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

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Post- Acute Care Clinical Navigator (RN) manages the timely and smooth transition from ... health insurance operations (e.g. networks, eligibility, benefits). * Must be able to meet ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... health insurance operations (e.g. networks, eligibility, benefits). * Must be able to meet ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... health insurance operations (e.g. networks, eligibility, benefits). * Must be able to meet ...

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All JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Pasadena, MD

Remote Rn Insurance information

See Pasadena, MD salary details

$7

$42

$73

How much do remote rn insurance jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for remote rn insurance in Pasadena, MD is $42.88, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $50.77 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance Nurse, and why are they important?

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 Pasadena, MD? For Remote Rn Insurance jobs in Pasadena, MD, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Pasadena, MD look for? The top searched job categories for Remote Rn Insurance jobs in Pasadena, MD are:
What cities near Pasadena, MD are hiring for Remote Rn Insurance jobs? Cities near Pasadena, MD with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Pasadena, MD as of June 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 36% Full Time, 47% Part Time, 14% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $89,198 per year, or $42.9 per hour.

Clinical Documentation Specialist RN

Johns Hopkins Medical Management Corporation

Baltimore, MD • On-site, Remote

$60/hr

Temporary

Posted 22 days ago

Job description

Overview
Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a large organization. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians and allied health professionals in the world. Directly or indirectly, you'll have exposure to cutting-edge technology and groundbreaking medical research.
CD RN (Clinical Documentation Specialist)-Level 2
The Clinical Documentation Specialist (CDS) is responsible for distributing documentation
information to respective departments; performing educational outreach to individual units and
provider groups along with the CDS assigned to those units; supports training of new staff
members; and the design and development of educational tools for staff and Providers. This role
facilitates the improvement in the overall quality and completeness of concurrent medical
record documentation to help achieve accurate inpatient coding, APR-DRG assignment, severity
level and reimbursement. This role functions as subject matter liaison, leads and manages
documentation improvement initiative, serves on internal hospital committees. CDS will obtain
appropriate documentation through interactions with physicians and collaboration with other
departments. Additional responsibilities as assigned
Shift/hours: Mon - Fri, 8:00am-5:00pm EST **Must work these hours/log on during this time frame - EST**
Location: 100% Remote (EST hours)
Payrate- $60 hourly
Responsibilities
Knowledge:
Comprehensive knowledge of anatomy, physiology, as defined by the Medical Diagnostic Categories and all body systems.
Strong background knowledge of disease processes and pharmacology.
College-level knowledge of Medical Terminology.
Complete and thorough understanding of the unique functions of each clinical area.
Requires in-depth knowledge of clinical coding processing and documentation standards,guidelines, policies, and procedures.
Must be conversant in clinical documentation improvement.
High level of proficiency in adult education and training
Thorough understanding of Hospital bylaws and Joint Commission standards related to departmental activities.
Clinical pertinence requirements and proficiency in abstraction and data entry into all the database systems used for clinical documentation.
Must be able to read and interpret electronic and manual documentation generated by healthcare professionals.
Requires understanding of HSCRC, Maryland Quality Improvement Programs and CMI impact on hospital budget
Knowledge of Healthcare Insurance Portability and Accountability Act (HIPAA)
Skills:
Must be conversant in: ICD-10-CM, APRDRGs, DRGs
Strong interpersonal, communication (verbal, non-verbal, and listening) skills.
An understanding of adult learning theory, instructional design, and critical thinking
Operating at competent level with, but not limited to: Microsoft Office Suite, web-browsers,email, electronic health records, online collaboration software, virtual meeting applications
Strong interpersonal skills and ability to effectively communicate with team members
Ability to work in a dynamic, team-oriented environment
Ability to work independently and be self-directed
Ability to work under pressure to meet submission, project, and reporting deadlines
Ability to work in a fast-paced academic teaching hospital
Qualifications
Education:
Requires successful completion of:
Baccalaureate degree, or associates degree, or diploma in nursing from an accredited school of Nursing OR
successful completion of an AMA approved Physician Assistant program, OR
successful completion of the academic requirements of Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)
Required:
Active RN License
EPIC experience
(12) months current RN experience in similar role in MD or nationally using MSDRG.
Medicare Coding regulations 2024
Requires a minimum of 3 years Registered Nurse clinical experience in similarly complex acute care setting. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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