Licenses/Certifications Upon Hire Required: * RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case ...
Licenses/Certifications Upon Hire Required: * RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case ...
Nurse Practitioner - Dialysis job available in Columbia, Maryland
Columbia, MD · Remote
$125K - $145K/yr
Be available for remote clinical support and video consultations as needed Ideal Background * Nurse ... Previous infusion services experience required * 10+ years of RN and/or NP experience preferred ...
Nurse Practitioner - Dialysis job available in Columbia, Maryland
Columbia, MD · Remote
$125K - $145K/yr
Be available for remote clinical support and video consultations as needed Ideal Background * Nurse ... Previous infusion services experience required * 10+ years of RN and/or NP experience preferred ...
We are seeking a dynamic, self-motivated Registered Nurse who is passionate about patient-centered ... remote patient monitoring, virtual platforms and telephone outreach * Identify changes in patient ...
We are seeking a dynamic, self-motivated Registered Nurse who is passionate about patient-centered ... remote patient monitoring, virtual platforms and telephone outreach * Identify changes in patient ...
***REMOTE*** Sr Risk Management Consultant (RN/Registered Nurse) - Sinai Hospital
Baltimore, MD · On-site +1
$46.79 - $72.52/hr
THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY JOB SUMMARY: The ... BSN or higher nursing degree required * Current RN license in Maryland (or compact state as ...
***REMOTE*** Sr Risk Management Consultant (RN/Registered Nurse) - Sinai Hospital
Baltimore, MD · On-site +1
$46.79 - $72.52/hr
THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY JOB SUMMARY: The ... BSN or higher nursing degree required * Current RN license in Maryland (or compact state as ...
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 ...
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 ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Clinical Support Specialist
Columbia, MD · On-site +1
$40K - $70K/yr
As a Remote Clinical Support Specialist, you will receive real-time data through remote patient ... Current and active RN license. * Minimum of 1-3 years of experience in a critical care setting.
Clinical Support Specialist
Columbia, MD · On-site +1
$40K - $70K/yr
As a Remote Clinical Support Specialist, you will receive real-time data through remote patient ... Current and active RN license. * Minimum of 1-3 years of experience in a critical care setting.
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Quick apply
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Millersville, MD · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Millersville, MD · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
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 ...
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 ...
Associate Medical Editor - Remote
Baltimore, MD · Remote
$85K - $90K/yr
The Associate Medical Editor is a licensed oncology registered nurse, preferably with a master ... This is a fully remote position and can be based anywhere within the U.S. ESSENTIAL FUNCTIONS:
Associate Medical Editor - Remote
Baltimore, MD · Remote
$85K - $90K/yr
The Associate Medical Editor is a licensed oncology registered nurse, preferably with a master ... This is a fully remote position and can be based anywhere within the U.S. ESSENTIAL FUNCTIONS:
Bilingual Clinical Support Specialist
Columbia, MD · On-site +1
$40K - $70K/yr
As a Remote Clinical Support Specialist, you will receive real-time data through remote patient ... Current and active RN license. * Minimum of 1-3 years of experience in a critical care setting.
Bilingual Clinical Support Specialist
Columbia, MD · On-site +1
$40K - $70K/yr
As a Remote Clinical Support Specialist, you will receive real-time data through remote patient ... Current and active RN license. * Minimum of 1-3 years of experience in a critical care setting.
Bilingual (Spanish/English) Cardiometabolic Specialty Care Advanced Practice Provider
Nottingham, MD · On-site +1
$103K - $131K/yr
An active and clear RN and APRN or Physician Assistant license must be maintained while employed at ... no premium #LI-REMOTE The pay range listed for this position is the range the organization ...
Bilingual (Spanish/English) Cardiometabolic Specialty Care Advanced Practice Provider
Nottingham, MD · On-site +1
$103K - $131K/yr
An active and clear RN and APRN or Physician Assistant license must be maintained while employed at ... no premium #LI-REMOTE The pay range listed for this position is the range the organization ...
Remote Rn Triage information
See Baltimore, MD salary details
$11.94 - $15.79
1% of jobs
$15.79 - $19.63
0% of jobs
$19.63 - $23.47
1% of jobs
$23.47 - $27.32
4% of jobs
$30.73 is the 25th percentile. Wages below this are outliers.
$27.32 - $31.16
21% of jobs
$31.16 - $35
18% of jobs
The median wage is $35.91 / hr.
$35 - $38.85
20% of jobs
$41.39 is the 75th percentile. Wages above this are outliers.
$38.85 - $42.69
15% of jobs
$42.69 - $46.53
8% of jobs
$46.53 - $50.38
7% of jobs
$50.38 - $54.22
4% of jobs
$11
$37
$54
How much do remote rn triage jobs pay per hour?
How to get into remote triaging?
How to make 300,000 as a nurse online?
What is the average salary for remote triage nurses?
What does a typical workday look like for a Remote RN Triage nurse?
A typical workday for a Remote RN Triage nurse involves fielding calls or online messages from patients seeking medical advice, assessing symptoms based on established protocols, and determining the appropriate level of care or urgency. You may document all interactions in electronic health records, coordinate with physicians or advanced practice providers, and sometimes follow up with patients to ensure their concerns are addressed. While you work independently from a remote location, you are often part of a collaborative virtual team and may attend regular team meetings or briefings. This structure helps ensure consistent, quality patient care and provides ongoing peer support.
What does a remote triage RN do?
What is a Remote RN Triage job?
A Remote RN Triage job involves providing telephone-based or virtual patient care, assessing symptoms, offering medical advice, and directing patients to the appropriate level of care. Triage nurses rely on clinical protocols to determine whether a patient needs emergency care, a doctor's visit, or self-care at home. They work for hospitals, clinics, insurance companies, or telehealth services. This role requires strong critical thinking, decision-making skills, and an active RN license.
What are the key skills and qualifications needed to thrive in the Remote Rn Triage position, and why are they important?
To thrive as a Remote RN Triage nurse, you need an active registered nurse (RN) license, strong clinical judgment, and experience in patient assessment and telephone triage. Familiarity with telehealth platforms, electronic health records (EHRs), and triage protocols such as Schmitt-Thompson guidelines is typically required. Excellent listening skills, compassion, and the ability to clearly communicate medical advice over the phone or online set outstanding candidates apart. These competencies are critical to accurately evaluating patient needs, ensuring safe care from a distance, and providing reassurance in potentially urgent situations.
Other
Retirement
Posted 14 days ago
CareFirst BlueCross BlueShield rating
7.3
Based on 31 frontline employees who took The Breakroom Quiz
219th of 281 rated insurance
Job description
Resp & Qualifications
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication. The incumbent will handle post claim medical review for Commercial Lines of Business. This position assists in determining acceptable medical risk to the organization by analyzing medical information of applicants for enrollment in specific policies. This role will also understand the merits of legal or accreditation actions. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business related activities. The ideal candidate will have previous experience making clinical decisions related to post claim submission and/or appeals and grievances within a health payer organization.
ESSENTIAL FUNCTIONS:
- Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies. Assesses and communicates impact of information on medical policy.
- Provides pricing of procedure codes which require individual consideration or are listed as not otherwise classified in CPT manual. Interprets the descriptive or medical information utilizing the CPT and HCPCS manuals.
- Participates in medical policy meetings, nurses' forums, and review sessions with Medical and Dental directors, special projects and task forces committees as assigned.
QUALIFICATIONS:
Education Level: Bachelors Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Licenses/Certifications Upon Hire Required:
- RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA, DC and or MD.
Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience.
Preferred Qualifications:
- Bachelor's degree in Nursing.
- Previous experience making clinical decisions related to post claim submission and/or appeals and grievances within a health payer organization.
Knowledge, Skills and Abilities (KSAs)
- Ability to effectively communicate and provide positive customer service to every internal and external customer.
- Strong interpersonal skills. Ability to work independently, as well as a member of a team.
- Current knowledge of clinical practices and related medical policies.
- Strong organizational skills, ability to prioritize responsibilities with attention to detail.
- Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and web-based technology.
- Must possess excellent verbal and written communication skills.
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Salary Range: 67,320 - 133,705
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
#LI-SS1
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