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Remote Rn Insurance Jobs in Worcester, MA (NOW HIRING)

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

$29.11 - $34.11/hr

Case Management Certification CCM preferred Requires an RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote position previously. Must have case management ...

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

$29.11 - $34.11/hr

Case Management Certification CCM preferred Requires an RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote position previously. Must have case management ...

DataAnnotation

RN

Worcester, MA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Lancesoft

Licensed Vocational Nurse - LPN

Woonsocket, RI · On-site +1

$26 - $28.50/hr

Remote Est. Pay Range: $26.00/hr. To $28.50/hr. Schedule: Work hours vary from 8AM to 8PM CST ... Critical Illness Insurance * Voluntary Permanent Life Insurance * Accident Insurance * Other ...

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Remote Rn Insurance information

See Worcester, MA salary details

$7

$42

$71

How much do remote rn insurance jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote rn insurance in Worcester, MA is $42.15, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $49.90 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 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 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 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 Worcester, MA? For Remote Rn Insurance jobs in Worcester, MA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Worcester, MA look for? The top searched job categories for Remote Rn Insurance jobs in Worcester, MA are:
What cities near Worcester, MA are hiring for Remote Rn Insurance jobs? Cities near Worcester, MA with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Worcester, MA as of May 2026, with employment types broken down into 73% Full Time, 16% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,676 per year, or $42.2 per hour.
Remote opportunity for MTM Nurse (RN): Fully Remote

Remote opportunity for MTM Nurse (RN): Fully Remote

Lancesoft

Woonsocket, RI • On-site, Remote

$30 - $35/hr

Full-time

Posted 16 days ago

Job description

Job Description
Job Description:
Job ID: 26-68721
Job Title: "Healthcare Consultant I - MTM Ops Nurse"
Estimated Length of Assignment: 3+ Months (with possible extension)
(The dates provided are only an estimate and not a guarantee)
Est. Pay Range: $30.00/hour -$34.13/Hour on W2 (USD) (all inclusive)
Work Type: Fully remote
Location: Fully remote (Never coming Onsite)
Schedule: Hiring for a M-F 8 hour shift starting for 9: 00AM ET / 8: 00 AM CT. Training will be 8: 00a-4: 30p CT
*WFH - Must be located in a participating, Compact Licensure state and have an active, in good standing nurse license in that state.
States to be excluded: California, New York, Illinois, Massachusetts (awaiting implementation) Michigan, Minnesota, Alaska and Hawaii.
MUST HAVE:
Top Three Skills:
1. MTM Delivery Experience (Depth Matters)
- Hands on experience delivering telephonic comprehensive medication reviews
- Ability to identify, document, and resolve medication related problems
- Experience communicating recommendations to prescribers
2. Compact RN Licensure + State Eligibility
- Active RN license in a Compact Licensure state
- Ability to legally practice telephonically across states
3. Call Center / Telephonic Patient Engagement
- Comfort handling back to back inbound/outbound calls
- Strong documentation while on calls
- Behavioral interviewing / motivational interviewing skills
Duties:
1. Perform telephonic comprehensive medication reviews, which includes but is not limited to ensuring a complete medication reconciliation is completed and performing clinical assessments on applicable conditions for each targeted member.
2. Identify, document, and facilitate resolution of identified medication related problems.
3. Create a written summary (patient takeaway) of each member interaction written at an appropriate level of health literacy.
4. Create faxed materials intended for prescriber offices to facilitate resolution to medication related problems.
5. Build and maintain positive relationships with internal and external customers including physicians, pharmacists, nurses and coordinators.
6. Other responsibilities as directed by supervisor and/or manger.
Experience:
Required:
Associate's Degree in Nursing AND Compact Licensure in State of Practice
• 2 years minimum of related practice experience
Applicant must reside and have an active nurse license in Compact Licensure State.
Preferred:
Bachelor's Degree in Nursing
Case Care Management Certificate
Previous experience delivering MTM, specifically using the Outcomes MTM Connect platform.
Strong clinical knowledge and understanding of chronic diseases, preventative care, guideline driven recommendations, and health promotion.
Basic computer skills and proficiency with Microsoft Office products.
Strong organizational skill, interpersonal skills, and detail orientated.
Experience maintaining focus and meeting goals in a work from home environment.
Previous call center experience
Position Summary:
Medication Therapy Management supports the company vision to help people on their path to better health by performing MTM for members at the highest-risk of having medication related problems. The team of clinicians, technicians, and coordinators work together to identify problems and coordinate care to facilitate resolution to ensure each member is on an optimized medication regimen to help them reach their health-related goals.
The role of the MTM Nurse is to deliver telephonic medication therapy management (MTM). Effective delivery of this CVS Health telephonic based MTM service directly results in improved member care through the identification of medication related problems followed by the coordination of the resolution to these problems. This is accomplished by telephonically performing medication reconciliations with high-risk members and communicating (both verbally and written) medication related problems to members, caregivers, and prescribers. The MTM Nurse interacts successfully with patients, prescribers, nurse case managers, clients, and internal resources to identify member-specific treatment plans based on nationally recognized treatment guidelines to help the member attain their health-related goals and help them on their path to better health. Nurses will also be trained to use the innovative skill of behavioral modification and interviewing, which are key drivers to positively impact patient health outcomes.
Education:
Required: Associate's Degree in Nursing AND Compact Licensure in State of Practice
Meet Your Recruiter
Vikas Jain
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About LanceSoft

Sourced by ZipRecruiter

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Herndon, VA, US

Year founded

2000

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