ZipRecruiter

Log In

2

Remote Rn Insurance Jobs in Wheeling, WV (NOW HIRING)

All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Wheeling, WV

Remote Rn Insurance information

See Wheeling, WV salary details

$7

$42

$71

How much do remote rn insurance jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for remote rn insurance in Wheeling, WV is $42.08, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $49.81 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 Wheeling, WV? For Remote Rn Insurance jobs in Wheeling, WV, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Wheeling, WV look for? The top searched job categories for Remote Rn Insurance jobs in Wheeling, WV are:
What cities near Wheeling, WV are hiring for Remote Rn Insurance jobs? Cities near Wheeling, WV with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Wheeling, WV as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 25% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,534 per year, or $42.1 per hour.

Part-time Clinical Specialist

Gateway Rehabilitation Center Corp HQ

Washington, PA • Remote

Other

Posted 11 days ago

Job description

Description

ATTENTION! $2,500 SIGN-ON BONUS!  THIS IS A PART-TIME POSITON WORKING UP TO 20 HOURS PER WEEK!


Gateway Rehab is searching for a home-based Part-time Clinical Admissions Specialist who is responsible for pre-admission level of care assessment and case management of patients. This position is remote, but the ideal candidate must live in the Pittsburgh, PA region. This position receives infrequent supervision and instruction.  Available shifts include every Sunday and evenings.  


Responsibilities

  • Acts as an initial point of contact to potential patients and referral sources. 
  • Offers support to family members, potential patients and referral sources. 
  • Completes clinical assessments to help determine level of care based on ASAM criteria. 
  • Uses motivational interviewing skills to further complete evaluation. 
  • Consults with management as needed to determine medical and/or psychiatric appropriateness. 
  • Uses DSM-5 guidelines for diagnostic criteria. 
  • Coordinates admissions to inpatient treatment between various locations by communicating with multiple departments. 
  • Coordinates transfers from satellite sites and/or other facilities (such as hospitals, jails, and other D&A providers). 
  • Schedules outpatient evaluations as needed. 
  • Completes initial inpatient precertification requests with funding sources and ensures all needed documentation is complete. 
  • Completes peer to peer reviews as needed.
  • Acts as a liaison with UR staff and enters authorization information into patient database. 
  • Acts as a resource to staff regarding county funded, managed care, and commercial insurance procedures.
  • Responds to and provides case management services to referral sources. 

Knowledge, Skills, and Abilities

  • Computer proficiency with working knowledge of Word, Excel, and use of e-mail.
  • Excellent verbal and written communication skills and organizational skills.
  • Familiarity with drug and alcohol/mental health treatment and/or managed care processes required.
  • General understanding of ASAM criteria.  
  • Ability to multi-task 
  • Excellent time management skills.  



Requirements

  • Bachelor's Degree. 
  • Experience conducting assessments and evaluations.

Preferred Requirements

  • Master's Degree and/or Registered Nurse with current PA licensure

Additional Requirements:

  • Pass PA Criminal Background Check.
  • Obtain Child Abuse and FBI Fingerprinting Clearances. 
  • Pass Drug Screen. 
  • 2-Step TB Test.

Work Conditions

  • Evenings and weekends as needed
  • Home-based
  • Minimal physical demands
  • Significant mental demands include those associated with working with patients with addictive disorders and managing multiple tasks.

GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.  

Apply