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Remote Kaiser Rn Jobs in Alameda, CA (NOW HIRING)

Vynca

ECM Clinical Manager (RN)

San Mateo, CA · Remote

$90K - $125K/yr

This is a remote position with up to 25% travel required for trainings, meetings, and other ... Active, unrestricted RN license with the ability to obtain California licensure within 6 months of ...

Vynca

Clinical Manager (LCSW)

San Mateo, CA · Remote

$90K - $125K/yr

This is a remote position with up to 25% travel required for trainings, meetings, and other ... Supervise interdisciplinary team members, including Registered Nurses, Licensed Vocational Nurses ...

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Remote Kaiser Rn information

What is a Remote Kaiser RN?

A Remote Kaiser RN job is a nursing position with Kaiser Permanente that allows registered nurses (RNs) to work from home or a remote location. These nurses typically provide virtual patient care, conduct telehealth assessments, offer patient education, and assist with case management. They use electronic health records and telecommunication tools to coordinate care and ensure patients receive necessary support. This role requires an active RN license, clinical experience, and proficiency with technology.

What are the typical daily responsibilities of a Remote Kaiser RN?

As a Remote Kaiser RN, your daily responsibilities typically include conducting virtual patient assessments, providing health education, managing care coordination, and documenting patient interactions in the EHR system. You'll triage patient needs, offer evidence-based guidance, and often collaborate with physicians, pharmacists, and other healthcare specialists via secure digital platforms. The role may also involve following up on test results, arranging referrals, and responding to patient inquiries in a timely manner. Strong organizational skills are important, as you will manage your caseload independently while ensuring adherence to Kaiser's standards and protocols.

What are the key skills and qualifications needed to thrive in the Remote Kaiser RN position, and why are they important?

To thrive as a Remote Kaiser RN, you need a valid registered nursing license, strong clinical assessment skills, and experience with telehealth or remote patient care. Familiarity with Kaiser's electronic health record (EHR) systems, HIPAA compliance, and telemedicine technology is usually required. Excellent communication, critical thinking, and time management abilities are vital soft skills for succeeding in a remote setting. These skills ensure you can deliver quality patient care and coordinate effectively with both patients and interdisciplinary care teams from a distance.

What are the most commonly searched types of Kaiser Rn jobs in Alameda, CA?

The most popular types of Kaiser Rn jobs in Alameda, CA are:

What are popular job titles related to Remote Kaiser Rn jobs in Alameda, CA?

For Remote Kaiser Rn jobs in Alameda, CA, the most frequently searched job titles are:

What job categories do people searching Remote Kaiser Rn jobs in Alameda, CA look for?

The top searched job categories for Remote Kaiser Rn jobs in Alameda, CA are:

What cities near Alameda, CA are hiring for Remote Kaiser Rn jobs?

Cities near Alameda, CA with the most Remote Kaiser Rn job openings:

Remote Kaiser Rn jobs near you
Infographic showing various Remote Kaiser Rn job openings in Alameda, CA as of August 2026, with employment types broken down into 51% Full Time, and 49% Part Time. Highlights an 100% Remote job distribution.

Medical Workflow Specialist - Fully Remote | Upto $150/hr

Mercor

San Francisco, CA • Remote

$150/hr

Full-time

Re-posted 16 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Prior Authorisation Manager
Type: Contract
Compensation: $150/hour
Location: Remote

Role Responsibilities

  • Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types.
  • Review clinical documentation to assess medical necessity against InterQual, MCG, or payer-specific criteria.
  • Evaluate AI-generated prior authorisation recommendations and clinical justification drafts for accuracy and appropriateness.
  • Coordinate with clinical staff, physicians, and payers to obtain timely authorisation approvals.
  • Track authorisation status, denials, and appeal outcomes to identify workflow improvement opportunities.
  • Annotate AI outputs and provide structured clinical feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in prior authorisation, utilisation management, or clinical review, with at least 2 years in a management role.
  • Strong clinical background with knowledge of medical necessity criteria (InterQual, MCG, or equivalent).
  • Deep familiarity with commercial, Medicare Advantage, and Medicaid prior authorisation requirements.
  • Experience managing authorisation workflows across multiple specialities and service types.
  • Proficiency with authorisation management systems and EHR platforms (Epic, Cerner, or equivalent).
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated outputs.

Preferred

  • Clinical licensure (RN, LPN, or equivalent) or relevant certification (CPUR, CPUM).
  • Experience with appeals and peer-to-peer review processes.
  • Familiarity with CMS prior authorisation rules and the No Surprises Act.
  • Background in physician office, hospital, or health plan prior authorisation operations.
  • Familiarity with AI tools and comfort evaluating AI-generated clinical content.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.