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

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Remote Rn Government information

What is a Remote RN Government?

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.

What does a Remote RN Government do?

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.

What are the key skills and qualifications needed for a Remote RN Government?

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.

What are the most commonly searched types of Rn Government jobs in Silver Spring, MD?

The most popular types of Rn Government jobs in Silver Spring, MD are:

What are popular job titles related to Remote Rn Government jobs in Silver Spring, MD?

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

What job categories do people searching Remote Rn Government jobs in Silver Spring, MD look for?

The top searched job categories for Remote Rn Government jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Remote Rn Government jobs?

Cities near Silver Spring, MD with the most Remote Rn Government job openings:

Infographic showing various Remote Rn Government job openings in Silver Spring, MD as of August 2026, with employment types broken down into 60% Full Time, and 40% Contract. Highlights an 100% Remote job distribution.

Utilization Management Specialist - Remote / Telecommute

CYNET SYSTEMS

Baltimore, MD • Remote

$46 - $51/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 4 days ago


Job description

Job Overview:

Pay Range: $46.76hr - $51.76hr

Requirement/Must Have:

  • RN license, utilization management, computer skills.
  • 5 years Clinical nursing experience.
  • 2 years Care Management.
  • In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Responsibilities:

  • Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American Society of Addiction Medicine), Medicare Guidelines, Federal Employee Program and Policy Guidelines, Medical Policy, and other accepted medical/pharmaceutical references. Follows NCQA Standards, organizational Medical Policy, all guidelines and departmental SOPS to manage their member assignments. Understands all lines of business to include Commercial, FEP, and Medicare primary and secondary policies.
  • Conducts research and analysis of pertinent diseases, treatments and emerging technologies, including high cost/high dollar services to support decisions and recommendations made to the medical directors. Collaborates with medical directors, sales and marketing, contracting, provider and member services to determine appropriate benefit application. Applies sound clinical knowledge and judgment throughout the review process. Coordinates non-par provider/facility case rate negotiations between Provider Contracting, providers and facilities. Follows member contracts to assist with benefit determination.
  • Makes appropriate referrals and contacts as appropriate. Offers assistance to members and providers for alternative settings for care. Researches and presents educational topics related to cases, disease entities, treatment modalities to interdepartmental audiences.

Nice to Have:

  • Working knowledge of managed care and health delivery systems.
  • Thorough knowledge of organizational clinical guidelines, medical policies and accreditation and regulatory standards.
  • Working knowledge of organizational IT and Medical Management systems, familiarity with web-based software application environment and the ability to confidently use the internet as a resource.

Skills:

  • Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues.
  • Strong assessment skills with the ability to make rapid connection with Member telephonically.
  • Ability to work effectively with large amounts of confidential member data and PHI.
  • Ability to prioritize workload during heavy workload periods.
  • Ability to multitask, prioritize and maintain a dynamic personal organization system that allows for flexibility.
  • Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
  • Excellent analytical and problem-solving skills to judge appropriateness of member services and treatments on a case by case basis.

Education and Experience:

  • Bachelor's Degree in Nursing.
  • RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required or LPN - Licensed Practical Nurse - State Licensure.
  • CNS-Clinical Nurse Specialist Preferred.

Benefits
 
Our Benefits Include:
  • Medical, Dental, and Vision Insurance
  • 401(k) Retirement Plan
  • Health Savings Account (HSA)
  • Disability Insurance (Short-Term and Long-Term)
  • Life and AD&D Insurance
  • Paid Sick Leave (where required by applicable state or local law)
  • Supplemental Insurance Plans
  • Identity Theft Protection
  • Pet Insurance
  • Employee Wellness Programs
  • Employee Assistance Program (EAP)
  • Career Growth and Professional Development Opportunities
Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

About Cynet Systems

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.
As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.

Cynet Systems logo

About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

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