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Remote Prn Rn Jobs in Nottingham, MD (NOW HIRING)

ATULO HEALTH INC

PRN Home Infusion RN

Baltimore, MD · Remote

Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...

CareFirst

Care Manager - RN (Remote)

Baltimore, MD · Remote

This RN position supports line of business. Under minimal supervision, the Care Manager researches and analyzes members' medical and behavioral health needs and healthcare cost drivers. The Care ...

Pair Team

Medicare Nurse Practitioner (Remote)

Columbia, MD · Remote

$115K - $130K/yr

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...

DataAnnotation

RN

Baltimore, MD · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

CCM/ACM or other RN Board Certified certification in case management. * Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs ...

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Remote Prn Rn information

What is a Remote PRN RN job?

A Remote PRN RN job is a flexible, as-needed nursing position that allows registered nurses to work from home, typically providing telehealth services, case management, or remote patient monitoring. These roles require active RN licensure and experience in areas like triage, chronic disease management, or insurance assessments. Since the position is PRN (pro re nata), hours are not guaranteed and vary based on employer needs.

What are the key skills and qualifications needed to thrive in the Remote Prn Rn position, and why are they important?

To thrive as a Remote PRN RN, you need a valid RN license, strong clinical assessment abilities, and experience in diverse healthcare environments. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication tools is typically required. Excellent time management, self-motivation, and strong verbal and written communication are valuable soft skills. These are crucial for providing effective patient care remotely, ensuring compliance with regulations, and adapting quickly to varying work demands.

What are the main challenges of working as a Remote PRN RN and how can I prepare for them?

One of the main challenges of working as a Remote PRN RN is adapting to changing schedules and clinical needs, since PRN positions require flexibility based on staffing demands. You may also need to manage patient care independently and troubleshoot technical issues related to remote work platforms. Staying organized, being proactive in communication, and regularly updating your knowledge of telehealth best practices will help you excel. Building a strong rapport with remote teams and utilizing available training resources can enhance both your confidence and effectiveness in this role.
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Remote Prn Rn jobs near you
Utilization Management RN (Remote) | Baltimore, MD |

Utilization Management RN (Remote) | Baltimore, MD |

Morgan Stephens

Baltimore, MD • Remote

Other

Retirement, PTO

Posted 8 days ago

Job description

Job Title: Utilization Management RN (Remote) | Baltimore, MD | $85K+

Fully remote opportunity
Fast interview process

Location: Baltimore, MD (Remote - must reside in Maryland or hold compact license)
Job Type: Full-Time
Department: Utilization Management

About Us
Morgan Stephens represents the nation's top healthcare systems, offering highly competitive compensation and benefits to top candidates. We are led by experienced healthcare industry professionals and specialize in contract, contract-to-hire, and direct placement services nationwide.

We have successfully placed thousands of healthcare professionals into organizations seeking high-quality talent and continue to partner with leading health systems and managed care organizations.

Position Summary
The Utilization Management RN plays a critical role in ensuring healthcare services are delivered with quality, cost efficiency, and full regulatory compliance. Through ongoing review and audit of clinical documentation, this role helps prevent unnecessary procedures, ineffective treatment, and extended hospital stays.

This position is ideal for an RN with strong clinical judgment, prior authorization experience, and a background in managed care, hospital case management, or utilization review.

Job Duties and Responsibilities

Perform concurrent review of patient clinical information for medical necessity and efficiency

Conduct ongoing review of precertification and prior authorization requests

Ensure services align with established clinical guidelines (MCG or InterQual)

Monitor the activities of clinical and non-clinical staff related to utilization processes

Coordinate discharge planning needs with the interdisciplinary healthcare team

Advocate for quality care and improved patient outcomes

Identify opportunities to reduce unnecessary hospital stays and prevent complications

Maintain accurate and timely documentation of all patient-related interactions

Prepare reports on patient management, utilization trends, and cost savings

Provide daily updates to the Manager of Utilization Management

Work effectively in a fast-paced, high-volume environment with minimal supervision

Skills and Qualifications

Active, unrestricted Registered Nurse (RN) license in Maryland or compact state (required)

Bachelor's degree in Nursing (BSN preferred)

Minimum of 2+ years of experience in Utilization Management or Case Management

Strong knowledge of MCG or InterQual guidelines

Experience with prior authorizations, concurrent review, and medical necessity determinations

Proficiency in EMR systems and Microsoft Office (Excel, Word, Outlook)

Strong critical thinking, organizational, and communication skills

Ability to work independently in a fully remote environment

Preferred Experience

Managed care or health plan experience (Medicaid or Medicare populations preferred)

Experience with Maryland Medicaid or long-term services and supports (LTSS)

Utilization Management (UM) or Case Management certification (CCM, ACM) preferred

Why This Role Matters
This role directly impacts patient outcomes, cost efficiency, and quality of care. You will play a key role in ensuring patients receive appropriate, timely, and effective treatment while supporting the overall healthcare system.

Benefits Include
Competitive compensation, full benefits package, 401(k) with match, paid time off, continuing education support, and full remote flexibility.

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