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

Pair Team

Medicare Nurse Practitioner (Remote)

Columbia, MD · Remote

$115K - $130K/yr

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...

Sedgwick

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

York Risk Services

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

York Risk Services

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Sedgwick

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

CCM/ACM or other RN Board Certified certification in case management. * Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs ...

Avail Health

RN Care Manager, Care Transitions

Rockville, MD · On-site +1

$94K - $115K/yr

The RN Care Manager leads the medical track of that program - serving as the primary clinical point ... Hybrid - primarily remote with in-person visits when clinically indicated Schedule: Monday-Friday ...

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All JobsRemote Rn Government JobsRemote Rn Government Jobs in Silver Spring, MD

Remote Rn Government information

What is a Remote RN Government job?

A Remote RN Government job is a nursing position that allows registered nurses to work from home or a remote location while serving government agencies. Responsibilities may include telehealth services, case management, utilization review, or public health initiatives. These roles typically support federal, state, or local government healthcare programs such as Veterans Affairs, Medicaid, or public health departments. Remote RNs use technology to assess, educate, and support patients while ensuring compliance with government healthcare regulations.

How can I make 2000 dollars a week working from home?

A Remote RN Government role can potentially pay $2,000 or more per week, especially with specialized skills, experience, and certifications such as a valid nursing license. Increasing earnings may involve taking on additional shifts, working overtime, or handling high-demand cases, often requiring strong clinical knowledge and familiarity with government healthcare systems. Building a reputation for reliability and efficiency can also lead to higher-paying assignments or consulting opportunities.

How to make $300,000 as a nurse online?

Remote RNs can increase earnings by specializing in high-demand areas such as case management or telehealth, obtaining advanced certifications, and gaining experience in lucrative fields. Building a strong online presence, offering consulting services, or working for multiple agencies can also boost income, but reaching $300,000 annually typically requires a combination of specialization, experience, and additional certifications. Most remote nursing roles have salary caps below this level without additional income streams or entrepreneurial efforts.

What types of patients and responsibilities can a Remote RN Government typically expect to manage?

Remote RN Government positions often involve supporting diverse patient populations, such as veterans, underserved communities, or individuals enrolled in public health programs. Daily duties include conducting virtual patient assessments, coordinating care plans, providing health education, and ensuring adherence to government health policies. RNs may also collaborate with case managers, social workers, and public health officials remotely. This role demands the ability to manage a varied caseload efficiently while maintaining thorough documentation and clear communication with patients and colleagues.

Can nurses work for the federal government?

Yes, registered nurses (RNs) can work for the federal government in roles such as federal healthcare facilities, military hospitals, or government agencies. These positions often require specific certifications, security clearances, and adherence to federal employment standards. Remote RNs may also find opportunities in telehealth services for government programs.

What are the key skills and qualifications needed to thrive in the Remote Rn Government position, and why are they important?

To thrive as a Remote RN Government, you need an active registered nurse license, thorough clinical knowledge, and experience working within government regulations or public health frameworks. Familiarity with government healthcare systems, secure telemedicine platforms, and compliance standards (such as HIPAA) is essential. Strong self-motivation, clear communication, and time management skills are vital for working independently while collaborating virtually with multidisciplinary teams. These competencies ensure high-quality patient care, regulatory compliance, and effective remote collaboration in a government healthcare setting.

How to make an extra 2000 a month as a nurse?

Remote Rn government roles can increase income by taking on additional shifts, working overtime, or providing telehealth services outside regular hours. Developing specialized skills or certifications, such as in case management or public health, can also open opportunities for higher-paying freelance or consulting work. Building a flexible schedule and leveraging multiple platforms can help reach the extra income goal.
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Remote Rn Government jobs near you
SIU Nurse Auditor, RN, CPC (Full-time, Remote)

SIU Nurse Auditor, RN, CPC (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • Remote

Full-time

Posted 12 days ago

Job description

Job Title: Clinical Nurse Auditor – Payment Integrity

Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.

How You Will Make an Impact

  • Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
  • Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
  • Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
  • Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
  • Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
  • Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

Requirements

Qualifications

  • Education:
    • Minimum Associate’s Degree in Nursing required;
  • Licensure & Certification:
    • Current, unrestricted Registered Nurse (RN) license in applicable state(s).
    • Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
  • Experience:
    • Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
    • Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
    • Prior experience with healthcare fraud investigation and auditing is highly preferred.
  • Skills:
    • Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
    • Analytical and problem-solving skills with a keen attention to detail.
    • Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
    • Strong proficiency in Microsoft Office and familiarity with audit tracking systems.

Preferred Traits

  • Meticulous, organized, and objective in analyzing claims and documentation.
  • Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
  • Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.