Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Medical Assistance Expert)

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Zohorecruit
2 days ago
Pittsburgh, Pennsylvania — RemoteFull TimeTelehealth NursinginNot on LinkedIn
✓ No Weekends✓ No Nights

Job Description

About the Role

Join Zohorecruit as a Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Medical Assistance Expert) in United States. Are you a registered nurse ready to take your career in an exciting new direction—one where your expertise truly makes a difference? Join Pennsylvania’s premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management.

Key Responsibilities

  • manage your workday, and the opportunity for continuous professional growth—all while being part of a passi.
  • manage your work, and meaningful opportunities for professional growth—all while contributing to a mission.
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards Suppo.
  • manage your workday Advocacy-focused role that values your nursing voice and expertise Career development o.

Requirements

  • 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
  • based clinical standards to ensure MA recipients receive safe, appropriate, and high

Benefits & Compensation

  • Attractive Compensation plan.
  • Holiday and Vacation program.

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.
  • Day shift only - no nights.
  • Flexible scheduling available.

This position offers day shifts only. Work with Zohorecruit in United States.

Key Skills

Registered Nurse LicenseClinical ReviewProgram IntegrityCompliance ManagementMedical Record AnalysisUtilization ReviewCase ManagementQuality ImprovementClaims ReviewAdvocacyInterdisciplinary CollaborationMedical Necessity DeterminationElectronic Medical RecordsNursing JudgmentRegulatory ComplianceAppeal Processes
HealthcareGovernment & Public SectorSocial ServicesAdministrativevia Zoho
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About Zohorecruit

Staffing and Recruiting
Allentown, Pennsylvania
2-5

Benefits & Perks

Holiday and Vacation program
9.2

Burnout Score

Top 1%

Protective Factors (3)

Remote work (RR 0.57; 14-23% ↓ burnout)

No weekends (57% ↓ work-life conflict)

No nights (Independent predictor ↓ burnout)

Interpretation: Position demonstrates strong burnout protection with 3 validated protective factors.

Job Details

Employment Type

Full-time

Posted

2d ago