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Rn Insurance Assessment Jobs in Raleigh, NC (NOW HIRING)

Lifepoint Health

Assessment Specialist, RN

Raleigh, NC · On-site

Assessment Specialist, RN Schedule: Full-time, 7a-7:30p Your experience matters Triangle Springs is ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...

thrivespc

Registered Nurse

Raleigh, NC

This assessment will include a complete systems review, safety assessment, nutritional evaluation ... Insures an adequate stock of supplies and proper functioning of equipment. * Completes ...

thrivespc

Registered Nurse

Raleigh, NC

This assessment will include a complete systems review, safety assessment, nutritional evaluation ... Insures an adequate stock of supplies and proper functioning of equipment. * Completes ...

thrivespc

Registered Nurse

Raleigh, NC · On-site

This assessment will include a complete systems review, safety assessment, nutritional evaluation ... Insures an adequate stock of supplies and proper functioning of equipment. * Completes ...

RI International

Registered Nurse

Durham, NC · On-site

$36 - $39/hr

Conducts assessments and treatment plans. * Provides individual and family counseling ... This includes competitive health, dental, and vision insurance, as well as access to mental health ...

Granville Health System

RN-ED

Oxford, NC · On-site

$40/hr

Insures "Pull to Full" method of bed assignment is utilized appropriately. Maintain an "MD Dispo to ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC

$40/hr

Insures "Pull to Full" method of bed assignment is utilized appropriately. Maintain an "MD Dispo to ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC · On-site

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC · On-site

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC · On-site

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC · On-site

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

Granville Health System

RN-ED

Oxford, NC · On-site

$32.75/hr

Medical, dental, vision, life insurance, and various supplemental benefits available, paid time off ... ASSESSMENT/REASSESSMENT: Consistently performs initial and follow-up, routine and focused, Head to ...

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All JobsRn Insurance Assessment JobsRn Insurance Assessment Jobs in Raleigh, NC

Rn Insurance Assessment information

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 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 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.

More about Rn Insurance Assessment jobs
What are the most commonly searched types of Rn Insurance Assessment jobs in Raleigh, NC? The most popular types of Rn Insurance Assessment jobs in Raleigh, NC are:
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Rn Insurance Assessment jobs near you
Infographic showing various Rn Insurance Assessment job openings in Raleigh, NC as of July 2026, with employment types broken down into 78% Full Time, 15% Part Time, and 7% Contract. Highlights an 95% In-person, 3% Hybrid, and 2% Remote job distribution.
Assessment Specialist, RN

Assessment Specialist, RN

Lifepoint Health

Raleigh, NC

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

LifePoint Health rating

6.0

Company rating: 6.0 out of 10

Based on 265 frontline employees who took The Breakroom Quiz

746th of 886 rated healthcare providers

Job description

Assessment Specialist, RN 

Schedule: Full-time, 7a-7:30p

Your experience matters 

Triangle Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. 

As an Assessment Specialist, RN joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

How you'll contribute 

An Assessment Specialist, RN who excels in this role:

  • Facilitates response to a request for services, including the initial response, the assessment, and referral process, the designation of the appropriate level of care, admission into services, and appropriate follow up activity. 
  • Conducts initial evaluation, initiates the assessment, documents patient symptomology, functioning, and needs and provides information to MD for LOC determination. 
  • Demonstrates excellent customer service skills in assisting patients, physicians, visitors, and coworkers in a prompt and courteous manner. 
  • Possess clear knowledge of Emergency Detention paperwork and processes and EMTALA. 
  • Maintains all preadmission and admission paperwork with accuracy and completes all precertification with insurance companies. 
  • Other responsibilities as assigned by leadership

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for 

  • Education: Graduate from an accredited program of professional nursing or relevant state licensure required
  • Experience: Previous experience in a psychiatric health care facility, with direct experience working with chemical dependency, dual diagnosis, and psychiatric patients preferred.
  • Experience in patient assessments, family motivations, treatment planning and communication with external review organizations or comparable entities
  • License: Current unencumbered license to practice by the State Board of Nursing
  • Additional Requirements: CPR certification and Crisis Prevention Training (CPI) within 30 days.  

More about Triangle Springs

Triangle Springs is a 77- bed behavioral health hospital that has been offering exceptional care to the Raleigh community for over 8 years. We are proud to be recognized as Joint Commission Accredited and Psych Armor Certified. 

EEOC Statement

"Triangle Springs Hospital is an Equal Opportunity Employer. Triangle Springs Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

What LifePoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

Social media

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