Remote​/Hybrid Registered Nurse; RN – Advocacy & Program Integrity; Hospice Expert

Registered Nurse:
Review and Evaluation

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. Here, you'll champion the needs of vulnerable populations, safeguard the quality of care, and influence healthcare outcomes on a meaningful scale.

Enjoy the freedom of working from home, the flexibility and autonomy to manage your workday, and the opportunity for continuous professional growth—all while being part of a passionate, mission-driven team dedicated to improving healthcare across the Commonwealth.

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 and career—this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.