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From Home Remote Rn Chart Review Jobs in Baltimore, MD

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore ... Home Health, Utilization Review, Disease Management or other direct patient care experience.

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

CINQCARE

Registered Nurse (0767)

Baltimore, MD · Remote

$84K - $106K/yr

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... Conducts transition of care visits both virtually and in-home to ensure smooth transition from an ...

Varsity Tutors

NCLEX-RN Tutor

Baltimore, MD · Remote

$18 - $40/hr

All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...

Varsity Tutors

NCLEX-RN Tutor

Bowie, MD · Remote

$18 - $40/hr

All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...

Varsity Tutors

NCLEX-RN Tutor

College Park, MD · Remote

$18 - $40/hr

All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...

Varsity Tutors

NCLEX-RN Tutor

Laurel, MD · Remote

$18 - $40/hr

All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...

J29 Inc.

Medical Reviewer, RN

Millersville, MD · On-site +1

Our team of 260 employees focuses on providing processing, review, and analysis of medical claims ... Home Health/Hospice-to assess overpayments, underpayments, and proper payments as determined by ...

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Showing results 41-60

All JobsRn Chart Review JobsFrom Home Remote Rn Chart Review JobsFrom Home Remote Rn Chart Review Jobs in Baltimore, MD

From Home Remote Rn Chart Review information

See Baltimore, MD salary details

$23

$44

$69

How much do from home remote rn chart review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for from home remote rn chart review in Baltimore, MD is $44.63, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $53.03 per hour, depending on experience, location, and employer.

What is the difference between From Home Remote Rn Chart Review vs From Home Remote LPN Chart Review?

AspectFrom Home Remote Rn Chart ReviewFrom Home Remote LPN Chart Review
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, home-basedRemote, home-based
Job ResponsibilitiesComprehensive chart review, clinical decision supportBasic chart review, data entry
Industry UsageHospitals, insurance companies, healthcare providers

While both roles involve remote chart review, Rn Chart Review requires an RN license and involves more complex clinical assessments, whereas LPN Chart Review requires an LPN license with more routine data review tasks. The RN role typically offers higher responsibility and pay, reflecting the advanced clinical skills needed.

What are the most commonly searched types of Remote Rn Chart Review jobs in Baltimore, MD? The most popular types of Remote Rn Chart Review jobs in Baltimore, MD are:
What are popular job titles related to From Home Remote Rn Chart Review jobs in Baltimore, MD? For From Home Remote Rn Chart Review jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching From Home Remote Rn Chart Review jobs in Baltimore, MD look for? The top searched job categories for From Home Remote Rn Chart Review jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for From Home Remote Rn Chart Review jobs? Cities near Baltimore, MD with the most From Home Remote Rn Chart Review job openings:
From Home Remote Rn Chart Review jobs near you
Infographic showing various From Home Remote Rn Chart Review job openings in Baltimore, MD as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 79% Physical, 1% Hybrid, and 20% Remote job distribution, with an average salary of $92,825 per year, or $44.6 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 18 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1