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Remote Rn Insurance Jobs in Rochester, NY (NOW HIRING)

Concurrent Review - RN

Rochester, NY · Remote

$69K - $92K/yr

Remote Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN - AI Trainer

Rochester, NY · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Patient Service Representative

Rochester, NY · Remote

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... Valid driver's license and car insurance and/or valid state ID * Willingness to pay a $30 annual ...

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How much do remote rn insurance jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for remote rn insurance in Rochester, NY is $41.68, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $49.33 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 Rochester, NY? For Remote Rn Insurance jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Rochester, NY look for? The top searched job categories for Remote Rn Insurance jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Rn Insurance jobs? Cities near Rochester, NY with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in Rochester, NY as of June 2026, with employment types broken down into 69% Full Time, and 31% Part Time. Highlights an 100% Remote job distribution, with an average salary of $86,696 per year, or $41.7 per hour.
Registered Nurse - Communications Center (Central Triage)

Registered Nurse - Communications Center (Central Triage)

Rochester Regional Health

Rochester, NY • On-site, Remote

Full-time

Posted 29 days ago


Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

258th of 873 rated healthcare providers


Job description

Job Title: Registered Nurse - Communications Center (Central Triage)
Location: Riedman Center/Remote
*IN PERSON TRAINING (4-5 MONTHS)*
*Working from home / hybrid schedule is an option once trained, will be expected to come into the office when needed*
Hours Per Week: 40
Schedule: Days/Evenings/Nights/Weekends (every other weekend + split holidays) 4, 8 or 12 hr shifts
SUMMARY:
As a Registered Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors - going above and beyond to meet their needs with courtesy, kindness, respect and compassion.
RESPONSIBILITIES:
• Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).
• Demonstrates clinical judgment in responding to priority patient needs.
• Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.
Planning:
• Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.
• Includes the interdisciplinary health team as needed.
• Demonstrates effective communication with the patient / family and interdisciplinary team.
Implementation:
• Provides care, treatment and services in collaboration with interdisciplinary health team.
• Maintains an appropriate nurse-patient relationship.
• Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.
• Initiates and documents education plan for the patient and family based on identified learning.
Evaluations:
• Evaluates, communicates and documents patient responses to care.
• Revises plan of care based on ongoing evaluations and updates documentation appropriately.
Education:
• Ensures the patient and family receives / understands education / training specific to their needs and abilities using the teach back method for evaluation and documents appropriately.
Demonstrates Compassion, Leadership and Professionalism:
• Confidently leads the care delivery team through effective communication, collaboration and leadership.
• Assumes responsibility and accountability on the unit / patient care team.
• Demonstrates the ability to work collaboratively with others.
• Demonstrates knowledge of legal aspects of nursing as evidenced by documentation and professional behaviors.
• Delegates appropriate responsibilities to assigned nurses and ancillary staff.
• Demonstrates ability to manage job related stressors and constructive feedback during intra/interdepartmental relations.
• Demonstrates flexibility in meeting staffing needs throughout the organization.
• Participates in problem-solving activities at the unit level by identifying the problem and collaboratively working toward resolution.
• Provides input regarding protocols, policies and procedures to immediate supervisor.
• Provides training / precepting for new team members on the unit.
Performance Improvement / Evidence Based Practice / Research:
• Demonstrates knowledge of evidence-based practice within practice area and identifies opportunities for performance improvement.
• Participates and utilizes the performance improvement process to improve clinical practice.
• Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.
Compliance
• Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.
• Completes mandatory in-services and health screens in timely manner.
• Maintains Basic Life Support (BLS) certification.
REQUIRED QUAILFICATIONS
• Diploma or Associate's Degree in Nursing required; Bachelor's Degree in Nursing preferred.
• Registered Nurse license in New York State.
• Basic Life Support (BLS) certification
• 3 years RN experience minimum
PREFERRED QUALIFICATIONS
• Prior experience pediatrics, adult medicine and triage strongly preferred.
EDUCATION:
AS: Nursing (Required)
LICENSES / CERTIFICATIONS:
BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)
PHYSICAL REQUIREMENTS:
M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$35.34 - $47.13
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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