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Advocate Rn Jobs in Pittsburgh, PA (NOW HIRING)

Wellspring Nurse Source

Travel Telemetry RN

Greensburg, PA · On-site

$1.8K - $2.5K/wk

Wellspring Nurse Source is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job ... If you're looking for a team that will advocate for you, support you, and help you find the right ...

Wellspring Nurse Source

Travel MS/Tele RN

Greensburg, PA · On-site

$1.8K - $2.5K/wk

Wellspring Nurse Source is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job ... If you're looking for a team that will advocate for you, support you, and help you find the right ...

ALOIS Healthcare

Travel Nurse RN - Telemetry

Greensburg, PA · On-site

$1.8K - $2.5K/wk

Telemetry * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 48 hours per week ... Just as you advocate for your patients, we will advocate for you. The pay you deserve. The support ...

ALOIS Healthcare

Travel Nurse RN - Telemetry

Greensburg, PA · On-site

$1.8K - $2.5K/wk

Telemetry * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 48 hours per week ... Just as you advocate for your patients, we will advocate for you. The pay you deserve. The support ...

Wellspring Nurse Source

Travel ICU RN

Greensburg, PA · On-site

Wellspring Nurse Source is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing ... If you're looking for a team that will advocate for you, support you, and help you find the right ...

Wellspring Nurse Source

Travel PCU RN

Greensburg, PA · On-site

$1.8K - $2.5K/wk

Wellspring Nurse Source is seeking a travel nurse RN PCU - Progressive Care Unit for a travel ... If you're looking for a team that will advocate for you, support you, and help you find the right ...

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All JobsAdvocate Rn JobsAdvocate Rn Jobs in Pittsburgh, PA

Advocate Rn information

See Pittsburgh, PA salary details

$10

$21

$31

How much do advocate rn jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for advocate rn in Pittsburgh, PA is $21.03, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $24.95 per hour, depending on experience, location, and employer.

What is an Advocate RN?

An Advocate RN is a registered nurse who works for Advocate Health Care, a large healthcare system, providing direct patient care, education, and support. These nurses play a vital role in coordinating care, advocating for patients’ needs, and ensuring high-quality healthcare outcomes. Advocate RNs may work in various settings such as hospitals, clinics, or home care, and collaborate closely with physicians, patients, and families. Their responsibilities include assessing patient conditions, administering medications, developing care plans, and supporting patients throughout their healthcare journey.

What are the key skills and qualifications needed to thrive as an Advocate RN?

To thrive as an Advocate RN, you need a solid background in nursing practice, patient advocacy, and healthcare regulations, typically supported by an active RN license and clinical experience. Familiarity with electronic health records (EHRs), care coordination platforms, and patient rights documentation systems is essential. Exceptional communication, empathy, and problem-solving abilities help build trust and effectively support patients through complex healthcare processes. These skills are vital to ensure patients receive appropriate care, understand their options, and have their voices heard within the healthcare system.

How do Advocate RNs typically collaborate with interdisciplinary teams to support patient care?

Advocate RNs play a key role in interdisciplinary teams by acting as liaisons between patients, families, physicians, social workers, and other healthcare professionals. They ensure patients' voices are heard and their needs are met by participating in care planning meetings, coordinating resources, and advocating for patient-centered solutions. Effective communication and documentation are essential, as Advocate RNs help bridge gaps and resolve conflicts, ultimately enhancing the quality and safety of patient care. This collaboration fosters a supportive environment where each team member's expertise contributes to optimal outcomes.

What is the difference between Advocate Rn vs Social Worker?

AspectAdvocate RnSocial Worker
Required CredentialsRegistered Nurse license, advocacy trainingSocial Work degree, licensure (LCSW or equivalent)
Work EnvironmentHospitals, clinics, healthcare settingsCommunity agencies, hospitals, schools
Employer & Industry UsageHealthcare providers, legal advocacy in healthSocial service agencies, government programs
Common Search & ComparisonAdvocate Rn vs Social Worker

Advocate Rn and Social Workers both support clients but differ mainly in credentials and work settings. Advocate Rns are registered nurses focusing on health advocacy within medical environments, while Social Workers hold social work degrees and work across broader social services. Understanding these differences helps in choosing the right career path or service provider.

What are popular job titles related to Advocate Rn jobs in Pittsburgh, PA? For Advocate Rn jobs in Pittsburgh, PA, the most frequently searched job titles are:
What job categories do people searching Advocate Rn jobs in Pittsburgh, PA look for? The top searched job categories for Advocate Rn jobs in Pittsburgh, PA are:
Advocate Rn jobs near you

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Re-posted 18 days ago

Job description


Are you a registered nurse ready to take your career in an exciting newdirection-one where your expertise truly makes a difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations,safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy the freedom of working from home, theflexibility and autonomy to manage your workday, and the opportunity forcontinuous professional growth-all while being part of a passionate,mission-driven team dedicated to improving healthcare across theCommonwealth.
In this rewarding role, you'll use your clinical knowledge outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries across theCommonwealth. You'll enjoy the flexibility of working from home, theautonomy to manage your work, and meaningful opportunities forprofessional growth-all while contributing to a mission that trulymatters.
What You'll Do
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards
  • Support program integrity efforts by identifying trends, risks, and opportunities for improvement
  • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations
  • Apply nursing judgment to analyze medical records, documentation, and billing data
  • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices
  • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania

What We're Looking For
  • Active, unrestricted Registered Nurse (RN) license
  • Strong clinical background with the ability to apply nursing judgment analytically
  • Interest in advocacy, quality improvement, and healthcare program integrity
  • Excellent written and verbal communication skills
  • Ability to work independently while managing multiple priorities
  • Comfort with technology and electronic medical records

Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus-but not required.
Why Join Us
  • Mission-driven work with Pennsylvania's leading Quality Improvement Organization
  • Make a real impact on healthcare quality and outcomes for vulnerable populations
  • Remote work - enjoy the convenience and balance of working from home
  • Autonomy and flexibility in how you manage your workday
  • Advocacy-focused role that values your nursing voice and expertise
  • Career development opportunities to grow beyond traditional nursing roles
  • Supportive, collaborative team culture committed to excellence and integrity

If you're a registered nurse seeking purpose-driven work,professional growth, and the flexibility to balance your life andcareer-this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.
Requirements
Be available as a full-time consultant, approximately 37.5 hours per week;
• Possess a current license to practice as a Registered Nurse issued by the Pennsylvania
State Board of Nursing; or possess a non-renewable temporary practice permit issued
by the Pennsylvania State Board of Nursing. Resources possessing non-renewable
temporary practice permits must obtain licensing as a Registered Nurse within the
one-year period as defined by the Pennsylvania State Board of Nursing;
• Possess a documented work history of three (3) or more years of professional
experience with medical assistance, health care services or human services or any
equivalent combination of experience and training;
• Possess basic computer skills, including familiarity with Microsoft Office programs.
Principal Duties and Responsibilities (RN - Utilization Review / Program Integrity)
  • Conduct clinical utilization reviews by evaluating medical records, treatment plans, and supporting documentation to determine medical necessity, appropriateness, quality, and level of care in accordance with Medical Assistance (MA) program requirements.
  • Apply nursing judgment and evidence-based clinical standards to ensure MA recipients receive safe, appropriate, and high-quality care while supporting program integrity and regulatory compliance.
  • Assess provider billing and documentation to verify compliance with MA policies and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic provider portals, telephone communications, fax, and U.S. mail, ensuring completeness and accuracy for utilization determinations.
  • Make authorization determinations by approving, modifying, or denying service requests within RN scope of practice, or refer cases to physician advisors for secondary medical review when medical necessity or level of care is unclear.
  • Collaborate with physician/medical consultants to support peer-to-peer reviews and facilitate discussions with ordering providers regarding clinical justification, appropriate care settings, and service coverage.
  • Accurately document utilization review decisions and clinical rationale in electronic systems, generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards.
  • Participate in retrospective, concurrent, and prospective utilization reviews, including re-evaluations of previously denied services upon request by providers or facilities.
  • Review and prepare appeal cases by analyzing medical records, developing exhibits and correspondence, and providing testimony at administrative hearings using knowledge of MA regulations, utilization management principles, and appeal processes.
  • Interpret MA policies, regulations, and utilization management guidelines for internal staff, providers, and stakeholders through consultation, meetings, and educational sessions.
  • Engage in interdisciplinary collaboration with internal departments, medical consultants, legal staff, and external stakeholders to support consistent and defensible utilization determinations.
  • Maintain ongoing professional development through continuing education, conferences, and review of current medical literature to remain current with standards of care, clinical guidelines, and utilization review best practices.
  • Provide cross-coverage in other program areas as needed, maintaining competency through training and updates to ensure continuity of program operations.
  • Respond to inquiries from recipients, providers, legislators, legal offices, and external agencies to explain utilization decisions, coverage policies, and administrative processes.
  • Maintain accurate case records and documentation in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated for each assignment.
  • When required, work at Department-designated locations. The primary duty location is Pittsburgh, PA, where appropriate workspace, technology, and resources will be provided to support assigned responsibilities.

Benefits
Attractive Compensation plan.Holiday and Vacation program.

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