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

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 ...

Corvel

Telephonic Case Manager I

Nottingham, MD · Remote

$63K - $95K/yr

This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the ...

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Remote Prn Rn information

What is a remote PRN RN?

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 as a remote PRN RN?

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.

What are the most commonly searched types of Prn Rn jobs in Pasadena, MD?

The most popular types of Prn Rn jobs in Pasadena, MD are:

What are popular job titles related to Remote Prn Rn jobs in Pasadena, MD?

For Remote Prn Rn jobs in Pasadena, MD, the most frequently searched job titles are:

What job categories do people searching Remote Prn Rn jobs in Pasadena, MD look for?

The top searched job categories for Remote Prn Rn jobs in Pasadena, MD are:

What cities near Pasadena, MD are hiring for Remote Prn Rn jobs?

Cities near Pasadena, MD with the most Remote Prn Rn job openings:

Remote Prn Rn jobs near you
Infographic showing various Remote Prn Rn job openings in Pasadena, MD as of August 2026, with employment types broken down into 76% Full Time, 10% Part Time, and 14% Contract. Highlights an 100% Remote job distribution.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 17 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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