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Remote 8 Hour Rn Jobs in Washington, PA (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Pittsburgh, PA · Remote

$18 - $40/hr

... online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the ... Set your own hours and tutor as much as you'd like. * Tutor remotely using our purpose-built Live ...

DataAnnotation

RN - AI Trainer

Pittsburgh, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... Projects are paid hourly starting at $50-$60 USD per hour, with bonus rates available on some ...

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All Jobs8 Hour Rn JobsRemote 8 Hour Rn JobsRemote 8 Hour Rn Jobs in Washington, PA

Remote 8 Hour Rn information

What are the key skills and qualifications needed to thrive as a Remote 8 Hour RN, and why are they important?

To thrive as a Remote 8 Hour RN, you need an active RN license, strong clinical assessment abilities, and experience in patient care management. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication systems is typically required. Excellent time management, communication skills, and the ability to work independently are crucial for remote nursing roles. These skills ensure safe, effective patient care and seamless collaboration within virtual healthcare teams.

What is a Remote 8 Hour RN?

A Remote 8 Hour RN is a Registered Nurse who works from a location outside of a traditional healthcare facility, such as their home, for an 8-hour shift. These nurses typically provide care and support via telephone, video calls, or online platforms, handling responsibilities like triage, patient education, case management, and care coordination. Remote RNs play a crucial role in telehealth services, helping patients access care and information without visiting a clinic in person. Their work promotes efficiency, accessibility, and continuity of care for patients across various locations.

What is the difference between Remote 8 Hour Rn vs Remote 8 Hour Lpn?

AspectRemote 8 Hour RnRemote 8 Hour Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, telehealthLong-term care, clinics, telehealth
Job DutiesAssessments, care planning, patient educationBasic patient care, medication administration
Industry UsageWidely used in healthcare facilitiesCommon in outpatient and long-term care

Both Remote 8 Hour Rn and Remote 8 Hour Lpn roles involve providing patient care remotely, but RNs typically handle more complex assessments and care planning, requiring a registered nurse license. LPNs focus on basic patient care and medication administration, often in outpatient or long-term care settings. The choice depends on your credentials and the level of responsibility desired.

What are some common challenges faced by Remote 8 Hour RNs, and how can they be addressed?

Remote 8 Hour Registered Nurses (RNs) often encounter challenges such as communication barriers with patients and colleagues, limited access to on-site resources, and managing work-life boundaries while working from home. To address these, it's important to leverage secure digital communication platforms, maintain regular check-ins with multidisciplinary teams, and set clear start and end times for your shifts. Many organizations also provide virtual support resources and ongoing training to help remote RNs stay connected and effective in their roles.
What are popular job titles related to Remote 8 Hour Rn jobs in Washington, PA? For Remote 8 Hour Rn jobs in Washington, PA, the most frequently searched job titles are:
What job categories do people searching Remote 8 Hour Rn jobs in Washington, PA look for? The top searched job categories for Remote 8 Hour Rn jobs in Washington, PA are:
What cities near Washington, PA are hiring for Remote 8 Hour Rn jobs? Cities near Washington, PA with the most Remote 8 Hour Rn job openings:
Remote 8 Hour Rn jobs near you
Infographic showing various Remote 8 Hour Rn job openings in Washington, PA as of July 2026, with employment types broken down into 72% Full Time, 14% Part Time, and 14% Contract. Highlights an 100% Remote job distribution.
Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

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 25 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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