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Remote Rn Jobs in Monroeville, PA (NOW HIRING)

DataAnnotation

RN

Pittsburgh, PA · Remote

$40 - $60/hr

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 ...

ATULO HEALTH INC

PRN Home Infusion RN

Pittsburgh, PA · Remote

Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...

ZOLL Medical

Patient Service Representative

Pittsburgh, PA · Remote

$16.25 - $20.75/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

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Remote Rn information

What are some common challenges remote RNs face and how can they overcome them?

Remote RNs often encounter challenges such as limited direct patient interaction, reliance on digital communication, and the need to manage their time independently. To overcome these, it's important to develop strong telehealth communication skills, stay organized with digital tools, and maintain regular check-ins with both patients and colleagues. Building a supportive network within the healthcare team and seeking ongoing training in remote care best practices can also help remote RNs stay connected and effective in their roles.

What is the difference between Remote Rn vs Remote Lpn?

AspectRemote RnRemote Lpn
Required CredentialsRegistered Nurse (RN) license, BSN often preferredLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, telehealth platformsLong-term care, home health, telehealth
Employer & Industry UsageHospitals, healthcare providers, telehealth companiesLong-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.

What are the key skills and qualifications needed to thrive as a Remote RN, and why are they important?

To thrive as a Remote RN, you need a valid RN license, strong clinical judgment, and experience in patient assessment and care coordination. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication tools is essential. Outstanding communication, self-motivation, and adaptability are crucial soft skills for effective remote patient interaction and teamwork. These capabilities ensure high-quality, patient-centered care while maintaining compliance and efficiency in a virtual healthcare environment.

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 Remote RNs?

Remote RNs, or Remote Registered Nurses, are licensed nurses who provide patient care, support, and education from a distance using telehealth technology. They may work for hospitals, clinics, insurance companies, or telemedicine providers and can perform tasks like triage, patient assessments, care coordination, and health coaching via phone or video calls. Remote RNs help expand access to healthcare, especially for patients in rural or underserved areas, while maintaining the high standards of nursing practice.
More about Remote Rn jobs
What are the most commonly searched types of Rn jobs in Monroeville, PA? The most popular types of Rn jobs in Monroeville, PA are:
What are popular job titles related to Remote Rn jobs in Monroeville, PA? For Remote Rn jobs in Monroeville, PA, the most frequently searched job titles are:
What job categories do people searching Remote Rn jobs in Monroeville, PA look for? The top searched job categories for Remote Rn jobs in Monroeville, PA are:
What cities near Monroeville, PA are hiring for Remote Rn jobs? Cities near Monroeville, PA with the most Remote Rn job openings:
Remote Rn jobs near you
Infographic showing various Remote Rn job openings in Monroeville, PA as of June 2026, with employment types broken down into 3% As Needed, 60% Full Time, 14% Part Time, and 23% Contract. Highlights an 48% Physical, 4% Hybrid, and 48% Remote job distribution.

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Posted 21 days ago

Job description

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;
• 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;
• 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;
• 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.

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