Glendale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Glendale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Avondale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Avondale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Phoenix, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Phoenix, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a ...
Phoenix, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Quick apply
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ...
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ...
Phoenix, AZ · On-site +1
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · Remote
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · Remote
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$80K - $100K/yr
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$80K - $100K/yr
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$1.6K - $2.1K/wk
We use a multidisciplinary model - PTs, respiratory therapists, and nurse practitioners - supported ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Phoenix, AZ · On-site +1
$1.6K - $2.1K/wk
We use a multidisciplinary model - PTs, respiratory therapists, and nurse practitioners - supported ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Phoenix, AZ · Remote
$1.6K - $2.1K/wk
We use a multidisciplinary model - PTs, respiratory therapists, and nurse practitioners - supported ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Phoenix, AZ · Remote
$1.6K - $2.1K/wk
We use a multidisciplinary model - PTs, respiratory therapists, and nurse practitioners - supported ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Phoenix, AZ · Remote
$1.7K - $2.2K/wk
We use a multidisciplinary model PTs, respiratory therapists, and nurse practitioners supported by ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Quick apply
Phoenix, AZ · Remote
$1.7K - $2.2K/wk
We use a multidisciplinary model PTs, respiratory therapists, and nurse practitioners supported by ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Phoenix, AZ · Remote
$1.7K - $2.2K/wk
We use a multidisciplinary model -- PTs, respiratory therapists, and nurse practitioners ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Quick apply
Phoenix, AZ · Remote
$1.7K - $2.2K/wk
We use a multidisciplinary model -- PTs, respiratory therapists, and nurse practitioners ... Document accurately and on time using BreatheSuite's EMR and Therapist Dashboard Qualifications
Active and unrestricted Registered Nurse (RN) license in the state of Arizona * Current BLS/CPR ... Familiarity with Microsoft Office and EMR platforms * Knowledge of Infusion Nursing Society (INS ...
Active and unrestricted Registered Nurse (RN) license in the state of Arizona * Current BLS/CPR ... Familiarity with Microsoft Office and EMR platforms * Knowledge of Infusion Nursing Society (INS ...
$968.73 - $1.2K
2% of jobs
$1.2K - $1.3K
9% of jobs
$1.3K - $1.5K
13% of jobs
$1.5K is the 25th percentile. Wages below this are outliers.
$1.5K - $1.7K
14% of jobs
The median wage is $1.9K / yr.
$1.7K - $1.9K
14% of jobs
$1.9K - $2.1K
13% of jobs
$2.2K is the 75th percentile. Wages above this are outliers.
$2.1K - $2.3K
14% of jobs
$2.3K - $2.5K
9% of jobs
$2.5K - $2.6K
5% of jobs
$2.6K - $2.8K
4% of jobs
$2.8K - $3K
3% of jobs
$968
$2K
$3K
| Aspect | Remote Emr Conversion Rn | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, EMR certification | Medical coding certification (CPC, CCS) |
| Work Environment | Healthcare facilities, EMR conversion projects | Healthcare offices, insurance companies, remote coding |
| Industry Usage | EMR system implementation, data migration | Billing, coding, insurance claims processing |
Remote Emr Conversion Rns focus on converting and implementing electronic medical records, requiring nursing credentials and EMR expertise. Remote Medical Coders specialize in translating medical records into billing codes, needing coding certifications. While both roles work remotely in healthcare, their core functions and required qualifications differ significantly.
$26.41 - $51.49/hr
Full-time
Posted 17 days ago
8.0
Based on 198 frontline employees who took The Breakroom Quiz
163rd of 304 rated insurance
JOB DESCRIPTION
This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Prefers candidates with 3 years of experience.
Remote position, must reside in Arizona.
Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time with some weekends and 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
Pay Range: $26.41 - $51.49 / 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
