2

Remote Pediatric Rn Jobs in North Carolina (NOW HIRING)

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Senior Care Specialist Telephonic Registered Nurse (RN) 2 Accredo Specialty Pharmacy Clinical ... Pediatrics. * Excellent phone etiquette. About the department Clinical Operations department ...

Registered Dietitian, Remote

Charlotte, NC · Remote

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

Showing results 21-40

Remote Pediatric Rn information

See North Carolina salary details

$847

$1.9K

$3.2K

How much do remote pediatric rn jobs pay per week?

As of Sep 4, 2026, the average weekly pay for remote pediatric rn in North Carolina is $1,913.58, according to ZipRecruiter salary data. Most workers in this role earn between $1,294.23 and $2,376.92 per week, depending on experience, location, and employer.

What is a remote pediatric RN?

A Remote Pediatric RN is a registered nurse who provides care, support, and medical guidance to pediatric patients and their families through telehealth services. They may conduct virtual assessments, educate families on managing health conditions, coordinate care plans, and provide triage support. This role allows nurses to work from home while still delivering high-quality patient care, often in collaboration with physicians and other healthcare professionals.

What are some typical daily responsibilities for a remote pediatric RN?

A Remote Pediatric RN typically conducts virtual assessments, monitors patient health, provides education and support to families, and coordinates care with pediatricians and other healthcare professionals. You might spend your day reviewing electronic health records, triaging patient concerns, and following up on treatment plans using secure communication tools. Collaboration with multidisciplinary teams is common, helping ensure comprehensive, coordinated care for young patients. This role offers autonomy and flexibility while maintaining close connections with both patients and medical colleagues.

What are the key skills and qualifications needed to thrive in the remote pediatric RN position, and why are they important?

To thrive as a Remote Pediatric RN, you need a current RN license, solid pediatric nursing experience, and a deep understanding of pediatric-specific care protocols. Familiarity with telemedicine platforms, electronic health records (EHRs), and HIPAA-compliant communication tools is essential. Outstanding interpersonal skills, self-motivation, and the ability to communicate clearly with children and their families make candidates stand out in this role. These capabilities ensure high-quality, patient-centered care is delivered effectively, even in a virtual setting.

What are the most commonly searched types of Pediatric Rn jobs in North Carolina?

The most popular types of Pediatric Rn jobs in North Carolina are:

What are popular job titles related to Remote Pediatric Rn jobs in North Carolina?

For Remote Pediatric Rn jobs in North Carolina, the most frequently searched job titles are:

What job categories do people searching Remote Pediatric Rn jobs in North Carolina look for?

The top searched job categories for Remote Pediatric Rn jobs in North Carolina are:

What cities in North Carolina are hiring for Remote Pediatric Rn jobs?

Cities in North Carolina with the most Remote Pediatric Rn job openings:

Infographic showing various Remote Pediatric Rn job openings in North Carolina as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution, with an average salary of $99,506 per year, or $47.8 per hour.

RN Utilization Management Reviewer

Sagility

Concord, NC • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago


Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

63rd of 72 rated call and contact centers


Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

RN Utilization Management Reviewer

Job Description:

We are currently hiring a talented RN, Utilization Management Reviewer. This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Successful candidates must hold a valid, current license issued by the Massachusetts Board of Registration in Nursing.

Key responsibilities:

  • Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports (LTSS), and Home Health (HH)
  • Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine medical necessity of services
  • Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
  • Provides decision-making guidance to clinical teams on service planning as needed
  • Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
  • Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
  • Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
  • Additional duties as requested by supervisor
  • Maintains knowledge of CMS, State and NCQA regulatory requirements

Education Requirements:

  • RN - Associate's Degree required, Bachelor's Degree preferred
  • RN, current license issued by the Massachusetts Board of Registration in Nursing
  • CCM (Certified Case Manager) a plus

Required Experience (must have):

  • 1 to 2 years Utilization Management experience.
  • 2 or more years working in a clinical setting

Desired Experience (nice to have):

  • 2 or more years of Home Health Care experience
  • 2 or more years working in a Medicare Advantage health Plan

Required Knowledge, Skills & Abilities (must have):

  • Ability to complete assigned work in a timely and accurate manner
  • Knowledge of the Utilization management process
  • Ability to work independently

Desired Knowledge, Skills, Abilities & Language (nice to have):

  • Ability to apply predetermined criteria (e.g., Medical Necessity Guidelines, InterQual) to service decision requests to assess medical necessity
  • Flexibility and understanding of individualized care plans
  • Ability to influence decision making
  • Strong collaboration and negotiation skills
  • Strong interpersonal, verbal, and written communication skills
  • Comfort working in a team-based environment
  • Knowledge of Medicare and Mass health services and benefits

Salary: $35.00 - $40.00 Hourly pending experience

Hours: Monday through Friday 9AM to 5:30PM Eastern Time. May require weekends

This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

What Sagility employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom