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Remote Rn Nursing Jobs in Baden, PA (NOW HIRING)

NCLEX-RN Tutor

Pittsburgh, PA ยท Remote

$18 - $40/hr

Ability to explain clinical judgment measurement model, computerized adaptive testing, and Next Generation item types while preparing registered nursing graduates for licensure. * Strategic Test ...

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Remote Rn Nursing information

See Baden, PA salary details

$7

$39

$67

How much do remote rn nursing jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote rn nursing in Baden, PA is $39.81, according to ZipRecruiter salary data. Most workers in this role earn between $29.66 and $47.12 per hour, depending on experience, location, and employer.

What is a remote RN nurse?

A Remote RN Nurse, also known as a remote registered nurse, is a licensed nursing professional who provides patient care, support, and health education from a location outside of traditional healthcare settings, often from home. They typically use technology such as telehealth platforms, phone calls, or video conferencing to assess symptoms, monitor patient progress, coordinate care, and provide advice. Remote RN Nurses may work for hospitals, clinics, insurance companies, or telemedicine providers and are especially valuable for patients in rural or underserved areas. This role requires strong communication skills, computer literacy, and the ability to work independently while maintaining professional standards of care.

What are some common challenges remote RN nurses face, and how can they overcome them?

Remote RN nurses often encounter challenges such as maintaining effective communication with patients and colleagues, managing time efficiently, and adapting to technology-based healthcare platforms. To overcome these, nurses should familiarize themselves with telehealth tools, establish a structured daily routine, and practice clear, proactive communication with their healthcare team. Additionally, ongoing training in virtual care best practices and staying updated on remote patient monitoring protocols can help ensure high-quality patient outcomes.

What is the difference between Remote Rn Nursing vs Remote Lpn Nursing?

AspectRemote Rn NursingRemote Lpn Nursing
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentTelehealth, patient education, case managementTelehealth, basic patient care, medication administration
Employer & IndustryHospitals, insurance companies, telehealth providersHome health agencies, telehealth services, clinics

Remote Rn Nursing and Remote Lpn Nursing both involve telehealth roles, but RNs typically handle more complex patient assessments and care planning, requiring an RN license. LPNs focus on basic patient care and support tasks. Both roles are vital in remote healthcare, but RNs generally have broader responsibilities and higher qualifications.

What is the best remote job for registered nurses?

Remote RN nursing jobs include telehealth nurse, case manager, and health coach roles, which involve providing patient care, education, and support via phone or video consultations. These positions typically require active nursing licensure, strong communication skills, and familiarity with electronic health records (EHR) systems. They often offer flexible schedules and the ability to work from home full-time or part-time.

What are the key skills and qualifications needed to thrive as a remote RN nurse?

To thrive as a Remote RN Nurse, you need a valid RN license, strong clinical judgment, and expertise in patient assessment and care coordination. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication systems is essential. Excellent communication, self-motivation, and time management are crucial soft skills for effective remote patient interaction and teamwork. These skills and qualities are important to ensure high-quality patient care, regulatory compliance, and efficient collaboration from a distance.
What cities near Baden, PA are hiring for Remote Rn Nursing jobs? Cities near Baden, PA with the most Remote Rn Nursing job openings:
Infographic showing various Remote Rn Nursing job openings in Baden, PA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $82,801 per year, or $39.8 per hour.

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

The CKHobbie Group

Pittsburgh, PA โ€ข On-site, Remote

$40 - $42/hr

Full-time

PTO

Re-posted 20 days ago


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;
โ€ข 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;
โ€ข 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;
โ€ข 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.