Utilization Management RN (Remote) | Baltimore, MD | $85K+ Fully remote opportunity Fast interview process Location: Baltimore, MD (Remote - must reside in Maryland or hold compact license) Job Type ...
Utilization Management RN (Remote) | Baltimore, MD | $85K+ Fully remote opportunity Fast interview process Location: Baltimore, MD (Remote - must reside in Maryland or hold compact license) Job Type ...
Role Description This is a part-time hybrid role for a Registered Nurse located in Baltimore, MD, with flexibility for some remote work. The Registered Nurse will be responsible for assessing ...
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Role Description This is a part-time hybrid role for a Registered Nurse located in Baltimore, MD, with flexibility for some remote work. The Registered Nurse will be responsible for assessing ...
Role Description This is a part-time hybrid role for a Registered Nurse located in Baltimore, MD, with flexibility for some remote work. The Registered Nurse will be responsible for assessing ...
Quick apply
Role Description This is a part-time hybrid role for a Registered Nurse located in Baltimore, MD, with flexibility for some remote work. The Registered Nurse will be responsible for assessing ...
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This RN position supports line of business. Under minimal supervision, the Care Manager researches and analyzes members' medical and behavioral health needs and healthcare cost drivers. The Care ...
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Baltimore, MD · Remote
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Registered Nurse, Quality Assurance - In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
Registered Nurse, Quality Assurance -- In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
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Registered Nurse, Quality Assurance -- In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
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MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
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MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
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Make it happen at Hopkins Virtual Hiring Event for RN- Adult Home Care When: May 27th, 2026 Time: 9am-12pm * If selected , you will be contacted by a recruiter with more details Provides, coordinates ...
Make it happen at Hopkins Virtual Hiring Event for RN- Adult Home Care When: May 27th, 2026 Time: 9am-12pm * If selected , you will be contacted by a recruiter with more details Provides, coordinates ...
Make it happen at Hopkins Virtual Hiring Event for RN- Adult Home Care When: May 27th, 2026 Time: 9am-12pm * If selected , you will be contacted by a recruiter with more details Provides, coordinates ...
Make it happen at Hopkins Virtual Hiring Event for RN- Adult Home Care When: May 27th, 2026 Time: 9am-12pm * If selected , you will be contacted by a recruiter with more details Provides, coordinates ...
The RN Care Manager collaborates closely with physicians, pharmacists, social workers, care ... Participate in remote patient monitoring and support self-management skills. Population Health ...
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Quick apply
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
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Clinical Guide: Cardiology Nurse
Nottingham, MD · On-site +1
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A minimum of 4 years of RN experience with at least 2 years in a non-ICU cardiac focused setting ... Completing remote (telephonic/video) visits to conduct nursing assessments of heart failure ...
Clinical Guide: Cardiology Nurse
Nottingham, MD · On-site +1
$80K - $100K/yr
A minimum of 4 years of RN experience with at least 2 years in a non-ICU cardiac focused setting ... Completing remote (telephonic/video) visits to conduct nursing assessments of heart failure ...
Candidates must have active RN licensure and a minimum of 5 years of clinical experience, with extensive knowledge of Medicare coverage rules. The position is remote-friendly and open to candidates ...
Candidates must have active RN licensure and a minimum of 5 years of clinical experience, with extensive knowledge of Medicare coverage rules. The position is remote-friendly and open to candidates ...
Remote Rn information
How to Become a Remote RN?
To become a remote nurse, you need the same training, education, and qualifications that non-remote nurses possess, namely nursing licensure in your state. Some virtual RN roles may also require some period of on-site training to learn procedures. Since your duties include performing patient triage via telephone, webcam, or chat apps, you also need strong technical skills and a high-speed internet connection. Fluency in more than one language is a big plus, as is a strong track record of success in self-directed roles. Additionally, a variety of telehealth certifications are available, and these increase your appeal with potential employers.
What are the key skills and qualifications needed to thrive as a Remote RN, and why are they important?
What are some common challenges remote RNs face and how can they overcome them?
What are Remote RNs?
What is the difference between Remote Rn vs Remote Lpn?
| Aspect | Remote Rn | Remote Lpn |
|---|---|---|
| Required Credentials | Registered Nurse (RN) license, BSN often preferred | Licensed Practical Nurse (LPN) license |
| Work Environment | Hospitals, clinics, telehealth platforms | Long-term care, home health, telehealth |
| Employer & Industry Usage | Hospitals, healthcare providers, telehealth companies | Long-term care facilities, home health agencies |
Remote Rns typically hold a registered nurse license and work in hospitals or telehealth settings, providing comprehensive patient care. Remote Lpns, with a practical nurse license, often work in long-term care or home health. While both roles involve remote patient interaction, Rns usually handle more complex cases, whereas Lpns focus on basic patient care tasks.

Other
Retirement, PTO
Posted 8 days ago
Job description
Job Title: Utilization Management RN (Remote) | Baltimore, MD | $85K+
Fully remote opportunity
Fast interview process
Location: Baltimore, MD (Remote - must reside in Maryland or hold compact license)
Job Type: Full-Time
Department: Utilization Management
About Us
Morgan Stephens represents the nation's top healthcare systems, offering highly competitive compensation and benefits to top candidates. We are led by experienced healthcare industry professionals and specialize in contract, contract-to-hire, and direct placement services nationwide.
We have successfully placed thousands of healthcare professionals into organizations seeking high-quality talent and continue to partner with leading health systems and managed care organizations.
Position Summary
The Utilization Management RN plays a critical role in ensuring healthcare services are delivered with quality, cost efficiency, and full regulatory compliance. Through ongoing review and audit of clinical documentation, this role helps prevent unnecessary procedures, ineffective treatment, and extended hospital stays.
This position is ideal for an RN with strong clinical judgment, prior authorization experience, and a background in managed care, hospital case management, or utilization review.
Job Duties and Responsibilities
Perform concurrent review of patient clinical information for medical necessity and efficiency
Conduct ongoing review of precertification and prior authorization requests
Ensure services align with established clinical guidelines (MCG or InterQual)
Monitor the activities of clinical and non-clinical staff related to utilization processes
Coordinate discharge planning needs with the interdisciplinary healthcare team
Advocate for quality care and improved patient outcomes
Identify opportunities to reduce unnecessary hospital stays and prevent complications
Maintain accurate and timely documentation of all patient-related interactions
Prepare reports on patient management, utilization trends, and cost savings
Provide daily updates to the Manager of Utilization Management
Work effectively in a fast-paced, high-volume environment with minimal supervision
Skills and Qualifications
Active, unrestricted Registered Nurse (RN) license in Maryland or compact state (required)
Bachelor's degree in Nursing (BSN preferred)
Minimum of 2+ years of experience in Utilization Management or Case Management
Strong knowledge of MCG or InterQual guidelines
Experience with prior authorizations, concurrent review, and medical necessity determinations
Proficiency in EMR systems and Microsoft Office (Excel, Word, Outlook)
Strong critical thinking, organizational, and communication skills
Ability to work independently in a fully remote environment
Preferred Experience
Managed care or health plan experience (Medicaid or Medicare populations preferred)
Experience with Maryland Medicaid or long-term services and supports (LTSS)
Utilization Management (UM) or Case Management certification (CCM, ACM) preferred
Why This Role Matters
This role directly impacts patient outcomes, cost efficiency, and quality of care. You will play a key role in ensuring patients receive appropriate, timely, and effective treatment while supporting the overall healthcare system.
Benefits Include
Competitive compensation, full benefits package, 401(k) with match, paid time off, continuing education support, and full remote flexibility.
About Morgan Stephens
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Tallahassee, FL, US
Year founded
2009