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Remote Rn Insurance Jobs in Newport News, VA (NOW HIRING)

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... We cover the overhead -- malpractice insurance, marketing, technology, and ongoing support -- and ...

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... We cover the overhead - malpractice insurance, marketing, technology, and ongoing support - and pay ...

Telephonic Case Manager

Newport News, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Insurance Telephonic Case Manager This position is a remote position, however; you will be required ... EDUCATION AND LICENSING Current unrestricted RN license(s) in a state or territory of the United ...

Showing results 21-40

Remote Rn Insurance information

See Newport News, VA salary details

$6

$38

$65

How much do remote rn insurance jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote rn insurance in Newport News, VA is $38.38, according to ZipRecruiter salary data. Most workers in this role earn between $28.61 and $45.43 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 Newport News, VA?

For Remote Rn Insurance jobs in Newport News, VA, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Newport News, VA look for?

The top searched job categories for Remote Rn Insurance jobs in Newport News, VA are:

What cities near Newport News, VA are hiring for Remote Rn Insurance jobs?

Cities near Newport News, VA with the most Remote Rn Insurance job openings:

Infographic showing various Remote Rn Insurance job openings in Newport News, VA as of August 2026, with employment types broken down into 33% Full Time, and 67% Part Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $79,835 per year, or $38.4 per hour.

Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- Remote

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 889 rated healthcare providers


Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- Remote!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F.
Location: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming
Overview
  • The Manager, Quality Performance and Outreach plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Performance Withold Program (PWP), and Healthcare Effectiveness Data and Information Set (HEDIS) performance across the health plan and enterprise.
  • The position will focus in Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) for Medicare, and member rewards and data analysis for all lines of business
  • Reporting directly to the Director, Quality Performance and Outreach, this position leads cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs that enhance member experience, close care gaps, and support regulatory compliance.
  • The position focuses on all lines of business, including Commercial, Medicaid, and Medicare, collaborating with other health plan departments, providers, vendors and the enterprise.
  • The position will manage a Team of 3 to 6 Direct Reports

Education
  • Bachelor's degree in Nursing, Clinical Sciences, Population Health, Healthcare Administration, Business Administration, or related field REQUIRED

Certification/Licenses
  • Registered Nurse License in Virginia OR Compact/Multi-state preferred

Experience
  • 3 years of experience with HEDIS, STARS, PWP, or Clinical Improvement REQUIRED
  • 3 years of supervisory or management experience REQUIRED
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) for Medicare highly preferred
  • Prior experience in Project Management and Performance Improvement REQUIRED
  • Strong project management and cross-functional collaboration skills REQUIRED
  • Ability to interpret clinical data and translate insights into actionable strategies REQUIRED
  • Experience working with vendors and managing outreach campaigns REQUIRED
  • Health Plan experience is preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: 38.22/hour min - 63.70/hour max. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities."
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-103770
#Indeed
Talroo - Health Plan
Keywords: Health Plan, Healthcare, Health Insurance, MCO, Managed Care, Medicaid, Medicare, DSNP, Commercial, Group insurance, Remote, Virginia, VA, Quality, Performance, STARS, Consumer Assessment of Healthcare Providers and Systems, CAHPS, Performance Withold Program, PWP, and Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Health Outcomes Survey (HOS)
Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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