Telehealth Nurse for Insurance Companies
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
# Telehealth Nurse for Insurance Companies – Make Care Clearer, Fairer, and More Human Ever wondered what healthcare could look like if insurance felt less like a maze and more like real support? In this remote nursing role, you’re the guide, the translator, and the steady voice behind every claim, question, or care decision. You'll combine medical insight with empathy, helping people and providers make sense of coverage—and find the best path forward—without the stress. ## Why This Role Changes Lives * You’re the connection between clinical knowledge and real-world outcomes for members, patients, and their families.
• When tough decisions arise, you translate policy and jargon into options that actually help.
• Your advice doesn't just resolve claims—it builds trust between patients, insurers, and providers. ## How You'll Add Value * Utilize your experience to review claims, authorizations, and care requests—differentiating between routine and urgent matters.
• Walk members through tricky questions so insurance and care decisions feel less overwhelming.
• Flag what matters: if you spot a red flag, you raise it fast, making sure help arrives on time.
• Offer resources, wellness coaching, or just a listening ear to encourage prevention and smarter health choices.
• Connect the dots—helping people understand how their health needs, benefits, and care options fit together. ## Your Day, Your Difference * Chat with members by phone or video—translating the complicated into next steps they actually get.
• Turn policy-speak into clear answers, so nobody feels left in the dark.
• Keep your notes sharp and helpful—making the next handoff or review simple for everyone involved.
• ️ Work alongside case managers, doctors, and provider reps to untangle challenges as a team.
• Use digital dashboards and remote systems to track what’s happening and spot ways to do better.
• Offer steady support, especially when a decision or change really matters for a family. ## Why You’re the Right Fit * You break down medical and insurance details so anyone can act on them—whether it’s on Zoom or a quick call.
• People trust you to be fair, honest, and to truly listen.
• You notice patterns and act quickly, using data to prevent problems and improve the process.
• Empathy shapes how you explain things—especially when choices are tough or stakes are high.
• Solving puzzles and closing gaps isn’t just your job; it’s what motivates you. ## ️ The Skills & Background You Bring * Licensed RN with hands-on experience in telehealth, utilization review, or any setting where insurance and clinical care meet.
• Confident using digital health tools, claims systems, and remote platforms.
• You’ve helped people—patients, members, or teams—navigate confusing decisions before.
• Your eye for detail and pattern spotting means fewer mistakes and smoother claims.
• Comfortable working solo but ready to team up and share what you know.
• Bonus: Experience with Medicare, Medicaid, or chronic care support. ## How Remote Work Fits You * 100% remote—build your day around your best energy and focus.
• Stay connected with teams and members across time zones through regular check-ins, video chats, and digital tools.
• True teamwork: you’ll join forces with claims, care managers, and provider contacts who care about doing the right thing.
• You’ll always have learning resources and support close at hand—because your growth matters, too. ## Growth, Support, and Real Results * Your ideas and feedback will make insurance simpler and more caring for everyone involved.
• Shape the rollout of new wellness programs, digital guides, or coverage pathways for members who need it most.
• Step up to lead, train, or mentor—if you’re ready, there’s room to grow.
• Every call and claim you touch becomes a chance to leave someone’s day better than you found it. ## Salary & Benefits * Annual salary: USD 121,000
• Fully remote—work where you’re sharpest
• Flexible schedule built for your best focus and balance
• Benefits, recognition, and room to stretch your skills
• Genuine support from a team that values the work only nurses can do ## Want to Change How Insurance Feels for Patients? If you love helping people cut through the confusion—and want to use your clinical know-how to improve lives at scale—let’s talk. Here, every decision you make, and every member you help, leaves the insurance world a little more human. Apply tot his job
• When tough decisions arise, you translate policy and jargon into options that actually help.
• Your advice doesn't just resolve claims—it builds trust between patients, insurers, and providers. ## How You'll Add Value * Utilize your experience to review claims, authorizations, and care requests—differentiating between routine and urgent matters.
• Walk members through tricky questions so insurance and care decisions feel less overwhelming.
• Flag what matters: if you spot a red flag, you raise it fast, making sure help arrives on time.
• Offer resources, wellness coaching, or just a listening ear to encourage prevention and smarter health choices.
• Connect the dots—helping people understand how their health needs, benefits, and care options fit together. ## Your Day, Your Difference * Chat with members by phone or video—translating the complicated into next steps they actually get.
• Turn policy-speak into clear answers, so nobody feels left in the dark.
• Keep your notes sharp and helpful—making the next handoff or review simple for everyone involved.
• ️ Work alongside case managers, doctors, and provider reps to untangle challenges as a team.
• Use digital dashboards and remote systems to track what’s happening and spot ways to do better.
• Offer steady support, especially when a decision or change really matters for a family. ## Why You’re the Right Fit * You break down medical and insurance details so anyone can act on them—whether it’s on Zoom or a quick call.
• People trust you to be fair, honest, and to truly listen.
• You notice patterns and act quickly, using data to prevent problems and improve the process.
• Empathy shapes how you explain things—especially when choices are tough or stakes are high.
• Solving puzzles and closing gaps isn’t just your job; it’s what motivates you. ## ️ The Skills & Background You Bring * Licensed RN with hands-on experience in telehealth, utilization review, or any setting where insurance and clinical care meet.
• Confident using digital health tools, claims systems, and remote platforms.
• You’ve helped people—patients, members, or teams—navigate confusing decisions before.
• Your eye for detail and pattern spotting means fewer mistakes and smoother claims.
• Comfortable working solo but ready to team up and share what you know.
• Bonus: Experience with Medicare, Medicaid, or chronic care support. ## How Remote Work Fits You * 100% remote—build your day around your best energy and focus.
• Stay connected with teams and members across time zones through regular check-ins, video chats, and digital tools.
• True teamwork: you’ll join forces with claims, care managers, and provider contacts who care about doing the right thing.
• You’ll always have learning resources and support close at hand—because your growth matters, too. ## Growth, Support, and Real Results * Your ideas and feedback will make insurance simpler and more caring for everyone involved.
• Shape the rollout of new wellness programs, digital guides, or coverage pathways for members who need it most.
• Step up to lead, train, or mentor—if you’re ready, there’s room to grow.
• Every call and claim you touch becomes a chance to leave someone’s day better than you found it. ## Salary & Benefits * Annual salary: USD 121,000
• Fully remote—work where you’re sharpest
• Flexible schedule built for your best focus and balance
• Benefits, recognition, and room to stretch your skills
• Genuine support from a team that values the work only nurses can do ## Want to Change How Insurance Feels for Patients? If you love helping people cut through the confusion—and want to use your clinical know-how to improve lives at scale—let’s talk. Here, every decision you make, and every member you help, leaves the insurance world a little more human. Apply tot his job