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Remote Duke Rn Jobs in Anaheim, CA (NOW HIRING)

RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have ...

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Remote Duke Rn information

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How much do remote duke rn jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for remote duke rn in Anaheim, CA is $44.75, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $56.88 per hour, depending on experience, location, and employer.

What is the difference between Remote Duke Rn vs Remote LPN?

AspectRemote Duke RnRemote LPN
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentTelehealth, hospitals, clinicsTelehealth, long-term care, clinics
Employer & IndustryHospitals, healthcare providers, telehealth companiesLong-term care facilities, clinics, telehealth services
Common Search/ComparisonRemote Duke Rn vs Remote LPN

The main difference between Remote Duke Rn and Remote LPN lies in their credentials and scope of practice. RNs typically have a broader scope, more responsibilities, and require a registered nurse license, while LPNs have a more limited scope with a licensed practical nurse license. Both roles work in telehealth and healthcare settings, but RNs often handle more complex patient care tasks.

What are popular job titles related to Remote Duke Rn jobs in Anaheim, CA? For Remote Duke Rn jobs in Anaheim, CA, the most frequently searched job titles are:
What job categories do people searching Remote Duke Rn jobs in Anaheim, CA look for? The top searched job categories for Remote Duke Rn jobs in Anaheim, CA are:
What cities near Anaheim, CA are hiring for Remote Duke Rn jobs? Cities near Anaheim, CA with the most Remote Duke Rn job openings:

Care Review Clinician (RN) Remote

Molina Healthcare

Long Beach, CA • Remote

Full-time

Re-posted 9 hours ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

161st of 300 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


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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

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