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Remote Mds Nurse Jobs (NOW HIRING)

Coral LLC

Nurse Practitioner | Health for Women (BC)

$113K - $156K/yr

Nurse Practitioner | Health for Women (BC) remote Vancouver, British Columbia, Canada. Contract ... Collaborate closely with RNs and MDs on lab tests, exams, and prescribed medications to ensure ...

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Molina Healthcare

Care Review Clinician (RN) Remote

$23.76 - $51.49/hr

... MDs) and presents them in a consistent and efficient manner. • Requests additional information ... . License must be active and unrestricted in state of practice. • Ability to prioritize and ...

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How much do remote mds nurse jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote mds nurse in the United States is $41.47, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $44.95 per hour, depending on experience, location, and employer.

What is a Remote MDS Nurse?

A Remote MDS Nurse is a registered nurse (RN) or licensed practical nurse (LPN) who assesses and compiles patient data for the Minimum Data Set (MDS) from a remote location. They ensure accurate documentation for Medicare and Medicaid reimbursement, care planning, and compliance with federal regulations. This role typically involves reviewing patient records, coordinating with healthcare teams, and submitting reports electronically. Remote MDS Nurses must have experience in long-term care and MDS 3.0, along with strong analytical and communication skills.

What skills and qualifications are needed to be a Remote MDS Nurse?

To thrive as a Remote MDS Nurse, you need a valid RN license, in-depth knowledge of the Minimum Data Set (MDS) process, and strong clinical assessment skills. Familiarity with MDS software (like PointClickCare), electronic health records (EHR), and CMS guidelines is typically required, along with RAC-CT certification being highly desirable. Excellent attention to detail, strong communication, self-motivation, and the ability to work independently are standout soft skills in remote settings. These skills and qualities ensure accurate patient assessments, regulatory compliance, and effective collaboration across healthcare teams despite working remotely.

What does a Remote MDS Nurse do?

A typical day for a Remote MDS Nurse involves reviewing patient records, completing and submitting MDS assessments, and ensuring all documentation meets regulatory and facility standards. You’ll frequently collaborate with on-site nursing staff, interdisciplinary care teams, and sometimes residents’ families to gather and clarify information. Much of your work will be done independently using secure online platforms, but regular virtual meetings or check-ins with colleagues are common. Successful candidates are self-disciplined, communicative, and comfortable with a technology-driven workflow. This role offers the flexibility of working from home while staying deeply involved in the care planning process.

More about Remote Mds Nurse jobs
What cities are hiring for Remote Mds Nurse jobs? Cities with the most Remote Mds Nurse job openings:
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Remote Mds Nurse jobs near you
Infographic showing various Remote Mds Nurse job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 59% Full Time, 15% Part Time, and 23% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $86,248 per year, or $41.5 per hour.

Care Review Clinician (RN) Remote

Molina Healthcare

Long Beach, CA • On-site, Remote

$26.41 - $51.49/hr

Full-time

This job post has expired 5 days ago. Applications are no longer accepted.

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

163rd of 301 rated insurance

Job description


JOB DESCRIPTION
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.
This is a telephonic remote position and productivity is important. Preferred candidates will have previous utilization management, case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
Schedule: Monday through Friday 8:00AM to 5:00PM EST 8 hours (Weekends, no nights, no call.)
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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