2

Remote Tricare Rn Jobs in Reading, PA (NOW HIRING)

Registered Dietitian

Wernersville, PA · On-site +1

$29 - $39/hr

Potential for Some Remote Hours! Free lunch and Free parking! What You'll Do * See patients ... Represent the Food & Nutrition Department as the primary liaison with the medical and nursing staff

Remote Tricare Rn information

What is the difference between Remote Tricare Rn vs Remote VA Rn?

AspectRemote Tricare RnRemote VA Rn
CredentialsRegistered Nurse (RN) license, Tricare-specific trainingRegistered Nurse (RN) license, VA healthcare system familiarity
Work EnvironmentRemote healthcare support for Tricare beneficiariesRemote patient care for VA patients
Employer & IndustryMilitary healthcare, Tricare programsVeterans Affairs healthcare system
Common Search IntentRemote Tricare RN vs Remote VA RNRemote VA RN vs Remote Tricare RN

The main difference between Remote Tricare Rn and Remote VA Rn lies in their employer and patient focus. Remote Tricare Rns support military beneficiaries through Tricare programs, while Remote VA Rns serve veterans within the VA healthcare system. Both roles require RN licensure and specialized training, but their work environments and patient populations differ, aligning with their respective organizations.

Does Tricare have remote jobs?

Remote Tricare RN positions are available, often requiring nursing licensure and experience in case management or telehealth. These roles typically involve working from home with flexible schedules and may require secure communication tools and adherence to healthcare privacy standards.

What is a Remote Tricare RN?

A Remote Tricare RN is a registered nurse who provides healthcare services and support to patients covered by Tricare, the health insurance program for military members and their families, while working remotely. These nurses may conduct patient assessments, coordinate care, offer health education, and assist with case management through phone or online platforms. Working remotely allows them to support military families regardless of location, ensuring continuity of care. They must be licensed RNs and often have experience in case management, utilization review, or similar fields.

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

To thrive as a Remote Tricare RN, you need a current RN license, experience in case management or telehealth, and knowledge of Tricare policies and procedures. Familiarity with electronic medical record (EMR) systems, telehealth platforms, and case management software is typically required. Excellent communication, critical thinking, and self-motivation are essential soft skills for remote coordination with patients and healthcare teams. These competencies ensure effective patient care, compliance with Tricare standards, and high-quality outcomes in a virtual environment.

How to make $300,000 as a nurse online?

A remote Tricare RN can increase earnings by specializing in high-demand areas, obtaining advanced certifications, and leveraging telehealth platforms. Building a strong reputation and taking on additional shifts or consulting roles can also contribute to higher income, but reaching $300,000 annually typically requires multiple income streams or advanced roles within the field.

Does TriWest offer remote positions?

TriWest Healthcare Alliance offers remote positions for roles such as Tricare RNs, allowing employees to work from home. These positions typically require relevant healthcare certifications and may involve telehealth tools and electronic health record systems.

What are some common challenges faced by Remote Tricare RNs, and how can they be managed effectively?

Remote Tricare RNs often face challenges such as maintaining clear communication with patients and care teams across different time zones, navigating complex Tricare policies, and ensuring patient privacy in a virtual setting. To manage these, it's important to stay updated on Tricare guidelines, utilize secure digital communication tools, and participate in regular virtual meetings with the healthcare team. Developing strong organizational skills and proactively seeking support from colleagues can also help remote RNs deliver high-quality care.

What jobs pay 4000 a week without a degree?

Remote Tricare RNs typically require a nursing license and healthcare experience; they do not usually earn $4,000 weekly without relevant qualifications. Jobs that can pay $4,000 a week without a degree often include high-level sales, real estate broker, or specialized trades like certain construction or technical roles, but these usually require experience, certifications, or licensing. Most high-paying roles without a degree involve skills, certifications, or experience rather than formal education alone.
What are popular job titles related to Remote Tricare Rn jobs in Reading, PA? For Remote Tricare Rn jobs in Reading, PA, the most frequently searched job titles are:
What job categories do people searching Remote Tricare Rn jobs in Reading, PA look for? The top searched job categories for Remote Tricare Rn jobs in Reading, PA are:
What cities near Reading, PA are hiring for Remote Tricare Rn jobs? Cities near Reading, PA with the most Remote Tricare Rn job openings:

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 15 days ago


Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer