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Remote Data Rn Jobs in Baltimore, MD (NOW HIRING)

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 ...

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 ...

Corvel

Telephonic Case Manager I

Nottingham, MD · Remote

$63K - $95K/yr

This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the ...

BetterHelp

Licensed Psychologist - Remote

Baltimore, MD · Remote

$55 - $70/hr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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All JobsData Rn JobsRemote Data Rn JobsRemote Data Rn Jobs in Baltimore, MD

Remote Data Rn information

How does working as a Remote Data RN differ from traditional onsite nursing roles in terms of daily responsibilities and team collaboration?

As a Remote Data RN, your daily responsibilities typically focus on reviewing patient data, managing electronic health records, and coordinating care plans through digital platforms rather than providing direct bedside care. Collaboration is often conducted virtually, with frequent communication via secure messaging, emails, or video calls with physicians, case managers, and other healthcare professionals. While you maintain a flexible work environment, strong organizational and communication skills are essential to ensure seamless patient care and accurate data analysis. This role offers an opportunity to leverage nursing expertise in a tech-driven setting, supporting patient outcomes from a non-clinical environment.

What is a Remote Data RN?

A Remote Data RN, or Remote Data Registered Nurse, is a licensed nurse who works remotely to collect, analyze, and interpret patient health data. They often monitor patient records, review lab results, and provide virtual support to healthcare teams, ensuring accurate and timely documentation. This role may also involve patient education and coordination of care through telehealth platforms. Remote Data RNs play a crucial role in improving patient outcomes by enabling data-driven decision-making from a distance.

What is the difference between Remote Data Rn vs Data Analyst?

AspectRemote Data RnData Analyst
Required CredentialsRN license, healthcare data knowledgeBachelor's in Data Science, Statistics, or related field
Work EnvironmentRemote healthcare settings, hospitals, clinicsRemote or on-site corporate offices, healthcare organizations
Industry UsageHealthcare, medical data managementVarious industries including healthcare, finance, marketing
Common Search/ComparisonYesYes

The main difference between Remote Data Rn and Data Analyst lies in their credentials and industry focus. Remote Data Rn professionals are licensed RNs working with healthcare data, while Data Analysts typically hold degrees in data-related fields and work across multiple industries. Both roles can be remote, but their specific skills and industry applications differ significantly.

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

A Remote Data RN needs a solid background in nursing practice, data analysis, and healthcare documentation, usually supported by RN licensure and experience in clinical settings. Familiarity with electronic health records (EHRs), telehealth platforms, and data management systems is crucial. Strong attention to detail, critical thinking, and effective written communication are standout soft skills for this position. These competencies ensure accurate patient data management, compliance with healthcare regulations, and effective remote collaboration, all vital for delivering quality patient care from a distance.
What are popular job titles related to Remote Data Rn jobs in Baltimore, MD? For Remote Data Rn jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Remote Data Rn jobs in Baltimore, MD look for? The top searched job categories for Remote Data Rn jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Remote Data Rn jobs? Cities near Baltimore, MD with the most Remote Data Rn job openings:
Remote Data Rn jobs near you
Infographic showing various Remote Data Rn job openings in Baltimore, MD as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
Utilization Management Specialist

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 2 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