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Remote Rn Insurance Jobs in Pittsburgh, PA (NOW HIRING)

POCKET NURSE

Digital Media Coordinator

Monaca, PA · On-site +1

... Nurse provides solutions and services that create hands-on learning experiences for the next ... remote work schedules. * Company-paid life insurance and short-term disability insurance.

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All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Pittsburgh, PA

Remote Rn Insurance information

See Pittsburgh, PA salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote rn insurance in Pittsburgh, PA is $41.01, according to ZipRecruiter salary data. Most workers in this role earn between $30.58 and $48.56 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 the most commonly searched types of Rn Insurance jobs in Pittsburgh, PA?

The most popular types of Rn Insurance jobs in Pittsburgh, PA are:

What are popular job titles related to Remote Rn Insurance jobs in Pittsburgh, PA?

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

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

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

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

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

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $85,303 per year, or $41 per hour.

Client Success Associate - Remote

Care Options for Kids

Pittsburgh, PA • On-site, Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago

Job description

At Care Options for Kids, we are committed to providing the highest quality of service, delivering excellence in everything we do, and maintaining integrity in every interaction.
The Client Success Associate is responsible for managing the end-to-end referral and admission process for patients requiring private duty nursing services in the home. This role ensures timely, accurate, and compliant intake operations while serving as a key liaison among referral sources, patients and families, clinical teams, and payers.
Client Success Associate responsibilities include, but are not limited to:
  • Receive and manage incoming referrals from hospitals, physicians, case managers, managed care organizations, and community partners.
  • Coordinate and manage all new patient intakes from referral through admission and service activation.
  • Review referral documentation for completeness and accuracy, and enter all required information into the EMR.
  • Verify patient eligibility, benefits, and insurance coverage, including Medicaid and commercial insurance plans.
  • Obtain, submit, and track authorization requests and Single Case Agreements from initiation through execution.
  • Serve as the primary point of contact for patients, families, and referral sources regarding services, rates, admission status, and available community resources.
  • Maintain ongoing communication and provide timely updates to referral sources, families, and internal team members regarding intake status and service readiness.
  • Ensure compliance with agency policies, regulatory requirements, payer guidelines, and documentation standards.
  • Complete assigned Intake Workflow tasks within the EMR and identify opportunities to improve intake processes and operational efficiency.
  • Track and maintain accurate intake records, metrics, and reporting data to support departmental performance goals.

Qualifications:
  • Associate degree required; bachelor's degree preferred.
  • Minimum of two years of experience in healthcare intake, admissions, care coordination, home health, private duty nursing (PDN), or managed care preferred.
  • Knowledge of insurance verification, authorization processes, Medicaid programs, managed care organizations, Single Case Agreements, and health plans related to PDN services preferred.
  • Strong organizational, communication, and interpersonal skills.
  • Proficiency with EMR systems and Microsoft Office applications, including Outlook and Excel.
  • Ability to communicate effectively in English, both verbally and in writing; bilingual skills are a plus but not required.
  • Ability and willingness to travel occasionally (up to 10%) for team meetings, training, conferences, and other business-related events as needed.
Care Options for Kids offers benefits to variable paid employees based on certain measurement periods. These benefits are available to eligible employees and are designed to support the health and well-being of you and your family.
Location:Remote in Pennsylvania, New Jersey or Delaware
Wage:$23.00 to $25.00/hour
Benefits include:
  • Paid time off
  • Medical, dental and vision
  • 401K
  • Other voluntary products

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