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Remote Rn Critical Access Jobs in Baltimore, MD (NOW HIRING)

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

... critical programs. Perform automated and complex medical record and claim reviews to make coverage ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

... critical programs. Perform automated and complex medical record and claim reviews to make coverage ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilize clinical expertise and critical thinking skills to analyze available clinical information ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilize clinical expertise and critical thinking skills to analyze available clinical information ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) is responsible for utilization management and concurrent review of ... Utilize clinical expertise and critical thinking skills to analyze available clinical information ...

J29 Inc.

Medical Reviewer, Register Nurse Coder

Millersville, MD · On-site +1

$18.25 - $24.25/hr

Medical Reviewer, RN Coder - Temporary Position Location: Remote *This role is a temporary position ... We are proud to continue our support to non-profit groups with critical missions as J29 continues ...

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 ... Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH ...

J29 Inc.

Nurse SME - Contingent

Millersville, MD · On-site +1

$100K - $120K/yr

Remote About J29 J29 is an employee centered healthcare management consulting company that ... Active, unrestricted Registered Nurse (RN) license in at least one U.S. state or territory.

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All JobsRn Critical Access JobsRemote Rn Critical Access JobsRemote Rn Critical Access Jobs in Baltimore, MD

Remote Rn Critical Access information

See Baltimore, MD salary details

$1K

$2.2K

$3.2K

How much do remote rn critical access jobs pay per week?

As of Sep 6, 2026, the average weekly pay for remote rn critical access in Baltimore, MD is $2,201.98, according to ZipRecruiter salary data. Most workers in this role earn between $1,748.08 and $2,636.54 per week, depending on experience, location, and employer.

What is the difference between Remote Rn Critical Access vs Remote Rn Hospital?

AspectRemote Rn Critical AccessRemote Rn Hospital
Work EnvironmentPrimarily rural, small critical access hospitalsUrban or suburban hospitals, larger facilities
CertificationsRN license, possibly critical access or rural health certificationsRN license, hospital-specific certifications
Job FocusEmergency, acute care in rural settingsGeneral hospital care, specialized units
Employer UsageCritical access hospitals, rural health clinicsLarge hospitals, healthcare systems

Remote Rn Critical Access nurses work mainly in rural, small hospitals focusing on acute and emergency care, often requiring rural health certifications. Remote Rn Hospital nurses serve in larger, urban hospitals with diverse specialties. The roles differ mainly in work environment and patient care scope, but both require RN licensure and healthcare experience.

What are popular job titles related to Remote Rn Critical Access jobs in Baltimore, MD?

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

What job categories do people searching Remote Rn Critical Access jobs in Baltimore, MD look for?

The top searched job categories for Remote Rn Critical Access jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Remote Rn Critical Access jobs?

Cities near Baltimore, MD with the most Remote Rn Critical Access job openings:

Remote Rn Critical Access jobs near you
Infographic showing various Remote Rn Critical Access job openings in Baltimore, MD as of August 2026, with employment types broken down into 1% As Needed, 66% Full Time, 25% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $114,503 per year, or $55 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 15 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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