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Remote Rn Insurance Jobs in Toms River, NJ (NOW HIRING)

ZOLL Medical

Patient Service Representative

Toms River, NJ · Remote

$17 - $21.75/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 ...

All JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Toms River, NJ

Remote Rn Insurance information

See Toms River, NJ salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for remote rn insurance in Toms River, NJ is $41.12, according to ZipRecruiter salary data. Most workers in this role earn between $30.67 and $48.65 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 Toms River, NJ? For Remote Rn Insurance jobs in Toms River, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Toms River, NJ look for? The top searched job categories for Remote Rn Insurance jobs in Toms River, NJ are:
What cities near Toms River, NJ are hiring for Remote Rn Insurance jobs? Cities near Toms River, NJ with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Toms River, NJ as of June 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 34% Full Time, 49% Part Time, 14% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $85,528 per year, or $41.1 per hour.
Case Manager Registered Nurse - Field in Middlesex County NJ

Case Manager Registered Nurse - Field in Middlesex County NJ

CVS Health

East Brunswick, NJ • Remote

$66K - $142K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,245 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Case Manager, Registered Nurse (Field-Based) - Middlesex County, NJ

Position Summary

We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Middlesex County and surrounding counties. This is a remote role with up to 75% field travel, Monday-Friday from 8:00 AM-5:00 PM EST.

In this position, you will play a key role in delivering high-quality, costeffective care. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.

Key Responsibilities

  • Conduct in-home, face-to-face assessments for members enrolled in:

    • Managed Long-Term Services and Supports (MLTSS)

    • Dual Special Needs Programs (D-SNP/FIDE)

  • Evaluate member needs and coordinate services such as:

    • Adult/pediatric medical day care

    • Personal care assistant services

    • Nursing facility placement

    • MLTSS program enrollment

  • Partner with members, caregivers, PCPs, and interdisciplinary teams to develop and implement individualized care plans.

  • Authorize services in alignment with program guidelines and support safe transitions of care.

  • Document all case activity accurately and promptly in the electronic health record.

  • Apply strong clinical judgment and critical thinking to manage complex care needs.

  • Mentor new team members once proficiency is achieved.

Required Qualifications

  • Active, unrestricted RN license in New Jersey

  • Comfort conducting fieldbased home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.

  • 3+ years of clinical practice experience

  • 3+ years of experience in home health, hospice, or a similar setting

  • Ability to manage pediatric and medically complex cases

  • Residency in Middlesex County NJ

  • Successful completion of the NJ Choice Certification, including:

    o Minimum exam score of 80%

    o Completion of state training modules

    o Field mentoring component

  • Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

  • Experience with LTSS

  • Case management and/or discharge planning background

  • Managed care experience

  • Familiarity with Medicaid and Medicare

  • Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams)

Education

  • Minimum of an Associate Degree in nursing

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,575.00 - $142,576.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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