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Remote Rn Care Advisor Jobs in Raleigh, NC (NOW HIRING)

Amerihealth Caritas

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

An active and unencumbered Registered Nurse license required Skills and Abilities * Strong ... care trends and gaps * Effective collaboration skills with clinicians, physician advisors, and ...

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Remote Rn Care Advisor information

See Raleigh, NC salary details

$12

$23

$33

How much do remote rn care advisor jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for remote rn care advisor in Raleigh, NC is $23.98, according to ZipRecruiter salary data. Most workers in this role earn between $19.62 and $26.15 per hour, depending on experience, location, and employer.

What is a Remote RN Care Advisor?

A Remote RN Care Advisor is a registered nurse who provides patient care, education, and support through telehealth platforms instead of in-person visits. They assess patient needs, help manage chronic conditions, coordinate care, and offer health coaching over the phone or via video calls. This role allows nurses to work from home or any remote location while still delivering high-quality care and guidance to patients. Remote RN Care Advisors often work for healthcare organizations, insurance companies, or telemedicine providers.

How does a Remote RN Care Advisor typically coordinate care with other healthcare professionals while working remotely?

As a Remote RN Care Advisor, collaboration with physicians, social workers, and other healthcare team members is primarily managed through secure digital platforms, video conferences, and regular phone calls. Effective communication and thorough documentation are essential to ensure continuity of care and timely updates for all parties involved. While you may work independently from home, you’ll participate in virtual team meetings and case discussions to align on patient care plans and address any complex needs. This setup allows for flexibility but requires strong organizational and interpersonal skills to build relationships and advocate for patients remotely.

What are the key skills and qualifications needed to thrive as a Remote RN Care Advisor, and why are they important?

To thrive as a Remote RN Care Advisor, you need an active RN license, strong clinical judgment, and experience in care coordination or case management. Familiarity with telehealth platforms, electronic health records (EHRs), and case management software is typically required. Excellent communication, empathy, and problem-solving skills help build trust with patients and effectively collaborate with healthcare teams. These skills ensure effective virtual patient care, continuity, and successful health outcomes in a remote setting.

What is the difference between Remote Rn Care Advisor vs Remote Rn Nurse?

AspectRemote Rn Care AdvisorRemote Rn Nurse
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentPatient education, care coordination, and support via phone or onlinePatient care, assessments, and clinical tasks remotely or in telehealth settings
Employer & IndustryHealth insurance companies, telehealth providers, healthcare organizationsHospitals, clinics, telehealth services, insurance companies

Both roles require an RN license and involve patient interaction. The Remote Rn Care Advisor primarily focuses on patient education, care guidance, and support, often in a non-clinical capacity. In contrast, the Remote Rn Nurse performs clinical assessments and provides direct patient care remotely. While both work in healthcare and telehealth environments, their core responsibilities differ, with the Care Advisor emphasizing guidance and the Nurse emphasizing clinical tasks.

What are popular job titles related to Remote Rn Care Advisor jobs in Raleigh, NC?

For Remote Rn Care Advisor jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Rn Care Advisor jobs in Raleigh, NC look for?

The top searched job categories for Remote Rn Care Advisor jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Rn Care Advisor jobs?

Cities near Raleigh, NC with the most Remote Rn Care Advisor job openings:

Remote Rn Care Advisor jobs near you
Infographic showing various Remote Rn Care Advisor job openings in Raleigh, NC as of September 2026, with employment types broken down into 72% Full Time, 17% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $49,887 per year, or $24 per hour.

Clinical Quality Performance Specialist

Raleigh, NC • On-site, Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees
Learn more about Amerihealth Caritasexternal

$31.25 - $41.75/hr

Full-time

Medical, Retirement, PTO

Re-posted 8 days ago

Key responsibilities

  • Lead and coordinate the clinical quality review process of member concerns and medical records using standards of care.

  • Support annual medical record review activities, including HEDIS and Clinical Practice Guidelines, and assist with accreditation and quality performance improvement activities.

  • Review and approve quality management work plans, develop quarterly trending reports, and participate in activities to maintain compliance with regulations and standards.

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

Job description

Work Arrangement:

  • Remote based position with a strong preference for a North Carolina resident
  • Monday through Friday, 8:30am EST to 5:00pm EST

Responsibilities:

As part of the Quality Management team, the Quality Performance Specialist Clinical is responsible for leading and coordinating the clinical quality review process of member concerns and medical records utilizing standards of care for AmeriHealth Caritas North Carolina. In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and Clinical Practice Guidelines. The position also supports accreditation and clinical quality performance improvement activities.

  • Assumes responsibility for performing quality of care reviews to include all sentinel events and member concerns. Coordinates reviews with physician advisors and clinical quality committees as appropriate.
  • Assures minimally necessary medical records are collected and organized for clinical review to occur. Summarizes all clinical findings for review by clinical committees as appropriate.
  • Assist with Quality Assessment and Performance Improvement Committee (QAPI) meeting packets, schedules, agendas, and the review and approval of minutes.
  • Reviews and approves the quality management work plan on an annual basis including selection of performance measures, goals, objectives, and thresholds
  • Review and suggest new and/or improved QM activities using Plan-Do-Study-Act Cycles
  • Develops QOC quarterly trending reports for QAPI for input and direction. Follows up on any recommendations.
  • Adheres to QM policies including annual reviews, updates, and approvals.
  • Participates and assist in activities and reporting to maintain compliance with state regulations and NCQA standards for quality activities

  • Supports the quality improvement department with annual medical record review activities including HEDIS, NCQA and Clinical Practice Guidelines by working collaboratively with the Quality

Education/Experience

  • Associate’s Degree in Nursing required; Bachelor’s Degree preferred
  • Minimum of 3 years in clinical or service quality improvement, healthcare delivery or a related field
  • Strong maternal and / or women's health clinical practice experience desired
  • Prior experience with project facilitation or project management preferred
  • Knowledge and understanding of quality improvement functions within an managed care organization preferred
  • Knowledge of Medicaid and Medicare programs preferred
  • Experience with quality improvement methodologies such as Plan-Do-Study-Act (PDSA)

Licensure

  • An active and unencumbered Registered Nurse license required

Skills and Abilities

  • Strong knowledge of clinical quality standards, regulatory requirements, and accreditation processes (e.g. NCQA and HEDIS)
  • Ability to analyze medical records and identify quality-of-care trends and gaps
  • Effective collaboration skills with clinicians, physician advisors, and cross functional teams
  • Strong organizational skills with the ability to manage multiple priorities and deadlines
  • Clear and concise written and verbal communication skills, including report development
  • Detail-oriented with the ability to synthesize complex clinical information into actionable items

  • Proficiency in data tracking, reporting and using Microsoft Office tools (Word, PowerPoint, Excel, Teams) required

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

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