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Part Time Cigna Rn Remote Jobs in Baltimore, MD (NOW HIRING)

MedCap Health

Neurology APP

Silver Spring, MD · Remote

$150K/yr

... an RN or APP, is preferred.ABOUT MEDCAP HEALTHWe believe in delivering high-quality, in-house ... Apply today for this full-time, part-time, or contact position! Job Posted by ApplicantPro

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All JobsCigna Rn JobsPart Time Cigna Rn Remote JobsPart Time Cigna Rn Remote Jobs in Baltimore, MD

Part Time Cigna Rn Remote information

What is the difference between Part Time Cigna Rn Remote vs Part Time Cigna Lpn Remote?

AspectPart Time Cigna Rn RemotePart Time Cigna Lpn Remote
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, healthcare supportRemote, healthcare support
Employer & Industry UsageCommonly used in health insurance and telehealthUsed in health insurance and telehealth sectors
Common Search & ComparisonOften compared for remote nursing rolesCompared for practical nursing roles in insurance

Both roles involve remote healthcare support within the insurance industry. The main difference is the required credential: RNs hold a registered nurse license, enabling more advanced clinical responsibilities, while LPNs have a practical nurse license with a narrower scope of practice. Both positions are suitable for those seeking remote work with Cigna, but the RN role typically offers more clinical duties and higher compensation.

What are the most commonly searched types of Cigna Rn Remote jobs in Baltimore, MD?

The most popular types of Cigna Rn Remote jobs in Baltimore, MD are:

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For Part Time Cigna Rn Remote jobs in Baltimore, MD, the most frequently searched job titles are:

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The top searched job categories for Part Time Cigna Rn Remote jobs in Baltimore, MD are:

Part Time Cigna Rn Remote jobs near you
Infographic showing various Part Time Cigna Rn Remote job openings in Baltimore, MD as of August 2026, with employment types broken down into 3% As Needed, 58% Full Time, 13% Part Time, and 26% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

CMS PACE Audit Leads - Non-Clinical & Clinical RN Positions

NEXTPHASE HEALTH SOLUTIONS LLC

Baltimore, MD • Remote

Part-time

Posted 28 days ago

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Job description

Join our remote federal oversight team to lead and execute compliance audits for the Programs of All-Inclusive Care for the Elderly (PACE). We are actively recruiting qualified compliance and clinical leaders to fill three specialized leadership roles for the upcoming audit cycle.


Overview & Work Arrangement

Primarily part-time; 100% Remote (must reside and perform all work within one of the 50 United States).


Available Positions & Role-Specific Requirements

1. PACE Audit Lead [Non-Clinical or Clinical (RN)]

  • Directs the full end-to-end audit lifecycle, coordinating planning, staffing, schedules, and conferences across multidisciplinary teams while integrating cross-element findings and overseeing root cause analyses.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated experience planning, coordinating, and leading CMS PACE program audits and review activities; comprehensive knowledge of CMS PACE regulations, guidance, and audit protocols; skilled in developing audit reports, corrective action recommendations, and communicating results directly to CMS and PACE organizations.

2. Service Delivery, Access, and Grievances (SDAG) Lead [Non-Clinical or Clinical (RN)]

  • Directs the compliance evaluation of participant requests, service delivery workflows, appeals, and grievances to ensure adherence to federal timeframes, required notices, and participant protections.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated expertise in CMS PACE SDAG audit protocols; thorough understanding of service delivery requirements, appeals, and grievance processes; experience reviewing case documentation, validating evidence, and evaluating workflows for CMS compliance.

3. Provision of Services Lead [Clinical (RN)]

  • Directs the clinical review element, evaluating whether required services were authorized, coordinated, and delivered in accordance with participant needs and federal program requirements.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required.
  • Requirements: Extensive clinical knowledge of PACE interdisciplinary care delivery and participant assessment requirements; hands-on experience evaluating clinical records, care planning, service authorizations, quality of care standards, and clinical evidence to substantiate findings.


Mandatory Qualifications

  • Auditor Training: Successfully completed the CMS PACE 2026 auditor training.
  • Audit Experience: Verified participation in a minimum of two (2) CMS PACE audits during the 2026 audit cycle.
  • Experience: At least 2 years of relevant healthcare compliance, auditing, or clinical oversight experience.
  • Core Skills: Strong analytical, project management, and written communication skills to evaluate data, synthesize evidence, and produce defensible audit documentation.