RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
San Francisco, CA · Remote
$30.37 - $59.21/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Employment Type: Full Time
San Francisco, CA · Remote
$30.37 - $59.21/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Employment Type: Full Time
San Francisco, CA · Remote
$30.37 - $59.21/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Employment Type: Full Time
San Francisco, CA · Remote
$80K - $100K/yr
... our remote team. This full-time role offers the chance to provide high-quality mental health ... You will be part of a supportive network of professionals, including psychiatrists, nurses, and ...
San Francisco, CA · Remote
$80K - $100K/yr
... our remote team. This full-time role offers the chance to provide high-quality mental health ... You will be part of a supportive network of professionals, including psychiatrists, nurses, and ...
Berkeley, CA · Remote
$19.25 - $26/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... If no college degree, 3+ years of full time work experience strongly preferred * Most assignments ...
Quick apply
Berkeley, CA · Remote
$19.25 - $26/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... If no college degree, 3+ years of full time work experience strongly preferred * Most assignments ...
This full-time remote position offers a competitive salary range of USD 110,000 to 130,000 annually ... nurses, and support staff, to ensure cohesive patient care. * Stay up-to-date with the latest ...
This full-time remote position offers a competitive salary range of USD 110,000 to 130,000 annually ... nurses, and support staff, to ensure cohesive patient care. * Stay up-to-date with the latest ...
Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities * Lead utilisation management and case ...
Quick apply
Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities * Lead utilisation management and case ...
Work Environment This position offers a full-time remote work setting, allowing you to provide ... and nurses, all focusing on delivering comprehensive care to our clients. Our culture promotes ...
Work Environment This position offers a full-time remote work setting, allowing you to provide ... and nurses, all focusing on delivering comprehensive care to our clients. Our culture promotes ...
Fremont, CA · On-site +1
$90K - $100K/yr
This full-time remote position offers an exciting opportunity for experienced professionals to make ... Collaborate with a multidisciplinary team, including psychiatrists, nurses, and addiction ...
Fremont, CA · On-site +1
$90K - $100K/yr
This full-time remote position offers an exciting opportunity for experienced professionals to make ... Collaborate with a multidisciplinary team, including psychiatrists, nurses, and addiction ...
... full-time, remote position dedicated to providing transformative mental health care within our ... physicians, nurses, and counselors, all striving to deliver integrated care to our clients.
... full-time, remote position dedicated to providing transformative mental health care within our ... physicians, nurses, and counselors, all striving to deliver integrated care to our clients.
This full-time remote position offers you the opportunity to provide critical support to elderly ... Work closely with an interdisciplinary team, which may include healthcare providers, nurses ...
This full-time remote position offers you the opportunity to provide critical support to elderly ... Work closely with an interdisciplinary team, which may include healthcare providers, nurses ...
In this full-time remote position, you will be instrumental in providing vital psychosocial support ... Coordinate care with a diverse team of professionals, including addiction counselors, nurses, and ...
In this full-time remote position, you will be instrumental in providing vital psychosocial support ... Coordinate care with a diverse team of professionals, including addiction counselors, nurses, and ...
... other remote access systems. Ability to navigate through various software programs with instruction. Requires current California RN license with 5+ years in Utilization Management Additional ...
... other remote access systems. Ability to navigate through various software programs with instruction. Requires current California RN license with 5+ years in Utilization Management Additional ...
San Francisco, CA · On-site +1
$28 - $37/hr
You'll help shape the future of remote cardiac care through direct involvement in: * Workflow ... CCT, CRAT, RN, LPN, EMT-I or Paramedic (Preferred) Compensation: * Competitive hourly compensation ...
San Francisco, CA · On-site +1
$28 - $37/hr
You'll help shape the future of remote cardiac care through direct involvement in: * Workflow ... CCT, CRAT, RN, LPN, EMT-I or Paramedic (Preferred) Compensation: * Competitive hourly compensation ...
... full-time remote capacity. This position is integral to our mission of providing high-quality ... Collaborate closely with a multidisciplinary team, including psychiatrists, nurses, and social ...
... full-time remote capacity. This position is integral to our mission of providing high-quality ... Collaborate closely with a multidisciplinary team, including psychiatrists, nurses, and social ...
This full-time, remote position allows you to enact meaningful change in the lives of patients and ... You will coordinate with physicians, nurses, and other mental health providers to ensure a holistic ...
This full-time, remote position allows you to enact meaningful change in the lives of patients and ... You will coordinate with physicians, nurses, and other mental health providers to ensure a holistic ...
In this full-time remote position, you will provide vital mental health support to individuals ... Collaborate extensively with our interdisciplinary team, which includes psychiatrists, nurses, and ...
New
In this full-time remote position, you will provide vital mental health support to individuals ... Collaborate extensively with our interdisciplinary team, which includes psychiatrists, nurses, and ...
New
San Francisco, CA · Remote
$90K - $110K/yr
This full-time, remote position allows you to apply your expertise in trauma-focused care to assist ... Collaborate with psychiatrists and nursing professionals to ensure a well-rounded and integrated ...
San Francisco, CA · Remote
$90K - $110K/yr
This full-time, remote position allows you to apply your expertise in trauma-focused care to assist ... Collaborate with psychiatrists and nursing professionals to ensure a well-rounded and integrated ...
San Francisco, CA · On-site +1
$80K - $100K/yr
... in a full-time remote capacity. This role is crucial for delivering professional counseling ... including psychiatrists, nurses, and social workers, to enhance treatment effectiveness.
San Francisco, CA · On-site +1
$80K - $100K/yr
... in a full-time remote capacity. This role is crucial for delivering professional counseling ... including psychiatrists, nurses, and social workers, to enhance treatment effectiveness.
This full-time remote position will focus on providing vital mental health support to patients ... Collaborate with a multidisciplinary team including physicians, nurses, and social workers to ...
This full-time remote position will focus on providing vital mental health support to patients ... Collaborate with a multidisciplinary team including physicians, nurses, and social workers to ...
San Francisco, CA · Remote
$84/hr
Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Background in RN , RHIA , CCS , or similar clinical or coding credential. * Familiarity with AI ...
Quick apply
San Francisco, CA · Remote
$84/hr
Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Background in RN , RHIA , CCS , or similar clinical or coding credential. * Familiarity with AI ...
This full-time remote position offers the opportunity to positively impact the lives of individuals ... Collaborating closely with a multidisciplinary team consisting of psychiatrists, nurses, and social ...
This full-time remote position offers the opportunity to positively impact the lives of individuals ... Collaborating closely with a multidisciplinary team consisting of psychiatrists, nurses, and social ...
| 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.
The most popular types of Remote Rn jobs in Concord, CA are:
For Full Time Remote Rn jobs in Concord, CA, the most frequently searched job titles are:
The top searched job categories for Full Time Remote Rn jobs in Concord, CA are:
Cities near Concord, CA with the most Full Time Remote Rn job openings:

San Francisco, CA • Remote
$30.37 - $59.21/hr
Full-time
Re-posted 18 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
166th of 311 rated insurance
JOB DESCRIPTION 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).
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.
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: $30.37 - $59.21 / 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