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Remote Rn Mha Jobs in Annapolis, MD (NOW HIRING)

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

BetterHelp

Licensed Psychologist - Remote

Baltimore, MD · Remote

$55 - $70/hr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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Remote Rn Mha information

What is a remote RN MHA?

A Remote RN MHA is a Registered Nurse (RN) who holds a Master of Health Administration (MHA) degree and works remotely, often in administrative, case management, or telehealth roles. These professionals combine clinical nursing expertise with advanced knowledge of healthcare management and policy, allowing them to oversee operations, manage teams, or coordinate patient care from a distance. Remote RN MHAs may work for hospitals, insurance companies, telemedicine providers, or healthcare consulting firms. This role typically requires strong communication, leadership, and technical skills to effectively manage healthcare services outside of traditional clinical settings.

What are the key skills and qualifications needed to thrive as a remote RN MHA, and why are they important?

To thrive as a Remote RN MHA, you need a solid foundation in clinical nursing, healthcare administration, and leadership, typically supported by an active RN license and a Master of Healthcare Administration degree. Familiarity with telehealth platforms, EHR systems, and healthcare compliance tools is essential. Strong communication, critical thinking, and self-motivation help you manage patient care and administrative responsibilities remotely. These skills ensure effective leadership, quality patient outcomes, and organizational success in virtual healthcare environments.

What are some common challenges faced by remote RN MHA professionals, and how can they be managed effectively?

Remote RN MHA (Registered Nurses with a Master of Health Administration) professionals often encounter challenges such as maintaining effective communication with multidisciplinary teams, ensuring patient privacy during virtual consultations, and managing time efficiently while handling multiple administrative and clinical tasks remotely. To address these, leveraging secure telehealth platforms, setting clear schedules, and participating in regular team meetings can help maintain workflow and collaboration. Additionally, staying current with telehealth best practices and ongoing professional development can enhance both clinical and administrative effectiveness in a remote setting.

What is the difference between Remote Rn Mha vs Remote Rn Case Manager?

AspectRemote Rn MhaRemote Rn Case Manager
CredentialsRegistered Nurse (RN), Mental Health Associate (MHA) certification or experienceRegistered Nurse (RN), Case Management certification or experience
Work EnvironmentTelehealth, mental health facilities, hospitalsTelehealth, insurance companies, healthcare organizations
Employer & IndustryHospitals, mental health clinics, telehealth providersInsurance companies, healthcare agencies, managed care organizations

The Remote Rn Mha focuses on mental health assessments and support, often working in telehealth settings to provide mental health services. In contrast, the Remote Rn Case Manager manages patient care plans, coordinates services, and works with insurance providers. Both roles require RN licensure, but their primary responsibilities and work environments differ, catering to distinct aspects of patient care and case management.

What are popular job titles related to Remote Rn Mha jobs in Annapolis, MD?

For Remote Rn Mha jobs in Annapolis, MD, the most frequently searched job titles are:

What job categories do people searching Remote Rn Mha jobs in Annapolis, MD look for?

The top searched job categories for Remote Rn Mha jobs in Annapolis, MD are:

What cities near Annapolis, MD are hiring for Remote Rn Mha jobs?

Cities near Annapolis, MD with the most Remote Rn Mha job openings:

Remote Rn Mha jobs near you

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 2 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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