ZipRecruiter

Log In

2

Remote Duke Rn Jobs in Columbia, 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 ...

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 ...

next page

Showing results 1-20

All JobsDuke Rn JobsRemote Duke Rn JobsRemote Duke Rn Jobs in Columbia, MD

Remote Duke Rn information

See Columbia, MD salary details

$5

$42

$76

How much do remote duke rn jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote duke rn in Columbia, MD is $42.42, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $53.89 per hour, depending on experience, location, and employer.

What is the difference between Remote Duke Rn vs Remote LPN?

AspectRemote Duke RnRemote LPN
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentTelehealth, hospitals, clinicsTelehealth, long-term care, clinics
Employer & IndustryHospitals, healthcare providers, telehealth companiesLong-term care facilities, clinics, telehealth services
Common Search/ComparisonRemote Duke Rn vs Remote LPN

The main difference between Remote Duke Rn and Remote LPN lies in their credentials and scope of practice. RNs typically have a broader scope, more responsibilities, and require a registered nurse license, while LPNs have a more limited scope with a licensed practical nurse license. Both roles work in telehealth and healthcare settings, but RNs often handle more complex patient care tasks.

What are the most commonly searched types of Duke Rn jobs in Columbia, MD? The most popular types of Duke Rn jobs in Columbia, MD are:
What are popular job titles related to Remote Duke Rn jobs in Columbia, MD? For Remote Duke Rn jobs in Columbia, MD, the most frequently searched job titles are:
What job categories do people searching Remote Duke Rn jobs in Columbia, MD look for? The top searched job categories for Remote Duke Rn jobs in Columbia, MD are:
What cities near Columbia, MD are hiring for Remote Duke Rn jobs? Cities near Columbia, MD with the most Remote Duke Rn job openings:
Remote Duke Rn jobs near you
Utilization Management Specialist

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 23 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