Care Review Clinician (RN) - Remote in FL
Long Beach, CA · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Employment Type: Full Time
Long Beach, CA · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Employment Type: Full Time
Long Beach, CA · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Employment Type: Full Time
Santa Barbara, CA · Remote
$110K - $130K/yr
Choices Case Management is currently seeking experienced full-time RN Workers' Compensation Field Case Managers to serve our Santa Barbara County territory. This is a field-based position with a home ...
Santa Barbara, CA · Remote
$110K - $130K/yr
Choices Case Management is currently seeking experienced full-time RN Workers' Compensation Field Case Managers to serve our Santa Barbara County territory. This is a field-based position with a home ...
Huntington Beach, CA · Remote
$34.98 - $42.85/hr
Remote in California only Are you ready to make a lasting impact and transform the healthcare space ... Job Summary The UM Nurse I - RN performs clinical review of authorization requests to determine ...
Huntington Beach, CA · Remote
$34.98 - $42.85/hr
Remote in California only Are you ready to make a lasting impact and transform the healthcare space ... Job Summary The UM Nurse I - RN performs clinical review of authorization requests to determine ...
Long Beach, CA · On-site +1
$27.73 - $54.06/hr
This role is primarily remote but may include some local field travel. The target area for this ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$27.73 - $54.06/hr
This role is primarily remote but may include some local field travel. The target area for this ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote with travel throughout Dane County, WI for member visits*** Job Summary Provides support for ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote with travel throughout Dane County, WI for member visits*** Job Summary Provides support for ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote with travel throughout Dane County, WI for member visits*** Job Summary Provides support for ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote with travel throughout Dane County, WI for member visits*** Job Summary Provides support for ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote and will travel throughout the Southwest and Western regions of Wisconsin for member ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote and will travel throughout the Southwest and Western regions of Wisconsin for member ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote position with substantial field work and productivity is important. Preferred ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote position with substantial field work and productivity is important. Preferred ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · Remote
$26.41 - $59.21/hr
Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ... Employment Type: Full Time
Long Beach, CA · Remote
$26.41 - $59.21/hr
Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ... Employment Type: Full Time
Fresno, CA · Remote
$82K - $104K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out ... This is a full-time position offering a competitive base salary plus an incentive program. Benefits:
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Fresno, CA · Remote
$82K - $104K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out ... This is a full-time position offering a competitive base salary plus an incentive program. Benefits:
Registered Nurses (Data labelling and training) Type: Contract Compensation: $60-$80/hour Location: Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ...
Quick apply
Registered Nurses (Data labelling and training) Type: Contract Compensation: $60-$80/hour Location: Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ...
Telework Specifications: Full Time WAH EE with daily local travel in the field. Candidates should ... LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required Registered Nurse (RN) with ...
Telework Specifications: Full Time WAH EE with daily local travel in the field. Candidates should ... LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required Registered Nurse (RN) with ...
Anaheim, CA · On-site +1
Active, unrestricted Registered Nurse license through the State of California AND state of ... The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We ...
Anaheim, CA · On-site +1
Active, unrestricted Registered Nurse license through the State of California AND state of ... The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We ...
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
SC Single state or Compact RN License. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and ...
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
SC Single state or Compact RN License. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and ...
Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single state or Compact RN License. Ability to prioritize and manage multiple deadlines. Excellent ...
Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single state or Compact RN License. Ability to prioritize and manage multiple deadlines. Excellent ...
San Diego, CA · Remote
$82K - $105K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out ... This is a full-time position offering a competitive base salary plus an incentive program. Benefits:
Quick apply
San Diego, CA · Remote
$82K - $105K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out ... This is a full-time position offering a competitive base salary plus an incentive program. Benefits:
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel in Hocking County. Job Summary Provides support ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel in Hocking County. Job Summary Provides support ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel. Job Summary Provides support for care ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel. Job Summary Provides support for care ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel in Holmes County. Job Summary Provides support ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel in Holmes County. Job Summary Provides support ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel in the Greater Columbus area. Job Summary ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote field-based role requiring travel in the Greater Columbus area. Job Summary ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
| Aspect | Full Time Remote Rn | Part Time Remote Rn |
|---|---|---|
| Work Hours | Typically 35-40 hours per week | Less than 30 hours per week |
| Salary & Benefits | Full benefits, consistent salary | Pro-rated pay, limited benefits |
| Job Responsibilities | Complete full scope of nursing duties | Same duties but with flexible hours |
| Work Environment | Home-based, remote | Home-based, remote |
Full Time Remote Rn roles offer a consistent schedule, full benefits, and a stable income, ideal for those seeking full-time employment. Part Time Remote Rn positions provide flexibility with fewer hours and limited benefits, suitable for individuals balancing other commitments. Both roles allow remote work, but differ mainly in hours and compensation structure.

$26.41 - $43/hr
Full-time
Re-posted 17 days ago
8.1
Based on 193 frontline employees who took The Breakroom Quiz
133rd of 281 rated insurance
JOB DESCRIPTION
Must reside in Florida
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.
#PJHS3
#LI-AC1
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
Pay Range: $26.41 - $43 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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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.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980