Care Manager (RN)
Long Beach, CA · Remote
This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Long Beach, CA · Remote
This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Long Beach, CA · Remote
This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Roseville, CA · Remote
$20/hr
Case Management RN Location: Roseville, CA Onsite Flexibility ... Remote Contract Details: * Position Type: Contract * Start: Not specified * Pay Rate: $20.00 / Hour ...
Roseville, CA · Remote
$20/hr
Case Management RN Location: Roseville, CA Onsite Flexibility ... Remote Contract Details: * Position Type: Contract * Start: Not specified * Pay Rate: $20.00 / Hour ...
Sacramento, CA · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Sacramento, CA · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Population Health RN -- Clinical Operations Leader Vigilance Health | Remote | Full-Time You\'ve ... You know what it takes to run a remote care management program. You\'ve wrestled with ACO quality ...
Population Health RN -- Clinical Operations Leader Vigilance Health | Remote | Full-Time You\'ve ... You know what it takes to run a remote care management program. You\'ve wrestled with ACO quality ...
At NorthBay Health as a Registered Nurse in the Emergency Department you will provide safe ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...
At NorthBay Health as a Registered Nurse in the Emergency Department you will provide safe ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...
SUMMARY The Registered Nurse (RN) serves as a central clinical partner in the management of ... Supports ongoing management of patients enrolled in remote monitoring programs, including ...
SUMMARY The Registered Nurse (RN) serves as a central clinical partner in the management of ... Supports ongoing management of patients enrolled in remote monitoring programs, including ...
At NorthBay Health the Registered Nurse on the Perioperative Unit you will provide safe, effective ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...
At NorthBay Health the Registered Nurse on the Perioperative Unit you will provide safe, effective ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...
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 ...
Palm Springs, CA · Remote
$31.25 - $40.25/hr
Registered Nurse (RN) - Home Health Care Our agency's mission is to provide professional and ... Company Cell phone This is a remote position.
Palm Springs, CA · Remote
$31.25 - $40.25/hr
Registered Nurse (RN) - Home Health Care Our agency's mission is to provide professional and ... Company Cell phone This is a remote position.
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
***Remote with field travel in Walworth & Waukesha Counties, WI*** 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 field travel in Walworth & Waukesha Counties, WI*** 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 Jackson, La Crosse, & Monroe Counties, WI*** Job Summary Provides ... 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 Jackson, La Crosse, & Monroe Counties, WI*** Job Summary Provides ... 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 field travel in Dane County for member visits*** 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
***Remote and field travel in Dane County for member visits*** Job Summary Provides support for care ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Rancho Cucamonga, CA · On-site +1
$91K - $120K/yr
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Rancho Cucamonga, CA · On-site +1
$91K - $120K/yr
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Los Angeles, CA · Remote
$132K - $163K/yr
Job Summary The Lead Appeals and Grievances RN is responsible for assisting with the development of ... holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical ...
Los Angeles, CA · Remote
$132K - $163K/yr
Job Summary The Lead Appeals and Grievances RN is responsible for assisting with the development of ... holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical ...
Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ... Current California RN license required. * Certified Nurse Operating Room required. * Certification ...
Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ... Current California RN license required. * Certified Nurse Operating Room required. * Certification ...
Location: 100% Remote ****FLEXIBLE HOURS (Set your schedule) ***ONLY CALIFORNIA LICENSED We are seeking an experienced and compassionate Nurse Practitioner (NP) licensed in California to conduct ...
Location: 100% Remote ****FLEXIBLE HOURS (Set your schedule) ***ONLY CALIFORNIA LICENSED We are seeking an experienced and compassionate Nurse Practitioner (NP) licensed in California to conduct ...
Location: 100% Remote ****FLEXIBLE HOURS (Set your schedule) ***ONLY CALIFORNIA LICENSED We are seeking an experienced and compassionate Nurse Practitioner (NP) licensed in California to conduct ...
Location: 100% Remote ****FLEXIBLE HOURS (Set your schedule) ***ONLY CALIFORNIA LICENSED We are seeking an experienced and compassionate Nurse Practitioner (NP) licensed in California to conduct ...
$20.16 - $25.06
3% of jobs
$25.06 - $29.96
11% of jobs
$29.96 - $34.85
11% of jobs
$34.99 is the 25th percentile. Wages below this are outliers.
$34.85 - $39.75
10% of jobs
$39.75 - $44.64
13% of jobs
The median wage is $45.76 / hr.
$44.64 - $49.54
12% of jobs
$54.35 is the 75th percentile. Wages above this are outliers.
$49.54 - $54.43
16% of jobs
$54.43 - $59.33
13% of jobs
$59.33 - $64.23
6% of jobs
$64.23 - $69.12
3% of jobs
$69.12 - $74.02
2% of jobs
$20
$47
$74
As a Remote CDI RN, your daily tasks generally include reviewing patient medical records, identifying opportunities to clarify documentation, and collaborating with physicians and coding teams to ensure accuracy and completeness. You may participate in team meetings, provide education to clinical staff about documentation best practices, and use specialized software to track workflow and metrics. Working remotely requires effective time management as you balance multiple reviews and communications electronically. This role directly impacts quality reporting, risk management, and reimbursement for healthcare organizations.
A Remote CDI RN (Clinical Documentation Integrity Registered Nurse) is a nursing professional who reviews medical records to ensure accurate and complete documentation for coding and billing purposes. They work remotely, collaborating with physicians and healthcare teams to clarify diagnoses and improve documentation quality. This role helps optimize reimbursement, ensures compliance with regulations, and enhances patient care accuracy. Strong clinical knowledge, coding proficiency, and communication skills are essential for success in this position.
To thrive as a Remote CDI RN, you need a current registered nursing license, solid clinical experience, and a deep understanding of clinical documentation improvement (CDI) processes. Familiarity with electronic health record (EHR) software, coding systems like ICD-10, and sometimes certifications such as CCDS or CDIP are commonly required. Strong attention to detail, effective communication, and the ability to work independently make candidates stand out. These skills are critical to ensuring accurate clinical documentation that reflects appropriate patient care and supports organizational compliance and reimbursement.

8.0
Based on 192 frontline employees who took The Breakroom Quiz
145th of 260 rated insurance
This is a remote role with up to 40% possible travel.
Job Summary
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member caseload for regular outreach and management.
Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
May provide consultation, resources and recommendations to peers as needed.
Care manager RNs may be assigned complex member cases and medication regimens.
Care manager RNs may conduct medication reconciliation as needed.
25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and self-motivation.
Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
Preferred Qualifications
Certified Case Manager (CCM).
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
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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