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Work From Home Rn Insurance Assessment Jobs (NOW HIRING)

Tribeca Pediatrics

Registered Nurse (WFH/Hybrid)

$40/hr

The Registered Nurse will primarily communicate with patients through phone triage to assess and ... Liaison with insurances regarding prior authorizations, patient care, medications reviews, and ...

BrightStar Care API

Registered Nurse Case Manager

Non-skilled work in member's homes to prevent hospital readmission * Teaching and helping members ... Training and document done from home Registered Nurse (RN) Case Manager Job Requirements include ...

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How much do work from home rn insurance assessment jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for work from home rn insurance assessment in the United States is $38.06, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is a work from home RN insurance assessment?

Work From Home RN Insurance Assessment jobs are positions for registered nurses who conduct health assessments, reviews, or interviews for insurance companies remotely. These nurses evaluate clients’ medical histories, current health status, and sometimes perform virtual assessments to help insurance companies determine coverage eligibility or the need for additional information. The role typically involves reviewing medical records, completing assessment forms, and communicating findings to underwriters or case managers. It allows nurses to utilize their clinical knowledge without direct patient care, offering flexibility and the convenience of working from home.

What are the key skills and qualifications needed to thrive as a work from home RN insurance assessment?

To thrive as a Work From Home RN Insurance Assessment, you need a valid RN license, strong clinical assessment abilities, and experience in case management or utilization review. Familiarity with electronic medical records (EMRs), telehealth platforms, and insurance documentation systems is typically required, along with possible certifications like CCM (Certified Case Manager). Excellent communication, critical thinking, and self-motivation are essential soft skills for effective remote collaboration and independent decision-making. These competencies ensure accurate assessments, compliance with insurance protocols, and efficient workflow in a remote healthcare environment.

What are some common challenges faced by work from home RN insurance assessment nurses, and how can they be managed?

Work From Home RN Insurance Assessment nurses often face challenges such as maintaining clear communication with both clients and internal teams remotely, managing a high volume of assessments, and adhering to strict documentation standards. Time management and self-motivation are crucial, as the remote setting can blur work-life boundaries. To overcome these challenges, nurses should establish a dedicated workspace, utilize organizational tools, and maintain regular check-ins with their supervisors and team members to stay aligned with expectations.

What is the difference between Work From Home Rn Insurance Assessment vs Work From Home Rn Medical Review?

AspectWork From Home Rn Insurance AssessmentWork From Home Rn Medical Review
CredentialsRegistered Nurse (RN) license, insurance assessment certificationsRegistered Nurse (RN) license, medical review certifications
Work EnvironmentHome-based, insurance company officesHome-based, insurance or healthcare organizations
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare review firms
Job FocusAssessing insurance claims, determining coverage eligibilityReviewing medical records, verifying treatment necessity

Both roles involve remote work for insurance-related tasks requiring RN credentials. The main difference lies in their focus: insurance assessment involves evaluating claims for coverage, while medical review centers on verifying medical necessity through record review. Understanding these distinctions helps job seekers identify the right remote RN position in the insurance industry.

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Work From Home Rn Insurance Assessment jobs near you
Infographic showing various Work From Home Rn Insurance Assessment job openings in the United States as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,170 per year, or $38.1 per hour.

Registered Nurse (WFH/Hybrid)

Tribeca Pediatrics

Remote

$40/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Tribeca Pediatrics rating

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

About Us:
Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York City metro area and New Jersey, our incredible team of pediatricians, nurse practitioners, and clinical support staff practices a unique philosophy that embraces low intervention and thoughtful medicine while delivering the highest quality of service and care.
About the Role:
The Registered Nurse will primarily communicate with patients through phone triage to assess and identify their needs, implement and monitor medical plans and treatments, maintain accurate health records, consult with healthcare providers, and educate patients and their families.

  • Independently run vaccine clinics
  • Daily phone triaging, providing clinical guidance, education, and support to families
  • Record patient history, perform various diagnostic tests, administer PO medications, blood draws, and assistance in emergency procedures
  • Pre-screening and clearing patients for in-office visits and testing
  • Administration of immunizations for routine and seasonal travel vaccines
  • Review diagnostic testing results and defer to provider as needed
  • Review and clearance of medical records for new patients
  • Complete school, camp, and medication forms
  • Liaison with insurances regarding prior authorizations, patient care, medications reviews, and coordination of care
  • When in office triaging patients for well and sick visits, working alongside a pediatrician, and maintaining the office environment
About You:
  • NYS RN license required. BLS and PALS certifications are preferred
  • NJ License required; should be obtained within 3 months of hire (paid for by the practice)
  • Professional and concise phone skills - this is the majority of daily responsibilities
  • Ability to work independently, as well as effectively with others
  • Excellent time management skills and ability to multitask and prioritize work
  • Familiarity with evidence-based Pediatric protocols, interest in low intervention practice
Compensation and Benefits:
Our RNs start at $40/hour for their first year with us! We conduct our own in-house training (2-4 weeks long), which is fully covered at your hired pay rate.
  • Additional monthly incentive bonuses tied to productivity, utilization, and attendance offered
  • Potential assignment as a trainer after 90 day review, training bonus offered
  • Annual evaluations with compensation increases
  • Opportunity for upward mobility and promotion within the company

Paid Time Off:
Full-time employees accrue 10.67 hours per month (approximately 16 PTO days per year)
Health, Dental, and Vision Benefits:
Full time employees are eligible to participate in the health, dental, and vision insurance plans after 90 days of service. The base level plans are covered 100% by the company. Other level plans include a subsidy from the company.
Additional Benefits:
Additional benefits include entirely subsidized (read: free to you!) gym memberships at your choice of NY Sports Club, Blink Fitness, and LA Fitness. As well as others that include: an HSA plan, pet insurance, commuter benefits, voluntary supplemental insurances for Hospital Indemnity, Cancer, and Accidents, Voluntary Short-Term Disability Insurance, and Voluntary Life and AD&D.
401k and Profit Share:
After 90 days, you will be eligible for participation and contribute to our 401(k) plan, administered via Principal. After your first year of employment, Tribeca Pediatrics will make an annual Safe Harbor contribution of 3% of your compensation. Eligible employees will also receive a profit share contribution.

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