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Remote Rn Mha Jobs in Reading, PA (NOW HIRING)

Registered Dietitian

Wernersville, PA · On-site +1

$29 - $39/hr

Potential for Some Remote Hours! Free lunch and Free parking! What You'll Do * See patients ... Represent the Food & Nutrition Department as the primary liaison with the medical and nursing staff

Remote Rn Mha information

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 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 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 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.
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$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 24 days ago


Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer