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

Zohorecruit

1 month ago

Pittsburgh, Pennsylvania — RemoteFull TimeTelehealth Nursing

✓ No Weekends✓ No Nights

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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

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Medical Assistance Expert) at Zohorecruit a 9.2 out of 10 for work-life balance — classified as exceptional. This places the position in the top 1% of all Telehealth Nursing registered nurse listings evaluated on our platform. Contributing factors include no weekend requirements, no night shifts, remote work flexibility.

Clinicians in this score range report high career satisfaction and sustainable workloads. This is an ideal fit for providers who prioritize long-term career longevity.

Telehealth Nursing — Registered Nurse Career Context

This Telehealth Nursing position at Zohorecruit is open to registered nurse candidates.

Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.

Remote registered nurse positions in Telehealth Nursing have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Location & Logistics

This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

No weekend shifts — preserving personal and family time
No night shifts — a daytime-only schedule
Fully remote — work from anywhere with an active license
Exceptional work-life balance score (9.2/10)

Skills, Responsibilities & Benefits

Key skills and qualifications: Registered Nurse License, Clinical Review, Program Integrity, Compliance Management, Medical Record Analysis, Utilization Review, Case Management, Quality Improvement. Candidates with experience in these areas may be especially well-suited for this Telehealth Nursing role.

Core responsibilities: The role involves conducting clinical reviews to ensure quality, appropriateness, and compliance with healthcare standards, while supporting program integrity efforts by identifying trends and risks. The nurse will also advocate for beneficiaries, analyze medical records and billing data, and collab...

Benefits package: Holiday and Vacation program. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Telehealth Nursing registered nurse jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.