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Remote Kettering Health Network Nurse Rn Jobs in Pasadena, MD

Cinqcare

Registered Nurse

Laurel, MD · Remote

Grace at Home is a provider-led, community-based health and care partner dedicated to improving the ... Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions.

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

... of health and/or barriers to care. We are looking for an experienced Registered Nurse to work ... Identifies relevant CareFirst and community resources and facilitates program, network, and ...

CINQCARE

Registered Nurse (0767)

Baltimore, MD · Remote

$84K - $106K/yr

Grace at Home is a provider-led, community-based health and care partner dedicated to improving the ... Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions.

J29 Inc.

Nurse SME

Millersville, MD · On-site +1

$100K - $120K/yr

Remote About J29 J29 is an employee centered healthcare management consulting company that ... Active, unrestricted Registered Nurse (RN) license in at least one U.S. state or territory.

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How much do remote kettering health network nurse rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote kettering health network nurse rn in Pasadena, MD is $39.20, according to ZipRecruiter salary data. Most workers in this role earn between $30.00 and $43.94 per hour, depending on experience, location, and employer.

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CMS PACE Audit Leads - Non-Clinical & Clinical RN Positions

NEXTPHASE HEALTH SOLUTIONS LLC

Baltimore, MD • Remote

Part-time

Re-posted yesterday

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Job description

Join our remote federal oversight team to lead and execute compliance audits for the Programs of All-Inclusive Care for the Elderly (PACE). We are actively recruiting qualified compliance and clinical leaders to fill three specialized leadership roles for the upcoming audit cycle.


Overview & Work Arrangement

Primarily part-time; 100% Remote (must reside and perform all work within one of the 50 United States).


Available Positions & Role-Specific Requirements

1. PACE Audit Lead [Non-Clinical or Clinical (RN)]

  • Directs the full end-to-end audit lifecycle, coordinating planning, staffing, schedules, and conferences across multidisciplinary teams while integrating cross-element findings and overseeing root cause analyses.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated experience planning, coordinating, and leading CMS PACE program audits and review activities; comprehensive knowledge of CMS PACE regulations, guidance, and audit protocols; skilled in developing audit reports, corrective action recommendations, and communicating results directly to CMS and PACE organizations.

2. Service Delivery, Access, and Grievances (SDAG) Lead [Non-Clinical or Clinical (RN)]

  • Directs the compliance evaluation of participant requests, service delivery workflows, appeals, and grievances to ensure adherence to federal timeframes, required notices, and participant protections.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated expertise in CMS PACE SDAG audit protocols; thorough understanding of service delivery requirements, appeals, and grievance processes; experience reviewing case documentation, validating evidence, and evaluating workflows for CMS compliance.

3. Provision of Services Lead [Clinical (RN)]

  • Directs the clinical review element, evaluating whether required services were authorized, coordinated, and delivered in accordance with participant needs and federal program requirements.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required.
  • Requirements: Extensive clinical knowledge of PACE interdisciplinary care delivery and participant assessment requirements; hands-on experience evaluating clinical records, care planning, service authorizations, quality of care standards, and clinical evidence to substantiate findings.


Mandatory Qualifications

  • Auditor Training: Successfully completed the CMS PACE 2026 auditor training.
  • Audit Experience: Verified participation in a minimum of two (2) CMS PACE audits during the 2026 audit cycle.
  • Experience: At least 2 years of relevant healthcare compliance, auditing, or clinical oversight experience.
  • Core Skills: Strong analytical, project management, and written communication skills to evaluate data, synthesize evidence, and produce defensible audit documentation.