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

Maximus

Consultant - Medical (Case Reviewer 2)

VA · On-site +1

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... Active, valid RN licensure. - Medicare Set-Aside Certified Consultant (MSCC) certification ...

CINQCARE

Transition of Care RN

Washington, DC · Remote

$76K - $94K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Overview The Transition of Care RN reports to the Director of Clinical Operations or designee, with ... Certification in Case Management preferred.   * Experience: Experience with utilization review ...

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All JobsRn Case Review JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Silver Spring, MD

Remote Rn Case Review information

See Silver Spring, MD salary details

$19

$49

$82

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

As of Aug 19, 2026, the average hourly pay for remote rn case review in Silver Spring, MD is $49.14, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $59.38 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.

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

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Registered Nurse - Medical Case Reviewer - Rockville, MD

Prime Physicians

Rockville, MD • Remote

Contractor

Re-posted 21 days ago

Job description

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

Job Title: Registered Nurse — Medical Case Reviewer
Specialty: General Nursing (acute care, pediatrics, or related preferred)
Place of Work: Remote (U.S. only)
Duration: 6 months contract with a possibility of 6 months extension
License/Certifications: Active, unrestricted U.S. RN license
Education: Nursing degree from accredited U.S. institution
Minimum Qualification/Experience: At least 5 years RN clinical experience
Responsibilities:

  • Perform detailed medical record abstraction and timeline development for HRSA program cases.
  • Review and organize patient records to identify significant diagnoses, treatments, and outcomes.
  • Draft clear, concise reports that support physicians and advanced practitioners in case evaluation.
  • Detect and document missing or inconsistent records requiring follow-up.
  • Maintain accuracy, clarity, and compliance with established standards and deadlines.
  • Protect patient confidentiality and ensure strict adherence to HIPAA and internal quality processes.

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.