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

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

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

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

Registered Nurse - AI Trainer

Worcester, MA · 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 ...

DataAnnotation

RN - AI Trainer

Worcester, MA · 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 ...

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Showing results 1-20

All JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Worcester, MA

Remote Rn Insurance information

See Worcester, MA salary details

$7

$42

$71

How much do remote rn insurance jobs pay per hour?

As of Jun 20, 2026, the average hourly pay for remote rn insurance in Worcester, MA is $42.09, 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 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 June 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,551 per year, or $42.1 per hour.

RN - Case Management / Clinical Documentation Specialist (Remote) - RNCM 0608 IS#01

NavitasPartners

Worcester, MA • Remote

$57 - $61/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Job Title: RN - Case Management / Clinical Documentation Specialist (Remote)
Location: Remote (Based out of Massachusetts)
Schedule: Day Shift | 32 Hours per Week
Shift Timing: 7:00 AM - 3:30 PM
Weekend/Holiday Requirement: Rotating weekends and occasional holidays

Position Summary

We are seeking an experienced Registered Nurse (RN) Clinical Documentation Specialist to support clinical documentation improvement (CDI) initiatives in a fully remote environment. This role is responsible for reviewing patient medical records to ensure accurate and complete clinical documentation, reflecting severity of illness and appropriate reimbursement.

The ideal candidate will have strong clinical knowledge, experience with electronic medical records, and the ability to collaborate effectively with physicians and interdisciplinary teams.

Key Responsibilities
  • Conduct thorough and timely reviews of medical records to ensure accurate clinical documentation
  • Identify opportunities for documentation improvement and initiate appropriate queries
  • Communicate effectively with physicians and clinical staff to clarify documentation
  • Collaborate with Health Information Management (HIM) and nursing teams to resolve discrepancies
  • Ensure accurate data entry and maintenance within the electronic medical record system
  • Participate in CDI initiatives, team meetings, and ongoing education efforts
  • Provide follow-up on documentation queries to ensure timely resolution
  • Support compliance with regulatory requirements and documentation standards
  • Maintain high standards of service excellence when interacting with internal stakeholders
  • Manage multiple priorities in a fast-paced, remote work environment
Required Qualifications
  • Current Registered Nurse (RN) license in Massachusetts
  • Certified Clinical Documentation Specialist (CCDS) or CDI certification required
  • Prior experience working fully remotely
  • Experience with Epic Electronic Medical Records system
  • Minimum of recent acute care experience (ICU, CCU, or strong Med/Surg) OR 4 years of recent Case Management experience
  • Strong knowledge of pathophysiology and disease processes
  • Understanding of Medicare Part A & B guidelines and DRG impact
  • Familiarity with regulatory healthcare requirements
  • Strong analytical, critical thinking, and problem-solving skills
  • Excellent written and verbal communication skills
  • Ability to work independently and manage multiple tasks effectively
Preferred Qualifications
  • Bachelor of Science in Nursing (BSN)
  • Previous leadership or supervisory experience
  • Experience in Clinical Documentation Improvement programs
Key Competencies
  • Strong organizational and time management skills
  • High attention to detail and accuracy
  • Effective interpersonal and negotiation skills
  • Self-motivated and dependable with a proactive approach
  • Ability to collaborate with cross-functional teams in a remote setting
Work Environment
  • Fully remote role with structured daytime schedule
  • Requires a dedicated workspace and ability to work independently
  • Equipment and system access will be provided as per organizational policy

For more details reach at Aditi.sharma@navitashealth.com or Call / Text at 516-587-6677.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.

Apply