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Remote Emr Conversion Rn Jobs in Baltimore, MD (NOW HIRING)

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 ...

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

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 ...

Account Executive

Brookeville, MD · On-site +1

$80K - $200K/yr

A Sneak Peek of Your Role 🔭 This job, and the team at Instinct, is remote. Instinct Science ... Drive trial-to-paid conversion through consistent, consultative follow-up - surfacing friction and ...

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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Remote Emr Conversion Rn information

See Baltimore, MD salary details

$955

$1.9K

$3K

How much do remote emr conversion rn jobs pay per week?

As of Jul 5, 2026, the average weekly pay for remote emr conversion rn in Baltimore, MD is $1,943.65, according to ZipRecruiter salary data. Most workers in this role earn between $1,519.23 and $2,273.08 per week, depending on experience, location, and employer.

What is the difference between Remote Emr Conversion Rn vs Remote Medical Coder?

AspectRemote Emr Conversion RnRemote Medical Coder
CredentialsRN license, EMR certificationMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare facilities, EMR conversion projectsHealthcare offices, insurance companies, remote coding
Industry UsageEMR system implementation, data migrationBilling, coding, insurance claims processing

Remote Emr Conversion Rns focus on converting and implementing electronic medical records, requiring nursing credentials and EMR expertise. Remote Medical Coders specialize in translating medical records into billing codes, needing coding certifications. While both roles work remotely in healthcare, their core functions and required qualifications differ significantly.

What are the most commonly searched types of Emr Conversion Rn jobs in Baltimore, MD? The most popular types of Emr Conversion Rn jobs in Baltimore, MD are:
What are popular job titles related to Remote Emr Conversion Rn jobs in Baltimore, MD? For Remote Emr Conversion Rn jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Remote Emr Conversion Rn jobs in Baltimore, MD look for? The top searched job categories for Remote Emr Conversion Rn jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Remote Emr Conversion Rn jobs? Cities near Baltimore, MD with the most Remote Emr Conversion Rn job openings:
Infographic showing various Remote Emr Conversion Rn job openings in Baltimore, MD as of June 2026, with employment types broken down into 87% Full Time, 9% Part Time, and 4% Contract. Highlights an 48% Physical, 3% Hybrid, and 49% Remote job distribution, with an average salary of $101,070 per year, or $48.6 per hour.
Utilization Management Specialist

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 12 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