Orlando, FL · Remote
$26.41 - $51.49/hr
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 ...
Orlando, FL · Remote
$26.41 - $51.49/hr
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 ...
Saint Petersburg, FL · Remote
$26.41 - $51.49/hr
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 ...
Saint Petersburg, FL · Remote
$26.41 - $51.49/hr
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 ...
Miami, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Miami, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Jacksonville, FL · Remote
$26.41 - $51.49/hr
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 ...
Jacksonville, FL · Remote
$26.41 - $51.49/hr
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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Orlando, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Orlando, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
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 ...
Jacksonville, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Jacksonville, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Fort Lauderdale, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Fort Lauderdale, FL · Remote
$26.41 - $51.49/hr
... 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 ...
A leading esthetic training organization is seeking a Travel Nurse Trainer (RN/APRN) to develop training programs for nurses and estheticians. The role involves mostly remote work with occasional ...
A leading esthetic training organization is seeking a Travel Nurse Trainer (RN/APRN) to develop training programs for nurses and estheticians. The role involves mostly remote work with occasional ...
An active and unrestricted Registered Nurse (RN) * Associate's degree is required. Bachelor of Science in Nursing (BSN) Degree is preferred * Five (5) years of clinical experience; or any combination ...
An active and unrestricted Registered Nurse (RN) * Associate's degree is required. Bachelor of Science in Nursing (BSN) Degree is preferred * Five (5) years of clinical experience; or any combination ...
A leading esthetic training organization is seeking a Travel Nurse Trainer (RN/APRN) to develop training programs for nurses and estheticians. The role involves mostly remote work with occasional ...
A leading esthetic training organization is seeking a Travel Nurse Trainer (RN/APRN) to develop training programs for nurses and estheticians. The role involves mostly remote work with occasional ...
Sarasota, FL · On-site +1
$22 - $27/hr
Travel Nurse Trainer (RN/APRN) - Join Our Wellness Network Top Highlights: * 80% remote | 20% travel * First 2 weeks on-site orientation * Create training modules and conduct virtual sessions
Sarasota, FL · On-site +1
$22 - $27/hr
Travel Nurse Trainer (RN/APRN) - Join Our Wellness Network Top Highlights: * 80% remote | 20% travel * First 2 weeks on-site orientation * Create training modules and conduct virtual sessions
Sarasota, FL · Remote
$22 - $27/hr
Travel Nurse Trainer (RN/APRN) - Join Our Wellness Network Top Highlights: * 80% remote | 20% travel * First 2 weeks on-site orientation * Create training modules and conduct virtual sessions
Sarasota, FL · Remote
$22 - $27/hr
Travel Nurse Trainer (RN/APRN) - Join Our Wellness Network Top Highlights: * 80% remote | 20% travel * First 2 weeks on-site orientation * Create training modules and conduct virtual sessions
Altamonte Springs, FL · On-site +1
$22 - $27/hr
Mostly Remote (80%) / Some Travel (20%) We are hiring a licensed RN or APRN with experience in aesthetics or medical spa settings to train clinical staff across multiple locations. The role starts ...
Altamonte Springs, FL · On-site +1
$22 - $27/hr
Mostly Remote (80%) / Some Travel (20%) We are hiring a licensed RN or APRN with experience in aesthetics or medical spa settings to train clinical staff across multiple locations. The role starts ...
Altamonte Springs, FL · Remote
$22 - $27/hr
Mostly Remote (80%) / Some Travel (20%) We are hiring a licensed RN or APRN with experience in aesthetics or medical spa settings to train clinical staff across multiple locations. The role starts ...
Altamonte Springs, FL · Remote
$22 - $27/hr
Mostly Remote (80%) / Some Travel (20%) We are hiring a licensed RN or APRN with experience in aesthetics or medical spa settings to train clinical staff across multiple locations. The role starts ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
Jacksonville, FL · On-site +1
... RN! Current opportunities: * FULL-TIME, PART-TIME, or CASUAL opportunities * DAYSHIFTS (8A-8P ... Using phone, two-way video, remote patient monitoring, and other technologies, the virtual care ...
Jacksonville, FL · On-site +1
... RN! Current opportunities: * FULL-TIME, PART-TIME, or CASUAL opportunities * DAYSHIFTS (8A-8P ... Using phone, two-way video, remote patient monitoring, and other technologies, the virtual care ...
Jacksonville, FL · On-site +1
Using phone, two-way video, remote patient monitoring, and other technologies, the virtual care ... One year of RN experience required & experience in pediatric specialty area, preferred * Course ...
Jacksonville, FL · On-site +1
Using phone, two-way video, remote patient monitoring, and other technologies, the virtual care ... One year of RN experience required & experience in pediatric specialty area, preferred * Course ...
Daytona Beach, FL · Remote
$35.50 - $47/hr
Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Daytona Beach, FL · Remote
$35.50 - $47/hr
Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
| Aspect | Overnight Cigna Rn Remote | Night Shift Cigna Rn |
|---|---|---|
| Work Environment | Remote, home-based | On-site or hospital setting during night hours |
| Schedule | Overnight hours, typically 10 PM - 6 AM | Night shift hours, usually 7 PM - 7 AM |
| Certifications | RN license, Cigna-specific training | RN license, Cigna-specific training |
| Employer Usage | Remote telehealth services | Hospital or healthcare facility |
Overnight Cigna Rn Remote roles involve providing patient care remotely from home during overnight hours, focusing on telehealth services. In contrast, Night Shift Cigna Rn positions are on-site or hospital-based roles working during night hours. Both require RN licensure and Cigna-specific training, but the work environment and schedule differ significantly.
$26.41 - $51.49/hr
Full-time
Posted 28 days ago
8.0
Based on 191 frontline employees who took The Breakroom Quiz
146th of 259 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 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Get the full story on Breakroom
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.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
