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Remote Telephonic Rn Jobs in Baltimore, MD (NOW HIRING)

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

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 ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

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 ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) is responsible for utilization management and concurrent review of inpatient care to ensure members receive medically necessary services at the appropriate level of care.

BetterHelp

Licensed Psychologist - Remote

Baltimore, MD · Remote

$55 - $70/hr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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Remote Telephonic Rn information

See Baltimore, MD salary details

$16

$36

$59

How much do remote telephonic rn jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote telephonic rn in Baltimore, MD is $36.25, according to ZipRecruiter salary data. Most workers in this role earn between $29.38 and $38.22 per hour, depending on experience, location, and employer.

What is a remote telephonic RN?

A Remote Telephonic RN is a registered nurse who provides patient care and health guidance over the phone or through virtual communication, rather than in person. They often work from home or a call center, helping patients with medical advice, triage, health education, and care coordination. These nurses play a vital role in telehealth services, supporting patients with chronic conditions, medication management, and post-hospital follow-up. Their work helps improve access to care and ensures patients receive timely support, especially when in-person visits are not possible.

What does a remote telephonic RN do?

As a remote telephonic RN, you help manage cases and use the phone to contact patients or healthcare providers as necessary. In your role as a nurse, you may conduct a telephonic assessment of patient needs, provide triage recommendations, or give remote instructions for care to patients who need additional help. Remote telephonic registered nurses often help reduce costs, ensure continuity of care, educate patients about products, discuss side effect management, or resolve complex payer and reimbursement issues. As a remote nurse, you may be able to work from home or a private office, though some companies use the word remote to refer to remote care rather than working from home.

What are the key skills and qualifications needed to thrive as a remote telephonic RN?

To thrive as a Remote Telephonic RN, you need a valid RN license, strong clinical assessment skills, and experience in case management or telephone triage. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication systems is typically required. Excellent communication, active listening, and problem-solving skills are essential for building rapport and accurately assessing patient needs over the phone. These abilities ensure safe, effective care delivery and patient satisfaction in a remote healthcare environment.

How does a remote telephonic RN effectively manage patient care without in-person interactions?

As a Remote Telephonic RN, you'll rely on strong communication skills and clinical judgment to assess patient needs, provide education, and coordinate care through phone or video calls. You'll use electronic health records and established protocols to guide your conversations, triage symptoms, and escalate care when necessary. While you won't be physically present, building trust and rapport with patients is crucial, and collaboration with physicians, case managers, and other healthcare professionals ensures patients receive comprehensive support. Staying organized and adaptable is key, as you'll often manage multiple cases and rapidly changing priorities throughout your workday.

What is the difference between Remote Telephonic Rn vs Remote Triage Nurse?

AspectRemote Telephonic RnRemote Triage Nurse
CertificationsRN license, CPR, Basic Life SupportRN license, Triage certification (optional)
Work EnvironmentPhone-based, healthcare call centers or telehealth platformsPhone-based, emergency or non-emergency triage settings
Employer & IndustryHospitals, telehealth companies, insurance providersUrgent care, telehealth, insurance companies

Remote Telephonic Rns and Remote Triage Nurses both provide healthcare support via phone, requiring RN licensure. However, Remote Triage Nurses focus specifically on assessing patient symptoms to determine urgency, often in emergency or urgent care contexts. Remote Telephonic Rns may handle a broader range of patient inquiries, health education, and follow-up care. Both roles are vital in telehealth, but Triage Nurses typically require specialized triage training for emergency assessments.

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For Remote Telephonic Rn jobs in Baltimore, MD, the most frequently searched job titles are:

What job categories do people searching Remote Telephonic Rn jobs in Baltimore, MD look for?

The top searched job categories for Remote Telephonic Rn jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Remote Telephonic Rn jobs?

Cities near Baltimore, MD with the most Remote Telephonic Rn job openings:

Remote Telephonic Rn jobs near you
Infographic showing various Remote Telephonic Rn job openings in Baltimore, MD as of August 2026, with employment types broken down into 14% As Needed, 72% Full Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $75,408 per year, or $36.3 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 14 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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