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Remote Rn Telephone Triage Jobs in Baltimore, MD

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

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 ...

Corvel

Telephonic Case Manager I

Nottingham, MD · Remote

$63K - $95K/yr

This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the ...

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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All JobsRn Telephone Triage JobsRemote Rn Telephone Triage JobsRemote Rn Telephone Triage Jobs in Baltimore, MD

Remote Rn Telephone Triage information

See Baltimore, MD salary details

$13

$37

$51

How much do remote rn telephone triage jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote rn telephone triage in Baltimore, MD is $37.82, according to ZipRecruiter salary data. Most workers in this role earn between $24.13 and $45.14 per hour, depending on experience, location, and employer.

What is a remote RN telephone triage nurse?

A Remote RN Telephone Triage job involves assessing patients’ symptoms and providing medical guidance over the phone or via telehealth services. Nurses use clinical protocols to determine the urgency of care needed and may advise self-care, schedule appointments, or refer patients to emergency services. This role requires strong critical thinking, communication skills, and the ability to work independently while following established guidelines. It is commonly used in healthcare organizations, insurance companies, and telehealth services to provide 24/7 medical support.

What does a remote RN telephone triage nurse do?

As a Remote RN Telephone Triage nurse, your primary responsibilities include answering patient calls, assessing symptoms remotely, providing medical advice, and directing patients to the appropriate level of care based on standardized triage protocols. You will also document each patient interaction in electronic health records, coordinate with providers or care teams as needed, and occasionally follow up with patients for ongoing situations. This role often involves working independently but requires frequent collaboration with physicians and other healthcare professionals. Flexibility in scheduling, attention to detail, and strong communication skills are essential for managing diverse patient inquiries and ensuring high-quality, timely care.

What skills and qualifications are needed for a remote RN telephone triage nurse?

To thrive as a Remote RN Telephone Triage nurse, you need an active RN license, strong clinical judgment, and experience in patient assessment and triage protocols. Familiarity with telehealth platforms, electronic health records (EHRs), and standardized triage guidelines such as Schmitt-Thompson protocols is frequently required. Outstanding communication, critical thinking, and the ability to remain calm under pressure are standout soft skills. These abilities ensure safe, accurate assessments and guidance for patients, which is crucial when providing care remotely without in-person evaluation.

What are popular job titles related to Remote Rn Telephone Triage jobs in Baltimore, MD? For Remote Rn Telephone Triage jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Remote Rn Telephone Triage jobs in Baltimore, MD look for? The top searched job categories for Remote Rn Telephone Triage jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Remote Rn Telephone Triage jobs? Cities near Baltimore, MD with the most Remote Rn Telephone Triage job openings:
Remote Rn Telephone Triage jobs near you
Infographic showing various Remote Rn Telephone Triage job openings in Baltimore, MD as of August 2026, with employment types broken down into 9% As Needed, and 91% Full Time. Highlights an 100% Remote job distribution, with an average salary of $78,657 per year, or $37.8 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 15 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