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Remote Rn Field Case Manager Jobs in Baltimore, MD

Devoted Health

Social Work Case Manager

Nottingham, MD · On-site +1

$70K - $85K/yr

The Complex Care Department is at the heart of this goal: we are a highly collaborative, multidisciplinary team of physicians, nurse practitioners, case managers, social work case managers, community ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) is responsible for utilization management and concurrent review of ... The role partners with hospitals, case managers, social workers, discharge planners, members, and ...

Varsity Tutors

NCLEX-RN Tutor

Bowie, MD · Remote

$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.

Varsity Tutors

NCLEX-RN Tutor

College Park, MD · Remote

$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.

Varsity Tutors

NCLEX-RN Tutor

Baltimore, MD · Remote

$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.

Varsity Tutors

NCLEX-RN Tutor

Laurel, MD · Remote

$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.

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All JobsRn Field Case JobsRemote Rn Field Case Manager JobsRemote Rn Field Case Manager Jobs in Baltimore, MD

Remote Rn Field Case Manager information

See Baltimore, MD salary details

$63.1K

$85.5K

$104.3K

How much do remote rn field case manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for remote rn field case manager in Baltimore, MD is $85,479.00, according to ZipRecruiter salary data. Most workers in this role earn between $77,000.00 and $94,400.00 per year, depending on experience, location, and employer.

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

AspectRemote Rn Field Case ManagerRemote Rn Utilization Review Nurse
CertificationsRN license, case management certification often preferredRN license, certification in utilization review or case management beneficial
Work EnvironmentField-based, visiting patients and providers remotelyOffice-based, reviewing cases and medical records remotely
Employer & Industry UsageInsurance companies, workers' comp, healthcare providersInsurance companies, managed care organizations, healthcare payers
Common Search & ComparisonRemote Rn Field Case Manager vs Remote Rn Utilization Review Nurse

The Remote Rn Field Case Manager primarily conducts patient visits and manages cases in the field, while the Remote Rn Utilization Review Nurse focuses on reviewing medical necessity and appropriateness of care remotely. Both roles require RN licensure and related certifications, but differ in work environment and daily responsibilities.

What are popular job titles related to Remote Rn Field Case Manager jobs in Baltimore, MD?

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

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Remote Rn Field Case Manager jobs near you

CMS PACE Audit Leads - Non-Clinical & Clinical RN Positions

Baltimore, MD • Remote

NEXTPHASE HEALTH SOLUTIONS LLC
See more jobs at NEXTPHASE HEALTH SOLUTIONS LLCexternal

Part-time

Re-posted 5 days ago

Job description

Join our remote federal oversight team to lead and execute compliance audits for the Programs of All-Inclusive Care for the Elderly (PACE). We are actively recruiting qualified compliance and clinical leaders to fill three specialized leadership roles for the upcoming audit cycle.


Overview & Work Arrangement

Primarily part-time; 100% Remote (must reside and perform all work within one of the 50 United States).


Available Positions & Role-Specific Requirements

1. PACE Audit Lead [Non-Clinical or Clinical (RN)]

  • Directs the full end-to-end audit lifecycle, coordinating planning, staffing, schedules, and conferences across multidisciplinary teams while integrating cross-element findings and overseeing root cause analyses.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated experience planning, coordinating, and leading CMS PACE program audits and review activities; comprehensive knowledge of CMS PACE regulations, guidance, and audit protocols; skilled in developing audit reports, corrective action recommendations, and communicating results directly to CMS and PACE organizations.

2. Service Delivery, Access, and Grievances (SDAG) Lead [Non-Clinical or Clinical (RN)]

  • Directs the compliance evaluation of participant requests, service delivery workflows, appeals, and grievances to ensure adherence to federal timeframes, required notices, and participant protections.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required if applying as a clinical professional.
  • Requirements: Demonstrated expertise in CMS PACE SDAG audit protocols; thorough understanding of service delivery requirements, appeals, and grievance processes; experience reviewing case documentation, validating evidence, and evaluating workflows for CMS compliance.

3. Provision of Services Lead [Clinical (RN)]

  • Directs the clinical review element, evaluating whether required services were authorized, coordinated, and delivered in accordance with participant needs and federal program requirements.
  • Licensure: Active Registered Nurse (RN) with unrestricted licensure required.
  • Requirements: Extensive clinical knowledge of PACE interdisciplinary care delivery and participant assessment requirements; hands-on experience evaluating clinical records, care planning, service authorizations, quality of care standards, and clinical evidence to substantiate findings.


Mandatory Qualifications

  • Auditor Training: Successfully completed the CMS PACE 2026 auditor training.
  • Audit Experience: Verified participation in a minimum of two (2) CMS PACE audits during the 2026 audit cycle.
  • Experience: At least 2 years of relevant healthcare compliance, auditing, or clinical oversight experience.
  • Core Skills: Strong analytical, project management, and written communication skills to evaluate data, synthesize evidence, and produce defensible audit documentation.