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

Monogram Health

Market Physician Executive

Trenton, NJ · Remote

Each market comprises 5-10 practices led by local APPs, RNs, LCSWs, and pharmacists. * Collaborate ... Disability insurance * Health and flexible spending accounts * Financial wellness resources * Paid ...

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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 Aug 8, 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 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 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 July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $86,227 per year, or $41.5 per hour.

Outcomes Manager - UR (Per Diem)

VIRTUA HEALTH

Pennsauken, NJ • Remote

$38.33 - $59.58/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Virtua Health rating

7.6

Company rating: 7.6 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.
In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 otherlocations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through ourEat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Pennsauken - 6991 North Park Dr.

Remote Type:

100% Remote

Employment Type:

Employee

Employment Classification:

Per Diem

Time Type:

Part time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

0

Additional Locations:

Job Information:

Summary:
Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
Position Responsibilities:
Utilization Management
Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
Consults with Physician Advisor to discuss medical necessity, length of stay, and appropriateness of care issues.
Identify and manage concurrent and retroactive denials through communication with attending physicians, case management, multidisciplinary team, external physician resource group and payers.
Documentation
Appropriate and complete documentation of clinical review and denial management in the case management documentation system and in the billing system.
Denial Management
Manages the concurrent denial process by referring to appropriate resource for concurrent and retrospective appeal activity process.
Prepares and facilitates audits using appropriate screening tools and documentation.
Metrics
Accountable to job specific goals, objectives and dashboards which contribute to the success of the organization.
Participates in organizational improvement activities including patient satisfaction, Six Sigma committee, department and/or divisional teams and community activities.
Compliance
Understands and applies applicable federal and state requirement.
Identify and reports compliance issues as appropriate.
Position Qualifications Required / Experience Required:
Preferred: 3 years clinical nursing (RN) experience and 1 year UR/CM/QM experience or 3 years experience as Clinical Social Worker.
Basic understanding of Medicare, Medicaid and managed care.
Discharge planning or home health background.
Excellent verbal and written communication skills, problem solving, critical thinking and conflict resolution.
Required Education:
Graduate of an accredited School of Nursing.
Training/Certifications/Licensure:
Licensure from the State of New Jersey as a Registered Nurse.
Case Management Certification (requirement within one year of hire beginning April 1, 2015).
STAR Standards: Exhibits Virtua's STAR Standards to create an outstanding patient experience. (Excellent Service, Clinical Quality and Safety, Best People, Caring Culture, Resource Stewardship).
Demonstrates Virtua values in all interactions with our customers, who are patients, families, physicians, co-workers and the community. (Integrity, Respect, Caring, Commitment, Teamwork, Excellence).

Hourly Rate: $38.33 - $59.58 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.

What Virtua Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Virtua Health logo

About Virtua Health

Sourced by ZipRecruiter

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Marlton, NJ, US

Year founded

1998

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