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Remote Humana Rn Jobs in Pennsylvania (NOW HIRING)

The CKHobbie Group

This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives ...

The CKHobbie Group

$42 - $47/hr

This is a remote position. We are seeking a passionate and experienced HSS Clinical Coordinator RN to join our remote care coordination team. This is a high-impact, contract-to-hire opportunity ...

Merakey

Remote RN - Part Time

Lafayette Hill, PA · Remote

Our Merakey affiliate is looking for a Part Time Remote RN to join the team. Part time - Remote Position $30.01 plus $3.00 shift diff for weekend and 3-11 shift. Hours: Thursday, 6a-2p, Friday 3p-11p ...

Merakey

LumiLink RN

Lafayette Hill, PA · On-site +1

The Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the ...

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All JobsRemote Humana Rn JobsRemote Humana Rn Jobs in Pennsylvania

Remote Humana Rn information

What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?

AspectRemote Humana RnRemote UnitedHealthcare Rn
CredentialsRN license, applicable certificationsRN license, applicable certifications
Work EnvironmentRemote, telehealth settingsRemote, telehealth settings
Employer & IndustryHumana, health insurance industryUnitedHealthcare, health insurance industry
Common Search IntentComparison of remote nursing roles in Humana and similar companiesComparison of remote nursing roles in UnitedHealthcare and similar companies

Both Remote Humana Rn and Remote UnitedHealthcare Rn roles involve providing patient care remotely within the health insurance industry. They require similar credentials, such as an active RN license and relevant certifications. The primary difference lies in the employer and specific company policies, but the work environment and job responsibilities are largely comparable, focusing on telehealth services for members of their respective health plans.

What are the most commonly searched types of Humana Rn jobs in Pennsylvania? The most popular types of Humana Rn jobs in Pennsylvania are:
What are popular job titles related to Remote Humana Rn jobs in Pennsylvania? For Remote Humana Rn jobs in Pennsylvania, the most frequently searched job titles are:
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What cities in Pennsylvania are hiring for Remote Humana Rn jobs? Cities in Pennsylvania with the most Remote Humana Rn job openings:
Remote Humana Rn jobs near you

Registered Nurse (RN) - HEDIS Abstraction Specialist (Remote - Pennsylvania)

The CKHobbie Group

On-site, Remote

Full-time

Posted yesterday

Job description

Job Description
This is a remote position.
Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance.
In this role, you will be responsible for reviewing and abstracting clinical data from medical records in accordance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze documentation related to preventive care, chronic disease management, and behavioral health services, ensuring all information is accurately captured and compliant with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data.
You will utilize abstraction tools and electronic medical record systems to document findings while meeting strict productivity and quality benchmarks. This includes maintaining audit readiness, ensuring a high level of accuracy, and consistently meeting deadlines during peak reporting periods. The work you perform directly impacts healthcare quality scores, reimbursement, and public reporting, making your contribution vital to both patient care recognition and organizational success.
Collaboration is also a key component of this position. You will work closely with healthcare providers, health plans, and internal quality teams to resolve discrepancies and clarify documentation when needed. Simultaneously, the role offers a high level of independence, allowing you to manage your workflow in a structured remote environment while maintaining performance expectations.
This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry.
Qualified candidates must hold an active RN license and have a strong understanding of medical terminology, clinical documentation, and healthcare data. Experience with electronic medical records and familiarity with coding systems such as ICD-10 and CPT are highly preferred. The ideal candidate is detail-driven, organized, and comfortable working independently in a fully remote environment while maintaining high standards of accuracy and productivity.

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