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Remote Rn Case Manager Jobs in Pittsburgh, PA (NOW HIRING)

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

Manage an assigned call queue and daily outreach workload to meet productivity and retrieval ... Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license. * (compacted license ...

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Remote Rn Case Manager information

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How much do remote rn case manager jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote rn case manager in Pittsburgh, PA is $46.15, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $55.77 per hour, depending on experience, location, and employer.

What is a remote RN case manager?

A Remote RN Case Manager is a registered nurse who coordinates patient care, manages treatment plans, and advocates for patients—working primarily from a remote location rather than in a traditional healthcare facility. They assess patient needs, communicate with healthcare providers, and help ensure that patients receive timely and appropriate care. Remote RN Case Managers often use technology to monitor patient progress, provide education, and facilitate communication between patients and the healthcare team. This role is crucial in improving patient outcomes, reducing hospital readmissions, and supporting overall healthcare efficiency.

What are the key skills and qualifications needed to thrive as a remote RN case manager?

To thrive as a Remote RN Case Manager, you need a current RN license, strong clinical assessment skills, and experience in case management or care coordination. Familiarity with case management software, telehealth platforms, and electronic health records (EHRs) is typically required. Excellent communication, critical thinking, and self-motivation are standout soft skills for this remote role. These skills ensure effective patient support, accurate care planning, and seamless collaboration with healthcare teams from a distance.

What are some common challenges faced by remote RN case managers, and how can they be addressed?

Remote RN Case Managers often encounter challenges such as maintaining effective communication with patients and interdisciplinary teams, managing caseloads across different time zones, and ensuring patient privacy during virtual interactions. To address these, it is important to leverage secure telehealth platforms, establish regular check-ins with team members, and stay organized with digital case management tools. Continuous professional development in remote communication and time management can also help RN Case Managers thrive in a virtual work environment.

What is the difference between Remote Rn Case Manager vs Remote Lpn Case Manager?

FeatureRemote Rn Case ManagerRemote Lpn Case Manager
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHealthcare facilities, insurance companies, telehealthLong-term care, home health, insurance
Industry UsageWidely used in case management, patient advocacyCommon in basic patient care coordination
Job ResponsibilitiesCare planning, patient advocacy, complex case coordinationBasic patient monitoring, routine care coordination

The main difference between a Remote Rn Case Manager and a Remote Lpn Case Manager lies in their credentials and scope of practice. RNs typically handle more complex cases and have broader responsibilities, while LPNs focus on routine patient care and basic case coordination. Both roles are essential in healthcare, but RNs generally require more advanced training and licensing.

Can remote RN case managers work from home?

Remote RN case managers typically work from home, utilizing electronic health records and communication tools to coordinate patient care. They often need a reliable internet connection, relevant licensure, and sometimes specific certifications, but their role allows for a flexible, home-based work environment.

What are popular job titles related to Remote Rn Case Manager jobs in Pittsburgh, PA?

For Remote Rn Case Manager jobs in Pittsburgh, PA, the most frequently searched job titles are:

What job categories do people searching Remote Rn Case Manager jobs in Pittsburgh, PA look for?

The top searched job categories for Remote Rn Case Manager jobs in Pittsburgh, PA are:

What cities near Pittsburgh, PA are hiring for Remote Rn Case Manager jobs?

Cities near Pittsburgh, PA with the most Remote Rn Case Manager job openings:

Remote Rn Case Manager jobs near you
Infographic showing various Remote Rn Case Manager job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 70% Full Time, 25% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $95,983 per year, or $46.1 per hour.

HEDIS Chart Retrieval Nurse

tenavistaffing

Pittsburgh, PA • Remote

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 10 days ago

Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.