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

... 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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Remote Rn Insurance information

See Pittsburgh, PA salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Jul 23, 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 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 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:
Infographic showing various Remote Rn Insurance job openings in Pittsburgh, PA as of July 2026, with employment types broken down into 1% As Needed, 68% Full Time, 23% Part Time, 1% Temporary, and 7% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $85,303 per year, or $41 per hour.
Physician (Community Living Center Director)

Physician (Community Living Center Director)

Veterans Health Administration

Pittsburgh, PA • On-site, Remote

$236K - $335K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Veterans Health Administration rating

8.1

Company rating: 8.1 out of 10

Based on 995 frontline employees who took The Breakroom Quiz

68th of 889 rated healthcare providers


Job description

Summary
This position is eligible for the Education Debt Reduction Program EDRP, a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
Learn more about this agency
Duties
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Major Duties and Responsibilities:
Administrative and Program Oversight
  • Provides strategic and clinical leadership for the CLC, including post-acute and long-term care services
  • Leads and supports readiness for VA and external regulatory surveys, ensuring ongoing compliance with accreditation and performance standards
  • Partners with nursing and administrative leadership to drive program development, innovation, and continuous quality improvement
  • Participates in and/or leads multidisciplinary committees, including but not limited to:
    • Quality Assurance and Performance Improvement (QAPI)
    • Age-Friendly Health System initiatives
    • Infection Control
    • Other quality improvement and Whole Health initiatives aimed at enhancing care delivery
  • Monitors clinical quality metrics, patient safety indicators, and performance outcomes
  • Ensures compliance with VA policies, directives, and clinical practice standards

Supervisory Responsibilities
  • Ensure sufficient provider (physician and certified registered nurse practitioner) coverage
  • Supervises a team of up to 10 medical providers (physician and certified registered nurse practitioner) within the CLC
  • Promotes a culture of accountability, professionalism, and continuous learning within the provider team
  • Conducts Focused and Ongoing Professional Practice Evaluations (FPPE/OPPE) and annual performance evaluations
  • Provides clinical oversight, mentorship, and support to providers
  • Manages workload distribution and monitors productivity in alignment with VA expectations
  • Addresses performance concerns and implements corrective actions in accordance with VA policies

Clinical Duties
  • Provides direct patient care, including routine rounds on CLC residents
  • Leads coordination of comprehensive, interdisciplinary care for Veterans with complex medical, functional, cognitive, and psychosocial needs.
  • Coordinates care across the continuum, including:
    • Acute inpatient units
    • Emergency departments
    • External long-term care and rehabilitation facilities
    • Specialty care services
  • Reviews consults and facilitates admissions to:
    • Short-stay neighborhoods (Skilled Nursing, Skilled Rehabilitation, Intensive Rehabilitation Program)
    • Long-term care and transitional care neighborhoods
    • Locked memory care neighborhood
    • Hospice neighborhood
  • Ensures safe transitions of care and continuity of services for Veterans
  • Oversee collaboration and ongoing clinical case review for the Southwestern Veterans Home

Call Responsibilities
  • The CLC partners with the National Tele-MOD program to provide first-call coverage during evenings, nights, weekends, and holidays
  • The CLC Medical Director participates in a rotating call schedule with other CLC physicians, providing second-call/backup coverage as needed

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Recruitment/Relocation Incentive (Sign-on Bonus): Authorized for highly qualified candidates in accordance with VA policy.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHAVISN04HREDRP@va.gov, the EDRP Coordinator for questions/assistance
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage providedContract: No Physician Employment Contract and no significant restriction on moonlighting
Work Schedule: Monday - Friday, 8a-4:30p with rotational call after hours
Requirements
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Conditions of employment
  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • You may be required to serve a probationary period.
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications
To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.
Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Degree of doctor of medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
  • Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
  • Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are:
    • (1) Those approved by the accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR
    • (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR
    • (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the Physician to an appropriate range of patient care experiences.
    • Exceptions:
      • Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs.
      • In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.
  • Proficiency in spoken and written English.

Additional Requirement: Must be board certified in Internal Medicine/Family Medicine
Preferred Experience:
  • Fellowship training in Geriatrics strongly preferred
  • Certified Medical Director (CMD) certification is preferred
  • Demonstrated leadership experience in a post-acute and long-term care (PALTC) setting (3-5 years preferred)
  • Experience leading quality improvement, regulatory readiness, or interdisciplinary teams preferred

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service.
Education
Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:
  1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
  2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
  3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.
Additional information
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whethe

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About Veterans Health Administration

Sourced by ZipRecruiter

The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US