Orlando, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Orlando, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Saint Petersburg, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Saint Petersburg, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Fort Lauderdale, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Fort Lauderdale, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Jacksonville, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Jacksonville, FL · Remote
$26.41 - $43/hr
... inpatient review, prior authorization, managed care, or equivalent combination of relevant ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard Business Hours Job Requirements: * Active RN license with Multi-State/Compact License required * Minimum 2 years ...
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Fort Lauderdale, FL · Remote
$80K - $105K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard Business Hours Job Requirements: * Active RN license with Multi-State/Compact License required * Minimum 2 years ...
Tampa, FL · Remote
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the ...
Tampa, FL · Remote
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the ...
Tampa, FL · On-site +1
... inpatient admissions and clinical services. * Identifies cases where admission or continued stay ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
Tampa, FL · On-site +1
... inpatient admissions and clinical services. * Identifies cases where admission or continued stay ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... Experience in healthcare staffing, home health, hospice, rehabilitation, or post-acute care ...
Quick apply
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... Experience in healthcare staffing, home health, hospice, rehabilitation, or post-acute care ...
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... Experience in healthcare staffing, home health, hospice, rehabilitation, or post-acute care ...
Quick apply
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... Experience in healthcare staffing, home health, hospice, rehabilitation, or post-acute care ...
Senior Care Manager - RN Duration: 6+ Months Location: Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the assessment, reassessment, care planning and ...
Senior Care Manager - RN Duration: 6+ Months Location: Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the assessment, reassessment, care planning and ...
Tampa, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · Remote
$30/hr
Remote -- United States THE HIGHLIGHTS * Anticipated Start Date: Summer 2026 * Role Type ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...
Quick apply
Tampa, FL · Remote
$30/hr
Remote -- United States THE HIGHLIGHTS * Anticipated Start Date: Summer 2026 * Role Type ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...
Saint Petersburg, FL · On-site +1
Medical
Retirement
Registered Nurse, Acute Care Unit: Med/Surg (A2) - Inpatient / Bedside Site: Orlando Health Bayfront Hospital Location: St. Petersburg, Florida Shift: Days | Full-Time | 3 12-hr shifts per week The ...
Saint Petersburg, FL · On-site +1
Medical
Retirement
Registered Nurse, Acute Care Unit: Med/Surg (A2) - Inpatient / Bedside Site: Orlando Health Bayfront Hospital Location: St. Petersburg, Florida Shift: Days | Full-Time | 3 12-hr shifts per week The ...
Miami, FL · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Quick apply
Miami, FL · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Orlando, FL · Remote
$50K/yr
Medical
Dental
Vision
Retirement
PTO
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.
Orlando, FL · Remote
$50K/yr
Medical
Dental
Vision
Retirement
PTO
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.
For Remote Inpatient Hospice Rn jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Remote Inpatient Hospice Rn jobs in Florida are:
Cities in Florida with the most Remote Inpatient Hospice Rn job openings:
$26.41 - $43/hr
Full-time
Re-posted 18 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
165th of 309 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 - $43 / 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
