ZipRecruiter

Log In

2

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

Varsity Tutors

NCLEX-RN Tutor

Pittsburgh, PA · Remote

$18 - $40/hr

Advanced Test Mastery: Deep knowledge of NCLEX-RN content areas including management of care ... Emphasizes developing systematic approaches to case study and select-all-that-apply item formats.

DataAnnotation

Registered Nurse - AI Trainer

Pittsburgh, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

next page

Showing results 1-20

All JobsRn Case JobsRemote Rn Case Manager JobsRemote Rn Case Manager Jobs in Washington, PA

Remote Rn Case Manager information

See Washington, PA salary details

$17

$44

$74

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

As of Jul 14, 2026, the average hourly pay for remote rn case manager in Washington, PA is $44.17, according to ZipRecruiter salary data. Most workers in this role earn between $32.84 and $53.37 per hour, depending on experience, location, and employer.

Do RN case managers work from home?

Yes, many RN case managers work remotely, especially in roles that involve care coordination, documentation, and communication with healthcare providers. Remote work for RN case managers often requires strong computer skills, familiarity with electronic health records, and relevant licensure, allowing for flexible schedules and home-based environments.

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 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.

How much do remote RN case managers make?

Remote RN case managers typically earn between $70,000 and $90,000 annually, depending on experience, location, and employer. They often work independently with strong clinical skills and may require licensure in their state of practice.

How can I make 2000 a week working from home?

A Remote RN Case Manager can potentially earn $2,000 or more weekly by working full-time, managing a high caseload, and possessing specialized skills or certifications. Increasing income may involve gaining experience, working overtime, or taking on additional cases, often requiring strong organizational and communication skills. Compensation varies based on employer, location, and workload, but high-volume remote case management can meet this income level for experienced professionals.

How to make 300,000 as a nurse online?

A remote RN case manager can potentially earn $300,000 annually by gaining specialized certifications, such as case management or telehealth credentials, and working for high-paying healthcare organizations or insurance companies. Increasing experience, taking on leadership roles, and working overtime or multiple contracts can also boost income in this field.

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

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 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.

What are popular job titles related to Remote Rn Case Manager jobs in Washington, PA? For Remote Rn Case Manager jobs in Washington, PA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Manager jobs in Washington, PA look for? The top searched job categories for Remote Rn Case Manager jobs in Washington, PA are:
What cities near Washington, PA are hiring for Remote Rn Case Manager jobs? Cities near Washington, PA with the most Remote Rn Case Manager job openings:
Remote Rn Case Manager jobs near you
Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Posted 26 days ago

Job description


Are you a registered nurse ready to take your career in an exciting newdirection-one where your expertise truly makes a difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations,safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy the freedom of working from home, theflexibility and autonomy to manage your workday, and the opportunity forcontinuous professional growth-all while being part of a passionate,mission-driven team dedicated to improving healthcare across theCommonwealth.
In this rewarding role, you'll use your clinical knowledge outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries across theCommonwealth. You'll enjoy the flexibility of working from home, theautonomy to manage your work, and meaningful opportunities forprofessional growth-all while contributing to a mission that trulymatters.
What You'll Do
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards
  • Support program integrity efforts by identifying trends, risks, and opportunities for improvement
  • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations
  • Apply nursing judgment to analyze medical records, documentation, and billing data
  • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices
  • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania

What We're Looking For
  • Active, unrestricted Registered Nurse (RN) license
  • Strong clinical background with the ability to apply nursing judgment analytically
  • Interest in advocacy, quality improvement, and healthcare program integrity
  • Excellent written and verbal communication skills
  • Ability to work independently while managing multiple priorities
  • Comfort with technology and electronic medical records

Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus-but not required.
Why Join Us
  • Mission-driven work with Pennsylvania's leading Quality Improvement Organization
  • Make a real impact on healthcare quality and outcomes for vulnerable populations
  • Remote work - enjoy the convenience and balance of working from home
  • Autonomy and flexibility in how you manage your workday
  • Advocacy-focused role that values your nursing voice and expertise
  • Career development opportunities to grow beyond traditional nursing roles
  • Supportive, collaborative team culture committed to excellence and integrity

If you're a registered nurse seeking purpose-driven work,professional growth, and the flexibility to balance your life andcareer-this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.
Requirements
Be available as a full-time consultant, approximately 37.5 hours per week;
• Possess a current license to practice as a Registered Nurse issued by the Pennsylvania
State Board of Nursing; or possess a non-renewable temporary practice permit issued
by the Pennsylvania State Board of Nursing. Resources possessing non-renewable
temporary practice permits must obtain licensing as a Registered Nurse within the
one-year period as defined by the Pennsylvania State Board of Nursing;
• Possess a documented work history of three (3) or more years of professional
experience with medical assistance, health care services or human services or any
equivalent combination of experience and training;
• Possess basic computer skills, including familiarity with Microsoft Office programs.
Principal Duties and Responsibilities (RN - Utilization Review / Program Integrity)
  • Conduct clinical utilization reviews by evaluating medical records, treatment plans, and supporting documentation to determine medical necessity, appropriateness, quality, and level of care in accordance with Medical Assistance (MA) program requirements.
  • Apply nursing judgment and evidence-based clinical standards to ensure MA recipients receive safe, appropriate, and high-quality care while supporting program integrity and regulatory compliance.
  • Assess provider billing and documentation to verify compliance with MA policies and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic provider portals, telephone communications, fax, and U.S. mail, ensuring completeness and accuracy for utilization determinations.
  • Make authorization determinations by approving, modifying, or denying service requests within RN scope of practice, or refer cases to physician advisors for secondary medical review when medical necessity or level of care is unclear.
  • Collaborate with physician/medical consultants to support peer-to-peer reviews and facilitate discussions with ordering providers regarding clinical justification, appropriate care settings, and service coverage.
  • Accurately document utilization review decisions and clinical rationale in electronic systems, generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards.
  • Participate in retrospective, concurrent, and prospective utilization reviews, including re-evaluations of previously denied services upon request by providers or facilities.
  • Review and prepare appeal cases by analyzing medical records, developing exhibits and correspondence, and providing testimony at administrative hearings using knowledge of MA regulations, utilization management principles, and appeal processes.
  • Interpret MA policies, regulations, and utilization management guidelines for internal staff, providers, and stakeholders through consultation, meetings, and educational sessions.
  • Engage in interdisciplinary collaboration with internal departments, medical consultants, legal staff, and external stakeholders to support consistent and defensible utilization determinations.
  • Maintain ongoing professional development through continuing education, conferences, and review of current medical literature to remain current with standards of care, clinical guidelines, and utilization review best practices.
  • Provide cross-coverage in other program areas as needed, maintaining competency through training and updates to ensure continuity of program operations.
  • Respond to inquiries from recipients, providers, legislators, legal offices, and external agencies to explain utilization decisions, coverage policies, and administrative processes.
  • Maintain accurate case records and documentation in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated for each assignment.
  • When required, work at Department-designated locations. The primary duty location is Pittsburgh, PA, where appropriate workspace, technology, and resources will be provided to support assigned responsibilities.

Benefits
Attractive Compensation plan.Holiday and Vacation program.

Apply