This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... This is a remote position and productivity is important. Preferred candidates will have previous ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... This is a remote position and productivity is important. Preferred candidates will have previous ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
Care Review Clinician (RN) Remote (Must Reside In AZ)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (Must Reside In AZ)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Coordinator (Long Term Care Services) supporting our Medicaid and ... This is a remote position with substantial field work and productivity is important. Preferred ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Coordinator (Long Term Care Services) supporting our Medicaid and ... This is a remote position with substantial field work and productivity is important. Preferred ...
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Long Beach, CA · On-site +1
$27.59 - $56.63/hr
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Long Beach, CA · On-site +1
$27.59 - $56.63/hr
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Long Beach, CA · Remote
$27.59 - $56.63/hr
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Long Beach, CA · Remote
$27.59 - $56.63/hr
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Anaheim & surrounding areas Find Your Passion and Purpose as an Registered ...
Quick apply
RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Anaheim & surrounding areas Find Your Passion and Purpose as an Registered ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Manager supporting our Medicaid, Medicare and Marketplace members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Manager supporting our Medicaid, Medicare and Marketplace members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful ...
Registered Nurse (Emergency Department)
Los Angeles, CA · On-site +1
$116K - $210K/yr
... Registered Nurses (RN) Night Shift for our busy Level II Emergency Department. Located in Los ... Credit for foreign nursing education higher that associate degree/entry level requires a formal ...
Registered Nurse (Emergency Department)
Los Angeles, CA · On-site +1
$116K - $210K/yr
... Registered Nurses (RN) Night Shift for our busy Level II Emergency Department. Located in Los ... Credit for foreign nursing education higher that associate degree/entry level requires a formal ...
Cover unplanned visit gaps (RN/LVN call-offs, same-day admission needs, urgent family requests ... remote position.
Quick apply
Cover unplanned visit gaps (RN/LVN call-offs, same-day admission needs, urgent family requests ... remote position.
Entry Level Remote Rn information
See Los Angeles, CA salary details
$8.03 - $14.36
0% of jobs
$14.36 - $20.70
0% of jobs
$20.70 - $27.03
4% of jobs
$27.03 - $33.37
18% of jobs
$34.20 is the 25th percentile. Wages below this are outliers.
$33.37 - $39.70
20% of jobs
The median wage is $42.31 / hr.
$39.70 - $46.03
18% of jobs
$51.74 is the 75th percentile. Wages above this are outliers.
$46.03 - $52.37
16% of jobs
$52.37 - $58.70
10% of jobs
$58.70 - $65.04
6% of jobs
$65.04 - $71.37
4% of jobs
$71.37 - $77.71
3% of jobs
$8
$45
$77
How much do entry level remote rn jobs pay per hour?
What is the easiest remote job to get with no experience?
How can I make 2000 a week working from home?
What is an entry level remote RN?
What are some common challenges faced by entry-level remote RNs, and how can they be overcome?
What is the best remote job for a nurse?
What are the key skills and qualifications needed to thrive as an Entry Level Remote RN, and why are they important?
How to make an extra $2000 a month as a nurse?

Full-time
Posted 25 days ago
Molina Healthcare rating
8.0
Based on 196 frontline employees who took The Breakroom Quiz
161st of 299 rated insurance
Job description
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays.)
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980