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Remote Cvs Vaccine Rn Jobs in Pittsburgh, PA (NOW HIRING)

York Risk Services

RN Field Case Manager

Pittsburgh, PA · On-site +1

$75K - $96K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Pittsburgh, PA · On-site +1

$75K - $96K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Canonsburg, PA · On-site +1

$71K - $91K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Canonsburg, PA · On-site +1

$71K - $91K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license. * (compacted license ... Ability to work independently in a remote, deadline-driven environment. Contract Details * Monday ...

All JobsCvs Vaccine Rn JobsRemote Cvs Vaccine Rn JobsRemote Cvs Vaccine Rn Jobs in Pittsburgh, PA

Remote Cvs Vaccine Rn information

See Pittsburgh, PA salary details

$7

$41

$70

How much do remote cvs vaccine rn jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote cvs vaccine rn in Pittsburgh, PA is $41.01, according to ZipRecruiter salary data. Most workers in this role earn between $30.58 and $48.56 per hour, depending on experience, location, and employer.

What is a Remote CVS Vaccine RN?

A Remote CVS Vaccine RN is a registered nurse who works for CVS Health, primarily responsible for administering vaccines and providing vaccine-related education and support to patients, but does so remotely rather than in a traditional in-person clinical setting. These nurses may conduct telehealth consultations, assist with vaccine scheduling, and provide follow-up care or guidance over the phone or via video calls. Their role is crucial in expanding access to vaccines and supporting public health initiatives, especially during high-demand periods like flu season or public health emergencies.

What are the key skills and qualifications needed to thrive as a Remote CVS Vaccine RN?

To thrive as a Remote CVS Vaccine RN, you need a current RN license, vaccination administration experience, and a strong understanding of immunization protocols. Familiarity with telehealth platforms, electronic health records (EHRs), and pharmacy management systems is typically required. Excellent communication, attention to detail, and the ability to educate patients remotely are crucial soft skills. These competencies ensure safe, efficient vaccine delivery and high-quality patient care in a remote setting.

What are some common challenges faced by Remote CVS Vaccine RNs, and how can they be managed effectively?

Remote CVS Vaccine RNs often encounter challenges such as coordinating care across multiple locations, managing patient flow virtually, and ensuring accurate documentation within digital systems. Effective communication with both pharmacy teams and patients is crucial for scheduling, follow-ups, and addressing vaccine-related questions. Staying up-to-date with changing vaccine protocols and leveraging digital tools for education and record-keeping are essential practices for success in this role.

What is the difference between Remote Cvs Vaccine Rn vs Remote Walgreens Vaccine Rn?

AspectRemote Cvs Vaccine RnRemote Walgreens Vaccine Rn
CertificationsRN license, vaccination certificationRN license, vaccination certification
Work EnvironmentRemote, telehealth settingsRemote, telehealth settings
Employer & IndustryCVS Health, pharmacy/healthcareWalgreens, pharmacy/healthcare
Common Search/ComparisonRemote CVS Vaccine RNRemote Walgreens Vaccine RN

Both Remote CVS Vaccine RNs and Remote Walgreens Vaccine RNs require similar credentials, including an active RN license and vaccination certification. They work primarily in remote telehealth environments within large pharmacy chains, providing vaccination services. The main difference lies in the employer—CVS Health versus Walgreens—each with its own protocols and systems. Candidates often compare these roles to determine which company offers better opportunities or aligns with their preferences, but the core responsibilities and requirements are quite similar.

What are the most commonly searched types of Cvs Vaccine Rn jobs in Pittsburgh, PA?

The most popular types of Cvs Vaccine Rn jobs in Pittsburgh, PA are:

What are popular job titles related to Remote Cvs Vaccine Rn jobs in Pittsburgh, PA?

For Remote Cvs Vaccine Rn jobs in Pittsburgh, PA, the most frequently searched job titles are:

What job categories do people searching Remote Cvs Vaccine Rn jobs in Pittsburgh, PA look for?

The top searched job categories for Remote Cvs Vaccine Rn jobs in Pittsburgh, PA are:

What cities near Pittsburgh, PA are hiring for Remote Cvs Vaccine Rn jobs?

Cities near Pittsburgh, PA with the most Remote Cvs Vaccine Rn job openings:

Remote Cvs Vaccine Rn jobs near you
Infographic showing various Remote Cvs Vaccine Rn job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 88% Full Time, 4% Part Time, 4% Temporary, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,303 per year, or $41 per hour.

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 17 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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