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Remote Rn Case Review Jobs in Baltimore, MD (NOW HIRING)

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 ... Strong cost containment background, such as utilization review or managed care helpful

Varsity Tutors

NCLEX-RN Tutor

Bowie, MD · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Baltimore, MD · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

College Park, MD · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

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Remote Rn Case Review information

See Baltimore, MD salary details

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$47

$79

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

As of Sep 5, 2026, the average hourly pay for remote rn case review in Baltimore, MD is $47.23, according to ZipRecruiter salary data. Most workers in this role earn between $35.10 and $57.07 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Rn Case Review jobs in Baltimore, MD?

The most popular types of Rn Case Review jobs in Baltimore, MD are:

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For Remote Rn Case Review jobs in Baltimore, MD, the most frequently searched job titles are:

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Cities near Baltimore, MD with the most Remote Rn Case Review job openings:

Remote Rn Case Review jobs near you

RN - Fraud, Waste, and Abuse Case Reviewer 100% Remote

NEXTPHASE HEALTH SOLUTIONS LLC

Baltimore, MD • Remote

Full-time

Re-posted yesterday

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Job description

Job Responsibilities

  • Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse.

  • Conduct desk reviews in alignment with applicable contract requirements to identify potential fraud or overpayment.

  • Prepare detailed case summaries and provide results to investigators to support the investigative process.

  • Perform case-specific or plan-specific data entry and reporting to ensure accuracy and compliance.

Required Qualifications

  • Active, non-restricted Registered Nurse (RN) license.

  • Strong computer proficiency with excellent written communication skills.

  • Demonstrated research and analytical skills.

Preferred Qualifications

  • Coding certification (e.g., CPC, CCS, or equivalent).

  • Familiarity with Medicaid and Medicare regulations.

  • Experience with medical chart review.

  • Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF) review highly beneficial.