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Remote Rn Triage Jobs in Washington, PA (NOW HIRING)

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN - AI Trainer

Pittsburgh, PA ยท Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Remote Rn Triage information

See Washington, PA salary details

$11

$34

$50

How much do remote rn triage jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for remote rn triage in Washington, PA is $34.97, according to ZipRecruiter salary data. Most workers in this role earn between $28.61 and $40.00 per hour, depending on experience, location, and employer.

How to get into remote triaging?

To become a remote RN triage nurse, candidates typically need an active nursing license, relevant clinical experience, and strong communication skills. Many employers prefer candidates familiar with electronic health records and triage protocols, and some roles require certification in areas like emergency or telehealth nursing. Gaining experience in patient assessment and telehealth platforms can improve job prospects in this field.

How to make 300,000 as a nurse online?

Remote Rn Triage nurses can increase earnings by gaining specialized certifications, such as in case management or telehealth, and by working for multiple healthcare organizations or agencies. Building a high level of experience, efficiency, and offering consulting or training services can also help reach higher income levels, though earning $300,000 annually typically requires advanced skills, a high-volume workload, or additional roles beyond standard triage duties.

What is the average salary for remote triage nurses?

Remote triage nurses typically earn an average salary ranging from $65,000 to $85,000 per year, depending on experience, certifications, and the employer. Salaries can vary based on location, healthcare setting, and whether the role requires specialized skills or advanced certifications such as ACLS or BLS.

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?

A remote triage RN assesses patient symptoms over the phone or through telehealth platforms to determine the urgency of medical issues and provide appropriate guidance or referrals. They use clinical judgment, communication skills, and medical knowledge to support patients while working remotely, often following established protocols and documentation standards.

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.

What job categories do people searching Remote Rn Triage jobs in Washington, PA look for? The top searched job categories for Remote Rn Triage jobs in Washington, PA are:
What cities near Washington, PA are hiring for Remote Rn Triage jobs? Cities near Washington, PA with the most Remote Rn Triage job openings:
Infographic showing various Remote Rn Triage job openings in Washington, PA as of July 2026, with employment types broken down into 71% Full Time, 14% Part Time, and 15% Contract. Highlights an 100% Remote job distribution, with an average salary of $72,733 per year, or $35 per hour.
Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

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

Posted 25 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.