therapy/nursing evaluations for 100% consistency and medical necessity.
  • Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.
  • Timely review and coding of diagnoses and OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.
  • Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
  • Provide support and communication to all disciplines within the service.
  • Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, PDGM guidelines and billing related issues.
  • Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).
  • Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.
  • Perform related duties, or as required or requested by Manager/Director.

Qualifications:

  • Competency in PC skills required to perform job function.
  • Active Compact RN Nursing License, with a minimum of 2 years clinical experience.
  • COS-C or HCS-O or COQS OASIS Certification and experience required.
  • HSC-D or BCHH-C.
  • HCHB experience, a plus!

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

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About Bayada Home Healthcare

Sourced by ZipRecruiter

BAYADA has a special purpose: to help people of all ages have a safe home life with comfort, independence, and dignity. We believe our clients and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our core values, affording them the opportunity to remain at home and receive the medical care required.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Moorestown, NJ, US

Year founded

1975

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