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Remote Rn Insurance Jobs in Suffolk, VA (NOW HIRING)

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Remote Rn Insurance information

See Suffolk, VA salary details

$7

$40

$68

How much do remote rn insurance jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for remote rn insurance in Suffolk, VA is $40.19, according to ZipRecruiter salary data. Most workers in this role earn between $29.95 and $47.55 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 Suffolk, VA?

For Remote Rn Insurance jobs in Suffolk, VA, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Suffolk, VA look for?

The top searched job categories for Remote Rn Insurance jobs in Suffolk, VA are:

What cities near Suffolk, VA are hiring for Remote Rn Insurance jobs?

Cities near Suffolk, VA with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Suffolk, VA as of September 2026, with employment types broken down into 2% As Needed, 67% Full Time, 17% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,589 per year, or $40.2 per hour.

Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia

Norfolk, VA • Remote

Sentara Health
Hospitals • 10K+ employees
Learn more about Sentara Healthexternal

$10K/mo

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is remote in Virginia, with a travel expectation of 1x a month to Sentara Park 1330 in Virginia Beach, VA for candidates residing in the Hampton Roads area.
Job Responsibilities:
  • Medical Policy Research Specialist is responsible for ongoing identification and research of medically evidence-based clinical technologies that form the basis for clinical decision-making, medical policy and benefit development and determination.
  • Will maintain the database of clinical criteria, ensure technology and policy reviews are reviewed on an annual and ongoing basis to meet Federal, State and Accreditation Standards.
  • Will be proficient with the Healthcare Industry's changing National Guidelines, new medical treatments, and devices, and will compile information for the Plan related to clinical indications and use of the technology, alternative technologies that address these same indications, and clinical outcomes expected given the use of the technology.
  • Will perform a comprehensive clinical literature review, obtain legal and regulatory status of the technology, review Federal, State, and local coverage determinations, and identify current coverage policies and procedures.
  • Collaborates with Medical Directors and teams on clinical guideline/medical policy/regulatory guidance updates.

Education:
  • BLD - Bachelor's Level Degree in Nursing REQUIRED

Certificate/Licenses:
  • Active RN in VA or Compact/Multistate REQUIRED

Experience:
  • Related experience in clinical criteria coverage- 3 years REQUIRED
  • Managed Care - 3 years REQUIRED
  • Knowledge of medical policy, emerging technology, and analysis of emerging evidence REQUIRED
  • Familiarity with primary clinical literature, clinical guidelines and/or medical policies.
  • Working knowledge of PubMed and literature search methodology.
  • Experience with Imaging/Radiology preferred
  • Experience with policy writing process preferred
  • The ability to assimilate and work through data sets preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search:JR-104961
Talroo-Nursing
Keywords: Managed Care, MCO, Health Insurance, Health Plan, Healthcare, Medical Policy, Research, Registered Nurse, RN, Nursing, Bachelor's, BSN,
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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