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Remote Rn Memory Care Jobs in Pittsburgh, PA (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Pittsburgh, PA · Remote

$40/hr

Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of ...

ATULO HEALTH INC

PRN Home Infusion RN

Pittsburgh, PA · Remote

We deliver high-quality, patient-centered care using smart technology to coordinate treatment and improve outcomes. Position Overview: Were hiring per diem Home Infusion RNs to provide direct patient ...

DataAnnotation

RN - AI Trainer

Pittsburgh, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

Veterans Health Administration

RN- Case Manager

Butler, PA · On-site +1

$70K - $142K/yr

Summary The Community Care Case Manager RN is responsible for executing a streamlined approach to receiving, triaging, and directing timely, coordinated care. The RN Brings principles and theory with ...

University of Pittsburgh School of Nursing

Be Seen First

DNP Project Coordinator

Pittsburgh, PA · Remote

$90K - $100K/yr

Remote and hybrid options are available for this role. Desired Qualifications: Experience advising ... Advanced Practice Registered Nurse (APRN) certification is preferred. Salary and academic rank are ...

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Remote Rn Memory Care information

See Pittsburgh, PA salary details

$34K

$67K

$101K

How much do remote rn memory care jobs pay per year?

As of Jun 16, 2026, the average yearly pay for remote rn memory care in Pittsburgh, PA is $67,006.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,500.00 and $77,700.00 per year, depending on experience, location, and employer.

How can I make $70,000 a year working from home?

A Remote RN in memory care can earn $70,000 or more annually by gaining specialized certifications, gaining experience, and working for agencies or facilities that offer higher pay for expertise in dementia and memory impairment. Many remote nursing roles also involve flexible schedules and require strong communication skills and familiarity with telehealth technology. Increasing your workload, taking on additional shifts, or pursuing advanced certifications can help reach this income level.

How can I make 2000 a week working from home?

Remote Rn Memory Care positions typically pay hourly wages that may not reach $2000 weekly unless working full-time hours or overtime. To earn this amount, RNs often need to work additional shifts, specialize in high-demand areas, or combine multiple remote roles. Building experience, obtaining certifications, and leveraging telehealth platforms can increase earning potential.

What jobs pay 10,000 a month without a degree?

Remote Rn Memory Care roles typically do not pay $10,000 a month without a degree, as registered nursing requires licensure and formal education. However, some high-paying freelance or consulting roles in healthcare, medical coding, or telehealth services can reach that income level with experience and specialized skills, often without a traditional degree. These positions usually demand certifications, strong industry knowledge, and a flexible schedule.

What is the highest paid remote nursing job?

The highest paid remote nursing jobs typically include roles such as Nurse Informaticist, Nurse Consultant, or Telehealth Nurse, with salaries often exceeding $100,000 annually. Advanced certifications, specialized skills, and extensive experience can lead to higher compensation in these remote positions.
What are the most commonly searched types of Rn Memory Care jobs in Pittsburgh, PA? The most popular types of Rn Memory Care jobs in Pittsburgh, PA are:
Remote Rn Memory Care jobs near you

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • Remote

Other

PTO

Posted 26 days ago

Job description

Job Description
Are you a registered nurse ready to take your career in an exciting newdirection-one where your expertise truly makes a difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations,safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy the freedom of working from home, theflexibility and autonomy to manage your workday, and the opportunity forcontinuous professional growth-all while being part of a passionate,mission-driven team dedicated to improving healthcare across theCommonwealth.
In this rewarding role, you'll use your clinical knowledge outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries across theCommonwealth. You'll enjoy the flexibility of working from home, theautonomy to manage your work, and meaningful opportunities forprofessional growth-all while contributing to a mission that trulymatters.
What You'll Do
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards
  • Support program integrity efforts by identifying trends, risks, and opportunities for improvement
  • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations
  • Apply nursing judgment to analyze medical records, documentation, and billing data
  • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices
  • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania
What We're Looking For
  • Active, unrestricted Registered Nurse (RN) license
  • Strong clinical background with the ability to apply nursing judgment analytically
  • Interest in advocacy, quality improvement, and healthcare program integrity
  • Excellent written and verbal communication skills
  • Ability to work independently while managing multiple priorities
  • Comfort with technology and electronic medical records
Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus-but not required.
Why Join Us
  • Mission-driven work with Pennsylvania's leading Quality Improvement Organization
  • Make a real impact on healthcare quality and outcomes for vulnerable populations
  • Remote work - enjoy the convenience and balance of working from home
  • Autonomy and flexibility in how you manage your workday
  • Advocacy-focused role that values your nursing voice and expertise
  • Career development opportunities to grow beyond traditional nursing roles
  • Supportive, collaborative team culture committed to excellence and integrity
If you're a registered nurse seeking purpose-driven work,professional growth, and the flexibility to balance your life andcareer-this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.
Requirements
Be available as a full-time consultant, approximately 37.5 hours per week;
•Possess a current license to practice as a Registered Nurse issued by the Pennsylvania
State Board of Nursing; or possess a non-renewable temporary practice permit issued
by the Pennsylvania State Board of Nursing. Resources possessing non-renewable
temporary practice permits must obtain licensing as a Registered Nurse within the
one-year period as defined by the Pennsylvania State Board of Nursing;
•Possess a documented work history of three (3) or more years of professional
experience with medical assistance, health care services or human services or any
equivalent combination of experience and training;
•Possess basic computer skills, including familiarity with Microsoft Office programs.
Principal Duties and Responsibilities (RN - Utilization Review / Program Integrity)
  • Conduct clinical utilization reviews by evaluating medical records, treatment plans, and supporting documentation to determine medical necessity, appropriateness, quality, and level of care in accordance with Medical Assistance (MA) program requirements.
  • Apply nursing judgment and evidence-based clinical standards to ensure MA recipients receive safe, appropriate, and high-quality care while supporting program integrity and regulatory compliance.
  • Assess provider billing and documentation to verify compliance with MA policies and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic provider portals, telephone communications, fax, and U.S. mail, ensuring completeness and accuracy for utilization determinations.
  • Make authorization determinations by approving, modifying, or denying service requests within RN scope of practice, or refer cases to physician advisors for secondary medical review when medical necessity or level of care is unclear.
  • Collaborate with physician/medical consultants to support peer-to-peer reviews and facilitate discussions with ordering providers regarding clinical justification, appropriate care settings, and service coverage.
  • Accurately document utilization review decisions and clinical rationale in electronic systems, generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards.
  • Participate in retrospective, concurrent, and prospective utilization reviews, including re-evaluations of previously denied services upon request by providers or facilities.
  • Review and prepare appeal cases by analyzing medical records, developing exhibits and correspondence, and providing testimony at administrative hearings using knowledge of MA regulations, utilization management principles, and appeal processes.
  • Interpret MA policies, regulations, and utilization management guidelines for internal staff, providers, and stakeholders through consultation, meetings, and educational sessions.
  • Engage in interdisciplinary collaboration with internal departments, medical consultants, legal staff, and external stakeholders to support consistent and defensible utilization determinations.
  • Maintain ongoing professional development through continuing education, conferences, and review of current medical literature to remain current with standards of care, clinical guidelines, and utilization review best practices.
  • Provide cross-coverage in other program areas as needed, maintaining competency through training and updates to ensure continuity of program operations.
  • Respond to inquiries from recipients, providers, legislators, legal offices, and external agencies to explain utilization decisions, coverage policies, and administrative processes.
  • Maintain accurate case records and documentation in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated for each assignment.
  • When required, work at Department-designated locations. The primary duty location is Pittsburgh, PA, where appropriate workspace, technology, and resources will be provided to support assigned responsibilities.

Benefits
Attractive Compensation plan.Holiday and Vacation program.

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