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Work From Home Rn Risk Management Jobs in Harrisburg, PA

HMG Careers

Work From Home Sales Specialist

Oberlin, PA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Ongoing training and mentorship from experienced managers * High-quality leads provided with no ...

HMG Careers

Work From Home Sales Specialist

Dover, PA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Ongoing training and mentorship from experienced managers * High-quality leads provided with no ...

HMG Careers

Work From Home Sales Specialist

Paxtang, PA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Ongoing training and mentorship from experienced managers * High-quality leads provided with no ...

HMG Careers

Work From Home Sales Specialist

Shiloh, PA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Ongoing training and mentorship from experienced managers * High-quality leads provided with no ...

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All JobsRn Risk Management JobsWork From Home Rn Risk Management JobsWork From Home Rn Risk Management Jobs in Harrisburg, PA

Work From Home Rn Risk Management information

See Harrisburg, PA salary details

$42.9K

$102.4K

$165.4K

How much do work from home rn risk management jobs pay per year?

As of Jun 15, 2026, the average yearly pay for work from home rn risk management in Harrisburg, PA is $102,374.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,600.00 and $130,300.00 per year, depending on experience, location, and employer.

Can risk managers work remotely?

Risk managers can often work remotely, especially in roles that involve data analysis, reporting, and communication. Many organizations allow risk management professionals to perform their duties from home using digital tools and secure networks, though some positions may require on-site presence for meetings or inspections.

What does a typical day look like for a Work From Home RN in Risk Management?

As a Work From Home RN in Risk Management, your day may involve reviewing incident reports, conducting virtual root cause analyses, monitoring compliance with safety policies, and collaborating remotely with clinical and administrative teams. You’ll spend much of your time using risk management software, attending video meetings, and documenting findings or recommendations. The role often requires balancing project deadlines with real-time incident response, so self-motivation and organizational skills are key. While you’ll work independently, regular communication with other healthcare professionals ensures patient safety and successful risk mitigation.

How to make an extra $2000 a month as a nurse?

Work From Home Rn Risk Management professionals can increase income by taking on additional freelance or consulting projects, leveraging specialized skills such as compliance, documentation, or telehealth. Gaining certifications like Certified Risk Manager (CRM) or Certified Professional in Healthcare Quality (CPHQ) can also open opportunities for higher-paying roles or side gigs in healthcare risk management. Flexibility and strong communication skills are essential for managing multiple projects remotely.

What are the key skills and qualifications needed to thrive in the Work From Home Rn Risk Management position, and why are they important?

To thrive as a Work From Home RN in Risk Management, you need a current RN license, experience in clinical nursing, and a solid understanding of healthcare compliance, quality improvement, and risk assessment processes. Familiarity with risk management platforms, electronic health records (EHRs), and certification such as CPHRM (Certified Professional in Healthcare Risk Management) is often valued. Excellent communication, critical thinking, and time management skills help set candidates apart in remote environments. These competencies are vital for effectively identifying, analyzing, and mitigating healthcare risks to ensure patient safety and legal compliance from a remote setting.

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

Work From Home Rn Risk Management professionals can increase earnings by specializing in areas like telehealth, consulting, or risk assessment, which often command higher pay. Building expertise, obtaining relevant certifications, and leveraging platforms for freelance or consulting work can help reach higher income levels, including $300,000 annually.

How can I make 2000 a week working from home?

Work From Home Rn Risk Management professionals can increase earnings by gaining specialized certifications, such as Certified Risk Management Professional, and building experience in remote risk assessment and compliance. Earning $2000 weekly typically requires working multiple clients or projects, setting competitive rates, and efficiently managing time and tasks in a remote environment.

What is a Work From Home RN Risk Management job?

A Work From Home RN Risk Management job involves assessing and mitigating risks related to patient care, medical procedures, and regulatory compliance. These nurses review patient records, analyze trends, and ensure healthcare policies are followed to prevent legal or safety issues. They often collaborate with healthcare teams and insurance providers to manage claims and improve patient outcomes. This role requires strong analytical skills, attention to detail, and experience in clinical nursing and healthcare regulations.

What are popular job titles related to Work From Home Rn Risk Management jobs in Harrisburg, PA? For Work From Home Rn Risk Management jobs in Harrisburg, PA, the most frequently searched job titles are:
What job categories do people searching Work From Home Rn Risk Management jobs in Harrisburg, PA look for? The top searched job categories for Work From Home Rn Risk Management jobs in Harrisburg, PA are:
What cities near Harrisburg, PA are hiring for Work From Home Rn Risk Management jobs? Cities near Harrisburg, PA with the most Work From Home Rn Risk Management job openings:
Work From Home Rn Risk Management jobs near you

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance- Med Surg ...

The CKHobbie Group

Harrisburg, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Posted 8 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.
Are you a registered nurse ready to take your career in an excitingnew direction-one where your expertise creates real, lasting impact?Join Pennsylvania's premier Quality Improvement Organization and play a vital role in protecting healthcare quality, advocating forvulnerable populations, and ensuring the integrity of criticalhealthcare programs.
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 - Medical Assistance Inpatient Utilization Review & Discharge Planning)
  • Conduct clinical utilization reviews for medical-surgical inpatient hospitalizations under the Medical Assistance (MA) Program by evaluating medical records, admission criteria, continued stay indicators, and treatment plans to determine medical necessity, appropriateness, and level of care.
  • Apply registered nursing clinical judgment and evidence-based medical-surgical standards to ensure MA beneficiaries receive safe, effective, and timely inpatient care consistent with MA coverage requirements and regulatory guidelines.
  • Perform prospective, concurrent, and retrospective reviews of inpatient admissions to assess appropriate level of care (e.g., inpatient vs. observation), length of stay, and readiness for discharge.
  • Evaluate discharge planning documentation to ensure timely, safe, and effective transitions of care, including coordination of post-acute services such as home health, durable medical equipment (DME), skilled nursing facility (SNF), rehabilitation, behavioral health follow-up, and community-based supports.
  • Assess provider documentation and hospital billing to ensure compliance with MA policies, inpatient reimbursement rules, and discharge planning requirements, and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic medical records, provider portals, telephone communications, fax, and U.S. mail to support utilization and discharge determinations.
  • Make authorization determinations within RN scope of practice by approving, modifying, or denying inpatient stays and post-acute services, or referring cases to physician advisors when medical necessity, level of care, or discharge disposition is unclear.
  • Collaborate with physician/medical consultants and hospital care teams to support peer-to-peer discussions regarding continued stay criteria, discharge readiness, and appropriate post-discharge level of care.
  • Document utilization review findings, clinical rationale, and discharge planning decisions in electronic systems, generating authorization notifications, denial letters, reason codes, and appeal information in compliance with MA regulations.
  • Conduct re-reviews and reconsiderations of inpatient and post-acute service decisions upon request by hospitals, providers, or facilities, in collaboration with physician/medical consultants as needed.
  • Review and prepare appeal cases related to inpatient admissions, continued stays, and discharge determinations by analyzing medical records, preparing case summaries and exhibits, and providing testimony at administrative hearings using knowledge of MA regulations and appeal procedures.
  • Interpret MA inpatient and discharge planning policies, regulations, and utilization management guidelines for hospital staff, providers, and internal stakeholders through consultation, education, and meetings.
  • Participate in interdisciplinary collaboration with hospitals, post-acute providers, medical consultants, social services, legal staff, and program leadership to support patient-centered, compliant, and efficient transitions of care.
  • Maintain professional competence through continuing education and review of current medical-surgical and care transition literature to remain current with standards of care, utilization review best practices, and regulatory changes.
  • Provide cross-coverage in other MA program areas as needed, maintaining working knowledge through training and updates to support continuity of program operations.
  • Respond to inquiries and correspondence from beneficiaries, providers, legislators, legal offices, and external agencies to explain inpatient coverage decisions, discharge planning requirements, and administrative processes.
  • Maintain accurate case documentation and records in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated at the time of assignment.
  • When required, work at Department-designated locations. The primary work location is Harrisburg, 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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