Top 39 Rn work from home Jobs in Philadelphia, Pa

Utilization Management Nurse RN
Optum —Newtown Square, PA
- $60,200 - $107,400 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Pass drug screening
4d
Health Coach RN - remote (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
Utilization Management & Clinical Validation RN
Optum —Newtown Square, PA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Nursing
- RN License
- Word processing
Clinical Appeals Nurse - Full Time Remote - Jefferson Health
Thomas Jefferson University and Hospitals —Philadelphia, PA
- Full-time
- Remote
- Microsoft Word
- Nursing
- RN License
- AD&D insurance
- Disability insurance
STS Abstractor
HEALTH INFORMATION ALLIANCE INC —Fort Washington, PA
- Part-time
- Remote
- Nursing
- RN License
- Computer literacy
Ambulatory Nurse II - HUP
Penn Medicine —Philadelphia, PA
- Full-time
- Remote
- Nursing
- RN License
- PALS Certification
- Tuition reimbursement
Quick Apply
Registered Nurse - GI
Oshi Health —Philadelphia, PA
- $80,000 - $100,000 a year
- Weekends as needed
- Remote
- Nursing
- Patient monitoring
- RN License
- Paid holidays
- Health insurance
Quick Apply
2d
Ambulatory Nurse II - Med HUP EPS Lab
Penn Medicine —Philadelphia, PA
- Full-time
- Remote
- Nursing
- RN License
- PALS Certification
- Tuition reimbursement
Quick Apply
Contract Clinical Auditor
Marsh McLennan Agency —Conshohocken, PA
- $175 a day
- Part-time
- Remote
- RN License
- HIPAA
- Mid-level
AMERICAN SPINE REGISTRY ASR Data Abstractor (PRN)
Health Information Alliance —Fort Washington, PA
- PRN
- Remote
- Nursing
- RN License
- Computer literacy
Clin Documentation Spec III PRN - Remote
Cooper University Hospital —Camden, NJ
- $41 - $70 an hour
- Per diem
- Remote
- Microsoft Word
- Nursing
- RN License
- Health insurance
- Dental insurance
Medical Information Specialist II - Remote RN
Ashfield Healthcare, LLC —Fort Washington, PA
- $23.10 - $42.90 an hour
- Full-time
- Remote
- Background check
- RN License
- HIPAA
- Paid parental leave
- Paid holidays
Quick Apply
3d
Remote RN- Call Center Supervisor
Ashfield Healthcare, LLC —Fort Washington, PA
- $52,000 - $97,000 a year
- Full-time
- Remote
- Background check
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Paid holidays
Quick Apply
3d
Director, Clinical Documentation Integrity - Remote
Optum —Exton, PA
- $112,700 - $193,200 a year
- Full-time
- Remote
- Medicine
- RN License
- Pass drug screening
Clinical Documentation Educator, Remote- CPC and/or CCS-P Required
Cooper University Hospital —Camden, NJ
- $37 - $61 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Qi Outcomes Manager (PER DIEM)
Cooper University Hospital —Camden, NJ
- $37 - $61 an hour
- Per diem
- Remote
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
9h
Registered Nurse - ER
TalentBurst, Inc. —Mullica Hill, NJ
- $2,254 a week
- Contract
- Remote
- Nursing
- RN License
- PALS Certification
- Health insurance
- Dental insurance
Quick Apply
2d
Manager, Project Training and Quality (Remote RN)
Ashfield Healthcare, LLC —Fort Washington, PA
- $56,000 - $104,000 a year
- Full-time
- Remote
- Background check
- Nursing
- Microsoft Excel
- Paid parental leave
- Paid holidays
Quick Apply
3d
Regional Clinical Development Manager - PA, NJ, NYC - Remote, USA
Calyxo —Philadelphia, PA
- $180,000 a year
- Remote
- Surgery
- Ability to walk for extended periods
- Office
- Health insurance
- 401(k)
Quick Apply

Related jobs to explore

Based on your search for rn work from home

Data Analyst - AI Trainer
DataAnnotation —Township of Hamilton, NJ
Our platform offers an engaging blend of flexibility and challenge: you'll work closely with state-of-the-art AI models to take on programming tasks that…
$50 - $100 an hour
Quick Apply
Data Analyst - AI Trainer
DataAnnotation —Paoli, PA
Our platform offers an engaging blend of flexibility and challenge: you'll work closely with state-of-the-art AI models to take on programming tasks that…
$50 - $100 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Care Manager (RN)
Axelon Services Corporation —Ohio
Provide high-quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
$48.35 an hour
Quick Apply
Healthcare Investigator
Staffing Solutions Organization —Ohio
Identifies rule violations, contributing factors, and potential risks; develops clear, well‑supported investigation summary reports. Paid time off and holidays.
$53,000 - $55,000 a year
20h

Show more jobs in cities nearby

I want to receive the latest job alert for rn work from home in philadelphia, pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

rn work from home jobs near philadelphia, pa

Utilization Management Nurse RN

Optum -
Newtown Square, PA

Apply Now

Job Details

Full-time
$60,200 - $107,400 a year
4 days ago

Qualifications

RN License
Desktop applications
Typing
Associate's degree

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. The nurse will complete their case within the time expectations while providing high quality reviews. The Utilization Management Nurse will perform their job functions, adhering to both Optum and OPAS policies and procedures, which include but are not limited to the following

Schedule: Monday - Friday (40 Hours a Week) Flexible start times with the ability to support evening, weekend and holiday shifts.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, inclusion of appropriate medical literature references, and use of national criteria guidelines. Adheres to company policies and procedures as well as policies, procedures, and laws
Understands and complies with HIPAA confidentiality requirements
Support and promote OPAS, Optum, and the enterprise goals and mission
Build relationships across Optum, OPAS, OGA and our clients
Collaborate with peers to assure continuity of communication and execution of deliverables as needed
Adheres to quality and productivity expectations
Participate in and contribute to meetings as appropriate
Maintains organization on the team and ensures everyone conducts themselves professionally
Remains up to date with all learning modules, competencies, and state required licenses
Performs other related duties, tasks, and processes as required by leadership
Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure
Positive attitude and the ability to function as a collaborative team member

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's degree
Unrestricted Registered Nurse license in your state of residence
3+ years of bedside nursing experience in adult ED/telemetry/ICU/CCU
Advanced level of proficiency with Microsoft applications and software, internet navigation and utilization
Ability to type 45 wpm

Preferred Qualifications:

Working knowledge of InterQual and MCG
Prior experience with utilization management
Working knowledge of Word
Strong, effective verbal and written communication skills
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

Apply Now

Refine Your Search

rn work from home jobs in philadelphia, pa

Utilization Management Nurse RN

Health Coach RN - remote (PA/NJ/DE)

Utilization Management & Clinical Validation RN

Clinical Appeals Nurse - Full Time Remote - Jefferson Health

STS Abstractor

Ambulatory Nurse II - HUP

Registered Nurse - GI

Ambulatory Nurse II - Med HUP EPS Lab

Contract Clinical Auditor

AMERICAN SPINE REGISTRY ASR Data Abstractor (PRN)

Clin Documentation Spec III PRN - Remote

Medical Information Specialist II - Remote RN

Remote RN- Call Center Supervisor

Director, Clinical Documentation Integrity - Remote

Clinical Documentation Educator, Remote- CPC and/or CCS-P Required

Qi Outcomes Manager (PER DIEM)

Registered Nurse - ER

Manager, Project Training and Quality (Remote RN)

Regional Clinical Development Manager - PA, NJ, NYC - Remote, USA

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for rn work from home in philadelphia, pa

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected