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Remote Rn Insurance Jobs in Olney, MD (NOW HIRING)

WearLinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ... Vision insurance Employment Type: FULL_TIME

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Olney, MD

Remote Rn Insurance information

See Olney, MD salary details

$7

$43

$73

How much do remote rn insurance jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote rn insurance in Olney, MD is $43.24, according to ZipRecruiter salary data. Most workers in this role earn between $32.21 and $51.15 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 Olney, MD?

For Remote Rn Insurance jobs in Olney, MD, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Olney, MD look for?

The top searched job categories for Remote Rn Insurance jobs in Olney, MD are:

What cities near Olney, MD are hiring for Remote Rn Insurance jobs?

Cities near Olney, MD with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Olney, MD as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $89,934 per year, or $43.2 per hour.

Utilization Management Reviewer

Amerihealth Caritas

Washington, DC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

129th of 310 rated insurance

Job description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you want to make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. 

Discover more about us at www.amerihealthcaritas.com.

Role Overview

Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on clinical criteria. Using professional judgment, the Utilization Management Reviewer assesses the appropriateness of services, identifies care coordination opportunities, and ensures compliance with medical policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the patient’s needs in the least restrictive and most effective manner. 

Work Arrangement  

  • Monday through Friday from 8:30 AM EST to 5:00 PM EST;  2 days must be worked in our DC office located at 1201 Maine Ave SW and 3 days can be worked remotely
  • Must work 4 recognized company holidays to include Thanksgiving and Christmas (rotating)
  • Weekends and overtime based on business need

Responsibilities

  • Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
  • Collaborate with healthcare providers to facilitate timely authorizations and optimize patient care
  • Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines
  • Communicate determinations effectively, providing clear, evidence-based rationales for approval or denial decisions
  • Identify and escalate complex cases requiring physician review or additional intervention
  • Ensure compliance with industry standards, including Medicare, Medicaid, and private payer requirements
  • Maintain productivity and efficiency by meeting established performance metrics, turnaround times, and quality standards in a high-volume environment

Education & Experience

  • Associate’s Degree in Nursing (ASN) required; Bachelor’s Degree in Nursing (BSN) preferred
  • Minimum of 3 years of diverse independent clinical practice experience as a Registered Nurse in outpatient surgery, Medical-Surgical, Critical Care, Skilled Nursing Facility (SNF), Rehabilitation, or Long-Term Acute Care (LTAC) settings
  • Experience applying evidence-based criteria (e.g. InterQual) to complete prior authorization and concurrent reviews for inpatient, outpatient and/or post acute services
  • Experience conducting utilization management reviews specific to a Medicare population across multiple states for a payer preferred

Licensure

  • An active and unencumbered Registered Nurse (RN) license in the District of Columbia required 

Skills and Abilities

  • Competency in electronic health record (EHR) documentation and charting
  • Proficiency using MS Office to include Word, Excel, Outlook and Teams
  • Strong understanding of utilization review processes, including medical necessity criteria, care coordination, and regulatory compliance
  • Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review environment
  • Maintains a strong working knowledge of federal, state, and organizational regulations to ensure consistent application in the review process

  • Ability to type with accuracy and speed

The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Washington DC area. 
Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training. 
AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more. 
The targeted hiring range for this role is expected to be between $86,000.00 and $117,300.00 (or $41.35 and $56.39 per hour).

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.

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