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Remote Rn Telephone Triage Jobs in Reston, VA (NOW HIRING)

ManTech International

Remote Support Technician

Mclean, VA · On-site +1

$21.75 - $29.75/hr

In this role, you will work collaboratively in a 24/7 operational team to efficiently triage ... Experience resolving technical problems and answering queries via telephone or self-service ...

CSI Companies

CDI Specialist

Germantown, MD · Remote

$35 - $50/hr

Location : 100% Remote (EST hours) Orientation : 1-day onsite in Maryland for onboarding (travel is ... MD License/ECFMG or RN * Epic expereince * Outpatient experience Description : Role and ...

WearLinq

Holter/Cardiac Technologist

Rockville, MD · Remote

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

Wearlinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

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$39

$54

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

As of Jun 1, 2026, the average hourly pay for remote rn telephone triage in Reston, VA is $39.59, according to ZipRecruiter salary data. Most workers in this role earn between $25.24 and $47.26 per hour, depending on experience, location, and employer.

What is a Remote RN Telephone Triage job?

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 are the key skills and qualifications needed to thrive in the Remote Rn Telephone Triage position, and why are they important?

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 the typical daily responsibilities of a Remote RN Telephone Triage nurse?

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.
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Remote Rn Telephone Triage jobs near you
Clinical Nurse Coding Auditor (Full-time, Remote)

Clinical Nurse Coding Auditor (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • On-site, Remote

$29.25 - $33.25/hr

Full-time

Posted 19 days ago

Job description

Job Title: Clinical Nurse Auditor - Payment Integrity
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
  • Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
  • Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
  • Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
  • Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
  • Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
  • Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

Requirements
Qualifications
  • Education:
    • Minimum Associate's Degree in Nursing required;
  • Licensure & Certification:
    • Current, unrestricted Registered Nurse (RN) license in applicable state(s).
    • Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
  • Experience:
    • Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
    • Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
    • Prior experience with healthcare fraud investigation and auditing is highly preferred.
  • Skills:
    • Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
    • Analytical and problem-solving skills with a keen attention to detail.
    • Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
    • Strong proficiency in Microsoft Office and familiarity with audit tracking systems.

Preferred Traits
  • Meticulous, organized, and objective in analyzing claims and documentation.
  • Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
  • Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.

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