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Rn Insurance Assessment Jobs (NOW HIRING)

RN

Assessment Registered Nurse - MLTC

Syracuse, NY · On-site

$80K - $100K/yr

Nascentia Health Options seeks a compassionate and detail-oriented Registered Nurse to join our team as an Assessment RN. In this role, you will assess prospective enrollees and existing members to ...

RN

Assessment Registered Nurse - MLTC

Binghamton, NY

$80K - $100K/yr

Nascentia Health Options seeks a compassionate and detail-oriented Registered Nurse to join our team as an Assessment RN. In this role, you will assess prospective enrollees and existing members to ...

RN

Assessment Registered Nurse - MLTC

Syracuse, NY · On-site

$80K - $100K/yr

Nascentia Health Options seeks a compassionate and detail-oriented Registered Nurse to join our team as an Assessment RN. In this role, you will assess prospective enrollees and existing members to ...

RN

Assessment Registered Nurse - MLTC

Syracuse, NY

$80K - $100K/yr

Nascentia Health Options seeks a compassionate and detail-oriented Registered Nurse to join our team as an Assessment RN. In this role, you will assess prospective enrollees and existing members to ...

RN

Weekend Registered Nurse

Syracuse, NY · On-site

$192 - $384/day

Follow plan of care based on client assessment and OASIS evaluation. * Ensure that all ... Answer inquiry calls from clients, families, physician offices, community agencies and insurance ...

RN

Registered Nurse, Start of Care

Rome, NY · On-site

$75.25K - $87.14K/yr

Responsibilities include determination of appropriateness for home care, overall assessment ... insurance, and a vehicle which can be used for work. 4. Self-directed and organized with the ...

RN

Weekend Registered Nurse

Syracuse, NY

$192 - $384/day

Follow plan of care based on client assessment and OASIS evaluation. * Ensure that all ... Answer inquiry calls from clients, families, physician offices, community agencies and insurance ...

RN

Registered Nurse, Pediatrics

Syracuse, NY

$75.25K - $87.14K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse, Pediatrics

Rome, NY

$75.25K - $87.14K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Weekend Registered Nurse

Syracuse, NY

$192 - $384/day

Follow plan of care based on client assessment and OASIS evaluation. * Ensure that all ... Answer inquiry calls from clients, families, physician offices, community agencies and insurance ...

RN

Registered Nurse Residency Program

Syracuse, NY · On-site

$72.42K - $83.99K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse Residency Program

Rome, NY

$72.42K - $83.99K/yr

... clinical care, assessment, education, and care coordination. Youll be trusted, valued, and ... Valid drivers license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse Residency Program

Syracuse, NY

$72.42K - $83.99K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse, Start of Care

Rome, NY

$75.25K - $87.14K/yr

Responsibilities include determination of appropriateness for home care, overall assessment ... insurance, and a vehicle which can be used for work. 4. Self-directed and organized with the ...

RN

Registered Nurse, Start of Care

Rome, NY

$75.25K - $87.14K/yr

Responsibilities include determination of appropriateness for home care, overall assessment ... insurance, and a vehicle which can be used for work. 4. Self-directed and organized with the ...

RN

Registered Nurse Residency Program

Rome, NY

$72.42K - $83.99K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse, Pediatrics

Rome, NY

$75.25K - $87.14K/yr

... clinical care, assessment, education, and care coordination. Youll be trusted, valued, and ... Valid drivers license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse, Case Manager

Rome, NY · On-site

$75.25K - $87.14K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse, Case Manager

Rome, NY

$75.25K - $87.14K/yr

... clinical care, assessment, education, and care coordination. Youll be trusted, valued, and ... Valid drivers license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

RN

Registered Nurse, Case Manager

Oswego, NY

$75.25K - $87.14K/yr

... clinical care, assessment, education, and care coordination. You'll be trusted, valued, and ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...

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$13

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How much do rn insurance assessment jobs pay per hour?

As of May 31, 2026, the average hourly pay for rn insurance assessment in the United States is $37.98, according to ZipRecruiter salary data. Most workers in this role earn between $27.16 and $42.07 per hour, depending on experience, location, and employer.

What Are RN Insurance Assessment Jobs?

In an RN insurance assessment job, your duties include patient interaction, health care assessment, community education, and medical treatment and claims review. Titles include working as an RN insurance assessor, long term care assessor, Medicare wellness specialist, and UAS RN. Your responsibilities vary depending on your specific position. You may help patients understand their treatment options or health care plans, assess what types of treatments your patients need or are eligible for, and review loss claims on behalf of the insurance company.

What are the key skills and qualifications needed to thrive as an RN Insurance Assessment nurse, and why are they important?

To thrive as an RN Insurance Assessment nurse, you need a valid RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with electronic medical record (EMR) systems, insurance guidelines, and coding tools like ICD-10 is typically required. Excellent communication, critical thinking, and attention to detail are crucial soft skills for accurately evaluating medical information and collaborating with both patients and insurance teams. These skills ensure precise assessments, compliance with regulations, and effective coordination of care and benefits for clients.

What are some common challenges faced by RNs conducting insurance assessments, and how can these be managed?

RNs in insurance assessment roles often encounter challenges such as gathering accurate and complete patient information remotely, navigating complex policy requirements, and balancing workload with timely report submission. To manage these challenges, it's important to develop strong communication skills for effective patient interviews, stay updated on regulatory and policy changes, and utilize available digital tools to streamline documentation. Collaboration with other healthcare professionals and insurance teams also helps ensure assessments are thorough and compliant.

What are RN Insurance Assessments?

RN Insurance Assessments are evaluations conducted by registered nurses (RNs) on behalf of insurance companies to determine a client's health status, care needs, and eligibility for certain benefits or coverage. These assessments often involve reviewing medical records, interviewing clients, and documenting findings to help insurers make informed decisions about claims or policy approvals. RNs use their clinical expertise to ensure accurate and fair evaluations, which play a crucial role in the insurance decision-making process.

What is the difference between Rn Insurance Assessment vs Rn Case Manager?

AspectRn Insurance AssessmentRn Case Manager
CertificationsRN license, insurance assessment trainingRN license, case management certification
Work EnvironmentInsurance companies, telehealth, home assessmentsHospitals, clinics, insurance companies
Primary FocusEvaluating medical claims for insurance purposesCoordinating patient care and services

Rn Insurance Assessment specialists focus on evaluating medical claims and determining insurance coverage, often working in insurance companies or remotely. Rn Case Managers coordinate ongoing patient care, working closely with healthcare providers and patients. While both roles require an RN license and related certifications, their daily tasks and work environments differ significantly, with insurance assessments centered on claims evaluation and case management on patient care coordination.

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What cities are hiring for Rn Insurance Assessment jobs? Cities with the most Rn Insurance Assessment job openings:
What are the most commonly searched types of Rn Insurance Assessment jobs? The most popular types of Rn Insurance Assessment jobs are:
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Rn Insurance Assessment jobs near you
Infographic showing various Rn Insurance Assessment job openings in the United States as of May 2026, with employment types broken down into 3% As Needed, 60% Full Time, 14% Part Time, and 23% Contract. Highlights an 94% Physical, and 6% Remote job distribution, with an average salary of $79,003 per year, or $38 per hour.

Assessment Registered Nurse - MLTC

RN

Syracuse, NY • On-site

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Job description

*** THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS (restrictions may apply) *** We have a fleet vehicle program available that supports this clinical role!
Nascentia Health Options seeks a compassionate and detail-oriented Registered Nurse to join our team as an Assessment RN. In this role, you will assess prospective enrollees and existing members to determine plan eligibility and develop person-centered care plans that support long-term health and independence. You will be a key liaison between members, families, and care teams, ensuring services align with regulatory requirements and individual care needs. This is a full-time role that supports business schedule of Monday through Friday from 8am- 4:30pm.
Performance Responsibilities and Standards:
  • Conduct in-home and virtual assessments of prospective and current health plan members.
  • Evaluate clinical needs, functional and behavioral health status, and social determinants of health using UAS-NY and other assessment tools.
  • Educate members, families, and caregivers on plan benefits, rights, responsibilities, and services.
  • Develop person-centered service plans that identify unmet needs and recommend appropriate supports and services.
  • Use motivational interviewing and active listening to understand member goals and build trust.
  • Review member materials, including handbooks, provider directories, and covered services.
  • Maintain detailed documentation in the electronic medical record (EMR) and follow internal quality protocols.
  • Communicate and coordinate with care managers, providers, and other interdisciplinary team members.
  • Ensure all assessment activities comply with DOH and Medicaid Managed Long-Term Care (MLTC) regulations.
  • Attend staff meetings, trainings, and participate in departmental quality improvement initiatives.
  • Serve as a professional representative of Nascentia Health Options in the community.
  • Meet or exceed productivity and scheduling standards.

Qualifications:
  • License: Registered Nurse (RN) licensed and in good standing in New York State
  • Education: Associate degree in Nursing required; BSN preferred
  • Experience:
    • Minimum 1 year of nursing experience preferred
    • Experience with UAS-NY assessments strongly preferred
    • Knowledge of long-term care, home care, Medicaid/Medicare preferred
  • Skills:
    • Strong verbal and written communication skills
    • Proficiency in Microsoft Office and ability to learn EMR systems
    • Independent, detail-oriented, and able to manage a flexible schedule
    • Bilingual abilities a plus
  • Other:
    • Valid NYS driver's license and reliable transportation
    • Ability to drive and work in various environmental and weather conditions

Work Environment & Physical Requirements:
  • Hybrid role: Primarily home-based with required in-home member visits and occasional in-office meetings
  • Must be able to sit, walk, stand, drive, and perform data entry throughout the day
  • Ability to lift up to 20 lbs frequently and up to 50 lbs occasionally
  • Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
  • Requires sensory acuity for communication, observation, and documentation

Compensation & Benefits:
Competitive Salary
This is a per-visit position with an estimated annualized range of $80,000-$100,000+, based on visit volume*.
*Actual compensation will vary depending on the number of completed visits per pay period. A minimum average of 20 visits per pay period is required to maintain full-time status.
  • $15,000 sign-on bonus ** (restrictions may apply)
  • Retention bonuses
  • 401k with generous Employer match
  • Medical, Dental, Vision plans
  • Tuition Reimbursement for BSN after 6 months of employment
  • Exceptional work/life balance - no rotating shifts, holidays or weekends
  • Partially funded HSA
  • Employee Recognition Platform
  • Paid Time Off, Holidays, and Extended Sick Leave
  • Short/Long term Disability
  • Employee Assistance Program (EAP)
  • Much More!

About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen

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