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Remote Sentara Rn Jobs in Pittsburgh, PA (NOW HIRING)

York Risk Services

RN Field Case Manager

Pittsburgh, PA · On-site +1

$75K - $96K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Canonsburg, PA · On-site +1

$71K - $91K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Pittsburgh, PA · On-site +1

$75K - $96K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Canonsburg, PA · On-site +1

$71K - $91K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region ... remote work environment that allows face to face interaction with injured workers and medical ...

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Remote Sentara Rn information

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$19

$43

$71

How much do remote sentara rn jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote sentara rn in Pittsburgh, PA is $43.19, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $50.38 per hour, depending on experience, location, and employer.

What is a Remote Sentara RN?

A Remote Sentara RN is a Registered Nurse employed by Sentara Healthcare who works remotely, typically providing patient care via telehealth or telephone rather than in a traditional hospital or clinic setting. These nurses may assess patients, offer health guidance, coordinate care, and support ongoing treatment plans from a remote location. The role requires strong communication skills, comfort with technology, and current RN licensure. Remote Sentara RNs play a vital role in expanding access to healthcare services and improving patient outcomes from a distance.

What are the key skills and qualifications needed to thrive as a Remote Sentara RN?

To thrive as a Remote Sentara RN, you need a valid RN license, strong clinical assessment skills, and experience in telehealth or remote patient care settings. Familiarity with telemedicine platforms, electronic health records (EHRs), and secure communication systems is essential. Outstanding communication, self-motivation, and organizational skills help build patient trust and manage care effectively from a distance. These skills ensure high-quality, compliant, and patient-centered care in a virtual healthcare environment.

What are the most common challenges faced by Remote Sentara RNs, and how can they be overcome?

Remote Sentara RNs often encounter challenges such as maintaining effective communication with patients and healthcare teams, managing patient care without in-person assessment, and adapting to new telehealth technologies. Overcoming these challenges involves becoming proficient with electronic health record systems, participating in regular virtual team meetings, and utilizing secure messaging platforms to stay connected. Continuous professional development and support from Sentara’s remote nursing resources also help RNs deliver high-quality care remotely while staying engaged with their teams.

What is the difference between Remote Sentara Rn vs Remote Sentara Lpn?

AspectRemote Sentara RnRemote Sentara Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHospital, clinic, or telehealth settingsLong-term care, clinics, telehealth
Job ResponsibilitiesPatient assessments, care planning, medication administrationBasic patient care, vital signs, assisting RNs
Industry UsageHealthcare, hospital systemsHealthcare, outpatient clinics

Remote Sentara Rn and Remote Sentara Lpn roles both serve in healthcare settings but differ mainly in credentials and responsibilities. RNs have a broader scope, including assessments and care planning, while LPNs focus on basic patient care. Both roles are vital in telehealth and healthcare organizations, with RNs typically requiring more advanced training and licensing.

Are remote registered nurse jobs hard to get?

Remote registered nurse jobs can be competitive, as they often require valid licensure, relevant clinical experience, and strong communication skills. Employers typically look for certifications such as BLS or ACLS and may prefer candidates with prior telehealth experience. While opportunities exist, securing these roles may require a solid application and demonstrating adaptability to remote healthcare environments.

What is the best remote job for registered nurses?

Remote registered nurse positions include telehealth nurse, case manager, and care coordinator roles, which involve providing patient support and medical advice via phone or video. These jobs typically require active nursing licensure, strong communication skills, and familiarity with electronic health records systems. They offer flexible schedules and the ability to work from home while delivering patient care.

What are popular job titles related to Remote Sentara Rn jobs in Pittsburgh, PA?

For Remote Sentara Rn jobs in Pittsburgh, PA, the most frequently searched job titles are:

What job categories do people searching Remote Sentara Rn jobs in Pittsburgh, PA look for?

The top searched job categories for Remote Sentara Rn jobs in Pittsburgh, PA are:

What cities near Pittsburgh, PA are hiring for Remote Sentara Rn jobs?

Cities near Pittsburgh, PA with the most Remote Sentara Rn job openings:

Remote Sentara Rn jobs near you

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

Re-posted 6 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;
• 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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