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Remote Tricare Rn Jobs in Silver Spring, MD (NOW HIRING)

DataAnnotation

Registered Nurse - AI Trainer

Baltimore, MD · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse - AI Trainer

Alexandria, VA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse - AI Trainer

Washington, DC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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 ...

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 ...

Wearlinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

WearLinq

Holter/Cardiac Technologist

Rockville, MD · Remote

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

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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 Silver Spring, MD? For Remote Tricare Rn jobs in Silver Spring, MD, the most frequently searched job titles are:
What job categories do people searching Remote Tricare Rn jobs in Silver Spring, MD look for? The top searched job categories for Remote Tricare Rn jobs in Silver Spring, MD are:
What cities near Silver Spring, MD are hiring for Remote Tricare Rn jobs? Cities near Silver Spring, MD with the most Remote Tricare Rn job openings:
Remote Tricare Rn jobs near you
Infographic showing various Remote Tricare Rn job openings in Silver Spring, MD as of July 2026, with employment types broken down into 65% Full Time, 19% Part Time, and 16% Contract. Highlights an 100% Remote job distribution.
Utilization Management Specialist

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 21 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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