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Work From Home Rn Jobs in Pittsburgh, PA (NOW HIRING)

HMG Careers

Work From Home Sales Specialist

Cheswick, PA · Remote

$69K/yr

Remote, work-from-home career * Average first-year earnings of $69K through commissions and bonuses * Increased earning potential in later years through performance and renewals * Residual income ...

HMG Careers

Work From Home Sales Specialist

Arona, PA · Remote

$69K/yr

Remote, work-from-home career * Average first-year earnings of $69K through commissions and bonuses * Increased earning potential in later years through performance and renewals * Residual income ...

HMG Careers

Work From Home Sales Specialist

Midland, PA · Remote

$69K/yr

Remote, work-from-home career * Average first-year earnings of $69K through commissions and bonuses * Increased earning potential in later years through performance and renewals * Residual income ...

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All JobsRn JobsWork From Home Rn JobsWork From Home Rn Jobs in Pittsburgh, PA

Work From Home Rn information

See Pittsburgh, PA salary details

$933

$1.9K

$2.9K

How much do work from home rn jobs pay per week?

As of Aug 12, 2026, the average weekly pay for work from home rn in Pittsburgh, PA is $1,899.00, according to ZipRecruiter salary data. Most workers in this role earn between $1,484.62 and $2,221.15 per week, depending on experience, location, and employer.

What is a work from home RN?

Work From Home Registered Nurses (RNs) are licensed nursing professionals who provide healthcare services remotely, often via phone, video calls, or online platforms. They may work in roles such as telephone triage, case management, patient education, or telehealth consultations. These positions allow RNs to support patient care, coordinate treatments, and offer medical advice without being physically present in a healthcare facility. Work From Home RNs typically need strong communication skills, reliable internet access, and a quiet workspace. This role offers flexibility and can help nurses maintain a better work-life balance.

How does a work from home RN typically collaborate with other healthcare professionals to ensure patient care quality?

As a Work From Home Registered Nurse (RN), collaboration with physicians, case managers, and other healthcare professionals is usually done through secure digital platforms, phone calls, and video conferencing. RNs often participate in virtual team meetings, share patient updates electronically, and coordinate care plans remotely. Maintaining clear and timely communication is essential to address patient needs and ensure continuity of care. This remote environment requires strong organizational skills and proactive engagement with the care team.

What kind of work can registered nurses do remotely?

Registered nurses working from home can perform tasks such as telehealth consultations, patient education, care coordination, and medical documentation. These roles often require strong communication skills, familiarity with electronic health records, and relevant licensure. Remote nursing allows for flexible schedules and reduces the need for physical presence in healthcare facilities.

What is the difference between Work From Home Rn vs Work From Home Lpn?

AspectWork From Home RnWork From Home Lpn
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote nursing, patient assessments, telehealthRemote nursing, basic patient care, telehealth
Employer & Industry UsageHospitals, telehealth companies, insuranceHome health agencies, telehealth providers
Common Search & ComparisonYesYes

Work From Home Rn and Work From Home Lpn roles both involve remote nursing but differ in required credentials and scope of practice. RNs typically handle more complex patient assessments, while LPNs focus on basic patient care. Both are in demand in telehealth and healthcare industries, but RNs usually have broader responsibilities.

What does a work from home RN do?

A work from home RN typically performs work such as providing patients with health care assessments, answering questions about medical conditions or treatments, and providing them with referrals if they should require further medical advice. Other telecommute RNs have case management responsibilities and follow their patients’ cases to ensure they receive the proper care. As a work from home RN, you may also teach online, and your duties in this case include leading lectures, grading quizzes and tests, and providing advice to students.

What are the key skills and qualifications needed to thrive as a work from home RN, and why are they important?

To excel as a Work From Home RN, you need an active RN license, strong clinical assessment abilities, and experience in telehealth or remote patient care. Familiarity with telemedicine platforms, secure communication tools, and electronic health records (EHRs) is typically required. Exceptional communication, self-motivation, and organizational skills help you build rapport with patients and efficiently manage tasks from a remote environment. These competencies are essential for delivering high-quality patient care, maintaining compliance, and ensuring effective collaboration outside of traditional clinical settings.
More about Work From Home Rn jobs
What are popular job titles related to Work From Home Rn jobs in Pittsburgh, PA? For Work From Home Rn jobs in Pittsburgh, PA, the most frequently searched job titles are:
What job categories do people searching Work From Home Rn jobs in Pittsburgh, PA look for? The top searched job categories for Work From Home Rn jobs in Pittsburgh, PA are:
What cities near Pittsburgh, PA are hiring for Work From Home Rn jobs? Cities near Pittsburgh, PA with the most Work From Home Rn job openings:
Work From Home Rn jobs near you
Infographic showing various Work From Home Rn job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 3% As Needed, 73% Full Time, 14% Part Time, 2% Temporary, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $98,748 per year, or $47.5 per hour.

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 24 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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