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Remote Nclex Rn Instructor Jobs in Baltimore, MD

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.

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) is responsible for utilization management and concurrent review of inpatient care to ensure members receive medically necessary services at the appropriate level of care.

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 ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

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 ...

RELI Group Inc.

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 ...

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Remote Nclex Rn Instructor information

See Baltimore, MD salary details

$926

$2.1K

$3.1K

How much do remote nclex rn instructor jobs pay per week?

As of Sep 6, 2026, the average weekly pay for remote nclex rn instructor in Baltimore, MD is $2,063.48, according to ZipRecruiter salary data. Most workers in this role earn between $1,700.00 and $2,359.62 per week, depending on experience, location, and employer.

What is the difference between Remote Nclex Rn Instructor vs Remote Nursing Educator?

AspectRemote Nclex Rn InstructorRemote Nursing Educator
Required CredentialsRN license, NCLEX preparation experienceRN license, broader nursing education background
Work EnvironmentOnline classrooms, virtual trainingOnline courses, academic settings
Employer & IndustryNursing schools, test prep companiesUniversities, healthcare institutions

The main difference is that a Remote Nclex Rn Instructor focuses specifically on preparing students for the NCLEX exam, while a Remote Nursing Educator may teach broader nursing topics and curricula. Both roles require RN licensure and often involve online teaching, but their scope and target audiences differ.

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For Remote Nclex Rn Instructor jobs in Baltimore, MD, the most frequently searched job titles are:

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Nurse SME

J29 Inc.

Millersville, MD • On-site, Remote

$100K - $120K/yr

Full-time

Posted 4 days ago

Job description

*This position is contingent upon the successful award of the associated contract. Employment is not guaranteed until the contract is awarded, and the position is officially activated. Job responsibilities and requirements are subject to change.
Position: Nurse Subject Matter Expert (SME)
Location: Remote
About J29
J29 is an employee centered healthcare management consulting company that specializes in processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates that allow us to ensure that we are creating a working environment that prioritizesthe employeeexperience. Our team brings corporate performance that stretches to various areas where we can provide our clinical, healthcare policy, and complianceexpertisethrough our support to health and human service programs at the State, Federal, and Commercial levels.
Overview
J29 is seeking a highly experienced Nurse Subject Matter Expert (SME) in support of an potential upcoming contract. The Nurse SME will serve as a senior clinical resource, providing subject matter expertise in support of program integrity initiatives, audits, investigations, data analysis, healthcare reviews, fraud, waste, and abuse (FWA) prevention efforts. This individual will collaborate with internal teams and external stakeholders to evaluate healthcare data, review medical records and claims, identify vulnerabilities, and develop recommendations that support compliance, quality, and operational effectiveness. The Nurse SME will leverage extensive clinical experience and analytical expertise to support project objectives and improve healthcare program outcomes.
Role & Responsibilities
  • Provides clinical support to other functional areas (e.g., audits, complaints, data analysis, investigations, requests for information, predictive modeling, and vulnerabilities) in need of subject matter expertise.
  • Works directly with the client and appropriate stakeholders, health plans, pharmacy benefit managers, other contractors, law enforcement, providers, suppliers, prescribers, and pharmacies to build partnerships, support data sharing, develop tools, and references to support program integrity initiatives.
  • Initiates and contributes to the conceptual design, methodologies, and implementation of projects, as well as assist with project execution as needed.
  • May provide educational programs as necessary to meet project goals, combat potential fraud, waste, and abuse, and promote high quality, safe, and effective medication use.
  • Develop solutions, alternative practices, or strategies to detect and prevent FWA.
  • Gather and organize information about a problem to be solved or the procedure or process to be improved.
  • Analyze financial, operational, and performance data, information, and other forms of evidence.
  • Participate in audit activities, such as performing audits and/or reviews of healthcare services based on billing and medical records, compendia, and criteria to evaluate the appropriateness of the patient encounters.
  • Use nursing expertise to translate requirements among other professionals.
  • Identify and utilize appropriate techniques in vetting data and information.
  • Identify and aid in the development of best practices for conducting audits, analytics, and program vulnerability studies.
  • Review and analyze encounter data, fee-for-service claims, enrollment data, prescription drug event records, and other data sources in providing advice, input, and recommendations.

Experience / Expertise
  • Active, unrestricted Registered Nurse (RN) license in at least one U.S. state or territory.
  • Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related healthcare field required.
  • 10+ years of clinical and healthcare industry experience, including medical record review, clinical auditing, risk adjustment, payment integrity, quality improvement, or healthcare program oversight.
  • Demonstrated expertise in reviewing and interpreting medical records, claims data, encounter data, and clinical documentation.
  • Strong knowledge of Hierarchical Condition Categories (HCCs), risk adjustment methodologies, risk score validation, and coding/documentation requirements.
  • Experience supporting or conducting Risk Adjustment Data Validation (RADV) audits and reviews.
  • Knowledge of Health Risk Assessments (HRAs) and their role in risk adjustment and population health initiatives.
  • Experience evaluating and analyzing encounter data for completeness, accuracy, and compliance.
  • Working knowledge of CMS STAR Ratings, quality performance measures, and healthcare quality improvement initiatives.
  • Familiarity with supplemental benefits, healthcare utilization trends, and member-focused care programs.
  • Knowledge of Medical Loss Ratio (MLR) concepts and their impact on healthcare operations and performance.
  • Experience identifying potential fraud, waste, abuse, compliance risks, documentation gaps, and operational vulnerabilities through clinical review and data analysis.
  • Strong analytical and critical thinking skills with the ability to interpret clinical, operational, and financial data and provide actionable recommendations.
  • Experience collaborating with health plans, providers, healthcare organizations, and cross-functional teams to support program objectives.
  • Excellent written and verbal communication skills, including the ability to summarize clinical findings and present recommendations to stakeholders.

Preferred Qualifications
  • Experience supporting healthcare program integrity, fraud, waste, and abuse (FWA) detection and prevention efforts.
  • Experience conducting clinical audits, medical record reviews, claims reviews, utilization reviews, or healthcare investigations.
  • Knowledge of healthcare reimbursement methodologies, claims processing, and healthcare data analytics.
  • Experience working with health plans, providers, suppliers, pharmacies, or other healthcare stakeholders.
  • Familiarity with healthcare compliance requirements and quality improvement methodologies.
  • Experience developing educational materials, training programs, guidance documents, or best-practice recommendations.
  • Professional certifications such as CPHQ, CCM, CPMA, CHC, or other relevant healthcare certifications preferred.
  • Experience supporting government, commercial, or managed healthcare programs preferred.

Salary: $100,000-120,000 annually based on years of experience related to the role.
J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.
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About J29

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

1 - 10 Employees

Headquarters location

Millersville, MD, US

Year founded

2017

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