Registered Nurse, Start of Care
$75K - $87K/yr
Requirements: 1. Current New York State registered professional nurse license. 2. Degree from an accredited school of nursing or college. 3. Current and valid drivers license and auto insurance, and ...
$75K - $87K/yr
Requirements: 1. Current New York State registered professional nurse license. 2. Degree from an accredited school of nursing or college. 3. Current and valid drivers license and auto insurance, and ...
$75K - $87K/yr
Requirements: 1. Current New York State registered professional nurse license. 2. Degree from an accredited school of nursing or college. 3. Current and valid drivers license and auto insurance, and ...
$75K - $87K/yr
Homecare RN • Delivering Personalized Clinical Excellence in the Comfort of the Patient's Home ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...
$75K - $87K/yr
Homecare RN • Delivering Personalized Clinical Excellence in the Comfort of the Patient's Home ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...
$25/hr
As part of our contingency plan, we are establishing a remote call center to handle incoming calls related to insurance claims during such times. As a Remote RN Contingent Hurricane Response Agent ...
$25/hr
As part of our contingency plan, we are establishing a remote call center to handle incoming calls related to insurance claims during such times. As a Remote RN Contingent Hurricane Response Agent ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
Valhalla, NY · On-site
Company Description RN express is looking for talented, caring Registered Nurses to work full- time ... liability insurance. Additional Information All your information will be kept confidential ...
Valhalla, NY · On-site
Company Description RN express is looking for talented, caring Registered Nurses to work full- time ... liability insurance. Additional Information All your information will be kept confidential ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$23
$43
To thrive as an RN Insurance Claims specialist, you need active RN licensure, strong clinical assessment knowledge, and experience interpreting medical records. Familiarity with insurance claims management software, ICD-10 coding, and electronic health records is highly beneficial. Attention to detail, analytical thinking, and effective communication are key soft skills for this role. These skills ensure accurate claim evaluations, efficient case processing, and clear collaboration between healthcare providers and insurance companies.
As an RN Insurance Claims specialist, your daily tasks typically involve reviewing medical records, evaluating insurance claims for medical necessity, and providing clinical expertise to ensure proper claim processing. You may also consult with physicians, healthcare providers, and claims adjusters to clarify medical information or support appeals. Many roles require working in a team environment with other nurses, claims specialists, and administrative professionals. This position is ideal for detail-oriented nurses who enjoy applying their clinical expertise in a non-bedside setting while playing a key part in the healthcare reimbursement process.
An RN Insurance Claims job involves using nursing expertise to review medical claims, assess the necessity of treatments, and ensure compliance with insurance policies. These professionals work for insurance companies, healthcare organizations, or third-party administrators to evaluate claims for accuracy and fraud detection. They may also collaborate with healthcare providers and policyholders to clarify medical documentation and coverage decisions. Their goal is to ensure fair and efficient claims processing while controlling costs and maintaining quality care standards.

$75K - $87K/yr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 13 days ago
THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS We have a fleet vehicle program available that supports this clinical role!
The Admissions Nurses primary focus is to perform the initial SOC (Start of Care) visit although other visit types may be assigned based on agency needs. Responsibilities include determination of appropriateness for home care, overall assessment, medication reconciliation, development of the plan of care and provision of direct care and treatments as ordered. All documentation related to the SOC is completed within agency timelines and with Quality Standards in collaboration with and under the guidance of a Clinical Field Supervisor.
1. Ensure complete and accurate assessment and delivery of skilled nursing services.
a. Determine appropriateness of patient for home care.
b. Develop patient centered plan of care based on comprehensive assessment.
c. Develop a plan of care using interdisciplinary approach.
d. Ensure that all documentation meets quality standards:
1. OASIS evaluations are conducted per CMS guidelines.
2. Documentation reflects nursing care, treatments and responses.
3. Documentation is clear and concise.
4. Documentation is completed in timely manner.
e. Understand and follow nurse code of ethics and standards of practice.
f. Coordinate with internal and external resources to meet patient needs.
g. Maintain established productivity expectations.
h. Communicate client care issues to interdisciplinary team including physician.
2. Responsible for coordination of services.
a. Identify needs and refer to additional services as indicated to meet patient goals.
b. Report findings and plans to designated RN Case Manager/Care Team and/or Clinical Supervisor.
c. Work in conjunction with Supervisor and designated staff to efficiently manage patients using a team approach.
3. Responsible for development of the care plan for paraprofessional staff relevant to patient care as applicable.
a. Supervise home health aides in performing designated tasks related to patient care and per care plan.
b. Communicate appropriate information to home health aide department.
4. Comply with Nascentia policies and procedures and quality initiatives.
a. Maintain confidentiality.
b. Demonstrate knowledge and use of infection control practices.
c. Demonstrate knowledge of federal, state and local government rules and regulations.
d. Demonstrate knowledge and compliance with agency policies and procedures.
e. Adhere to quality improvement standards.
f. Keep personnel requirements up-to-date; i.e., health requirements,
licensure requirements, and mandatory in-services.
g. Demonstrate proficiency with skills competency through periodic evaluations.
5. Participate in personal growth and development.
a. Participate in educational in-services and meetings.
b. Maintain and update clinical knowledge on an ongoing basis.
6. Represent self and agency in a professional manner including compliance with agency dress code.
7. Other duties as assigned.
Requirements:
1. Current New York State registered professional nurse license.
2. Degree from an accredited school of nursing or college.
3. Current and valid drivers license and auto insurance, and a vehicle
which can be used for work.
4. Self-directed and organized with the ability to work independently.
5. Good oral and written communication skills.
6. OASIS Certification, or willingness to obtain within 1 year of hire.
7. Minimum one year experience in Home Health Care required.
Physical Requirements:
1. Speaking/visual/hearing ability sufficient to comprehend and express written/verbal communication.
2. Ability to perform tasks involving physical activity including:
- Pushing/pulling - Typical weight 50 pounds / Maximum weight 150 pounds
- Lifting and carrying - Typical weight 25 pounds / Maximum weight 40 pounds
- Patient transfers, extensive bending, standing, kneeling, walking in various weather conditions e.g. snow, rain, sleet, and going up and down stairs.
3. Ability to drive in all weather conditions throughout the working year.
4. Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
Compensation & Benefits:
Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87,138.92 /annually] with:
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.
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Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen and background check
Subject to specific terms and conditions*
INDHP