As a nurse, finding an employer that provides competitive salaries and benefits, and who prioritizes the development and support of their employees is crucial to career satisfaction and well-being. There are many insurance companies to work for as a nurse, and this article will explore some of them.
Insurance nursing is a challenging and rewarding field that combines a nurse’s clinical expertise with their understanding of insurance policies and procedures. The role of an insurance nurse is multifaceted and includes conducting client healthcare assessments, reviewing medical treatments and claims, and providing guidance on healthcare policies and loss claims.
Insurance nurses may work for insurance companies, where they hold positions such as medical care wellness specialist, care assessor, or registered nurse (RN) insurance assessor. They communicate with clients to gather information about their health status, medications, and treatment plans. Based on this information, they assess the client’s healthcare needs and provide recommendations.
To be successful in the field of insurance nursing, it is important to have a strong educational background, including an associate or bachelor’s degree in nursing. Additionally, one must have passed the NCLEX exam and be licensed to practice nursing in their state.
In this article, we will explore the methodology of choosing the best company for you, from my experience as an insurance broker. Let’s get started!
Table of contents
The Best Nurse Jobs Available
Nursing is a dynamic and challenging field that involves utilizing a nurse’s clinical expertise and knowledge of insurance policies and procedures. The four main job roles in insurance nursing are Health Coach Associate, Quality Management Nurse Associate, Appeals Nursing Associate/Consultant, and Telephone Triage Nurse.
| Job Title | Description | Average Salary |
|---|---|---|
| Health Coach Associate | Work with insurance clients to provide wellness strategies and reduce claims | $73,314 (according to Glassdoor) |
| Quality Management Nurse Associate | Ensure the quality of insurance policies offered by the company | $79,590 (according to Salary.com) |
| Appeals Nursing Associate/Consultant | Review insurance claims and denials and make decisions on appeals | $93,752 (according to Zip Recruiter) |
| Telephone Triage Nurse | Talk to patients over the phone and assess their healthcare needs | $77,100 (according to Salary.com) |
| Utilization Review Nurse | Review medical records and determine the appropriateness of healthcare services | $73,000 (according to Indeed) |
| Case Management Nurse | Coordinate healthcare services and ensure clients receive the best possible care | $76,000 (according to Glassdoor) |
| Disease Management Nurse | Specialize in working with clients who have chronic illnesses and provide education and support | $74,000 (according to Glassdoor) |
| Workers’ Compensation Nurse | Assess and manage the healthcare needs of clients who have been injured on the job | $74,000 (according to Glassdoor) |
Note: These are average salaries and may vary depending on various factors such as location, experience, and company.
Each role requires different skills and responsibilities, but all involve providing quality healthcare services to insurance clients. With the right education, training, and experience, insurance nurses play a critical role in ensuring that clients receive the best possible care.
Health Coach Associate
Being a health coach associate means that you work with people who have insurance and help them become healthier. This can involve giving them advice on how to take care of themselves, creating plans for them to follow, and identifying any health problems they may have. On average, people who do this job at Aetna make about $73,314 per year.
To become a health coach associate, you need to go to school and get a nursing degree. This can be a 4-year degree, like a Bachelor of Science in Nursing, or a 2-year degree, like an Associate of Applied Science in Nursing. After you finish school, you also have to take a test called the NCLEX and get a license to be able to work as a nurse. Some insurance companies may also want you to have a special certification, but it’s not always required.
Quality Management Nurse Associate
Quality management nurse associates make sure that the insurance policies offered by their company are of good quality. This means that they work to make sure that people are happy with their insurance and that the policies they have are helpful. On average, people who do this job make about $79,590 per year.
To become a quality management nurse associate, you first need to become a registered nurse. This means that you need to go to school for nursing and get a license by passing the NCLEX-RN test. You can also get a special certification called the Certified Professional in Healthcare Quality (CPHQ) from a group called the National Association for Healthcare Quality, or get a master’s degree in nursing.
Appeals Nursing Associate/Consultant
As an appeals nursing associate or consultant, you look at insurance claims and make decisions about whether or not they should be approved. You need to be good at analyzing information and working with both medical staff and patients to understand their health conditions. On average, people who do this job make about $93,752 per year.
To become an appeals nursing associate or consultant, you need to have some experience as a nurse and be good at analyzing information. You also need to have a nursing degree and a license by passing the NCLEX-RN test.
Telephone Triage Nurse
A telephone triage nurse talks to patients on the phone and helps them figure out what kind of healthcare they need. They need to be good at communicating and have a reliable internet connection. On average, people who do this job make about $77,100 per year.
To become a telephone triage nurse, you need to have a nursing degree and a license by passing the NCLEX-RN test. You also need to have good communication skills and a reliable internet connection.
Utilization Review Nurse Utilization
Review Nurses are responsible for reviewing medical records and determining the appropriateness of healthcare services provided to insurance clients. They work to ensure that clients receive the necessary care while also controlling costs for the insurance company. Utilization Review Nurses must have strong analytical and critical thinking skills, as well as a thorough understanding of healthcare policies and procedures.
Case Management Nurse
Case Management Nurses work with insurance clients to coordinate their healthcare services and ensure that they receive the best possible care. This can involve creating care plans, coordinating with healthcare providers, and advocating for clients’ rights and needs. Case Management Nurses must have excellent communication and interpersonal skills, as well as a strong understanding of healthcare policies and procedures.
Disease Management Nurse
Disease Management Nurses specialize in working with clients who have chronic illnesses, such as diabetes or heart disease. They provide education and support to help clients manage their conditions and improve their overall health. Disease Management Nurses must have a strong understanding of chronic illnesses and the healthcare policies and procedures related to them.
Workers’ Compensation Nurse
Workers’ Compensation Nurses are responsible for assessing and managing the healthcare needs of clients who have been injured on the job. They work to ensure that clients receive the necessary care and compensation in a timely and cost-effective manner. Workers’ Compensation Nurses must have a thorough understanding of workers’ compensation laws and policies, as well as the skills needed to assess and manage clients’ healthcare needs.
Top Insurance Companies For Nurses
There are several insurance companies you can work for as a nurse. Below is a list of the top insurance companies for nurses that I have selected based on my experience in the insurance industry:
UnitedHealth Group: UnitedHealth Group is a global health care company with offices in every state and 33 other countries. They have a variety of nursing positions available, and pay an average of $52.00 an hour (or $108, 217 a year). They offer their employees health insurance with copay plans and HSA-eligible plans, as well as life insurance and vision and dental.
Valor Health Plan: Valor Health Plan is a great insurance company for nurses who prefer to work remotely. They largely work with medicare patients who reside in long-term care facilities, and nurse practitioners act as their case managers. The salary can vary depending on your exact position, but as a case manager, you can make up to $38.20 an hour.
CVS Health: Working at CVS Health offers nurses a lot of opportunities. You can work with their alliance insurance company, Atena, as a case manager, field assessor, health coach consultant, and medical review nurse, to name just a few options. They also offer jobs through Accordant, where you can help those with chronic diseases, Coram Home Infusion, where you can help with infusion-therapy, and you can work as a LVN/LVN, a registered nurse, and a nurse practitioner. CVS Health offers a lot of options for nurses looking for employment.
Humana: Humana is a leader in the healthcare industry and has a high demand for medical case managers, but they also have a variety of other careers available as well. The average salaries for nurses varies depending on the specific job, but can range from $17.40 an hour as a home health aid, to $41.89 an hour as a home care nurse.
Blue Cross Blue Shield: Blue Cross Blue Shield (BCBS) is one of the oldest and most trusted insurance companies and offers a variety of nursing jobs. They offer their employees a variety of benefits such as health, vision, and dental plans, as well as access to financial wellness programs, to name a few benefits.
AIM Specialty Health: A specialty benefits management company that uses evidence-based clinical guidelines and real-time decision support. Recent remote nursing jobs include Nurse Reviewer.
Anthem, Inc.: A for-profit managed healthcare company serving nearly 73 million members. Recent remote nursing jobs include Clinical Quality Program Administrator, Manager I/II Case Management, and Telephonic LTSS Service Coordinator – RN Clinician.
AmeriHealth Caritas: A healthcare company providing solutions to the underserved, poor, and chronically ill. Recent remote nursing jobs include Care Manager II and Care Manager II, Medicare.
Cerebral Care: A mental health company that improves access to treatment for disorders like anxiety and depression. Recent remote nursing jobs include Psychiatric Mental Health Nurse Practitioner.
CVS Health: A leading healthcare company and the largest provider of healthcare services and prescriptions. Recent remote nursing jobs include Registered Nurse, Registered Nurse – RN – PAH Educator, and Nurse Health Management Rare.
Healthfirst: A nonprofit managed care organization serving over 1 million members in New York. Recent remote nursing jobs include Utilization Management RN, LPN, Case Manager, and Pediatric Care Manager.
Paradigm Management Services: An insurance company specializing in workers’ compensation cases. Recent remote nursing jobs include Nurse Case Manager and Telephonic Nurse Case Manager.
Q-Centrix: A healthcare information solutions company. Recent remote nursing jobs include MBSAQIP Quality Information Specialist and Core Measures Data Abstraction Specialist.
Varsity Tutors: A nationally recognized company connecting students with personalized tutoring services. Recent remote nursing jobs include Online NCLEX Exam Tutor and Professional Nurse Practitioner Exams Tutor – AANP and ANCC.
Vatica Health: A healthcare technology company that removes administrative and technical burdens. Recent remote nursing jobs include Nurse Coder.
Vault Health: A digital healthcare company focused on general consumer health and specialized services for men. Recent remote nursing jobs include Metabolic Health Nurse Practitioner.
Walden University: An accredited online university offering programs in various fields including nursing. Recent remote nursing jobs include Clinical Instructor – MS Nursing, Adult Gerontology Primary Care NP, and Clinical Instructor – Master of Science in Nursing, Family Nurse Practitioner – Pediatric, Adult.
Methodology
There are a lot of factors to consider when choosing a company to work for as a nurse. To evaluate and rank the best insurance companies to work for as a nurse, we used a combination of sources including employee reviews, industry publications, and company websites.
We considered a variety of factors including:
- Employee Benefits: We looked at the types of benefits offered by the companies, such as health insurance, retirement plans, and professional development opportunities.
- Job Satisfaction: We examined employee reviews and ratings on job review websites such as Glassdoor and Indeed to gauge overall satisfaction with the company.
- Company Culture: We considered the company’s mission, values, and overall reputation within the industry as well as any diversity and inclusion initiatives.
Based on this criteria, we were able to compile a list of the top insurance companies to work for as a nurse. The rankings reflect a combination of these factors, with a focus on those that are most important to nurses. So, let’s take a look at the top insurance companies!
Conclusion
Finding the best insurance company to work for as a nurse is important, but it can be challenging. It is important to consider factors such as employee benefits, job satisfaction, and company culture.
The companies discussed above provide competitive salaries and benefits, supportive and inclusive culture, and opportunities for professional development and advancement.
