Sacramento, CA · Remote
$30.37 - $59.21/hr
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 ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
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 ...
Long Beach, CA · Remote
$30.37 - $59.21/hr
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 ...
Long Beach, CA · Remote
$30.37 - $59.21/hr
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 ...
San Diego, CA · Remote
$30.37 - $59.21/hr
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 ...
San Diego, CA · Remote
$30.37 - $59.21/hr
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 ...
San Diego, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Diego, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Bakersfield, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Bakersfield, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Jose, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Jose, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Francisco, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Francisco, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Fresno, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Fresno, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Jose, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Jose, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Diego, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
San Diego, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
... 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. • ...
South San Francisco, CA · On-site +1
$300K - $358K/yr
Participates in external scientific engagement, including peer-to-peer interactions with MDs ... Open to remote applicants with requirement to be onsite once a month. The salary range for this ...
South San Francisco, CA · On-site +1
$300K - $358K/yr
Participates in external scientific engagement, including peer-to-peer interactions with MDs ... Open to remote applicants with requirement to be onsite once a month. The salary range for this ...
San Francisco, CA · Remote
$200K/yr
... referring MDs * Promoting / championing Heartflow and building advocac * Production/Success ... Remote
San Francisco, CA · Remote
$200K/yr
... referring MDs * Promoting / championing Heartflow and building advocac * Production/Success ... Remote
... referring MDs * Promoting / championing Heartflow and building advocac * Production/Success ... Remote
... referring MDs * Promoting / championing Heartflow and building advocac * Production/Success ... Remote
San Clemente, CA · Remote
$275K/yr
... influential MDs, ODs, practice administrators and large group leaders. How will you get here ... Total Targeted Cash Compensation: $275K + RSU* #GKOSUS #LI-REMOTE Generous. Innovative. Leadership ...
San Clemente, CA · Remote
$275K/yr
... influential MDs, ODs, practice administrators and large group leaders. How will you get here ... Total Targeted Cash Compensation: $275K + RSU* #GKOSUS #LI-REMOTE Generous. Innovative. Leadership ...
South San Francisco, CA · On-site +1
$300K - $358K/yr
Participates in external scientific engagement, including peer-to-peer interactions with MDs ... Open to remote applicants with requirement to be onsite once a month. The salary range for this ...
Quick apply
South San Francisco, CA · On-site +1
$300K - $358K/yr
Participates in external scientific engagement, including peer-to-peer interactions with MDs ... Open to remote applicants with requirement to be onsite once a month. The salary range for this ...
San Francisco, CA · On-site +1
$200K - $275K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... remote work day * Qualified candidates must be legally authorized to be employed in the United ... MDs and PIs * Lead evidence-generation initiatives (clinical, secondary analyses, real-world ...
San Francisco, CA · On-site +1
$200K - $275K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... remote work day * Qualified candidates must be legally authorized to be employed in the United ... MDs and PIs * Lead evidence-generation initiatives (clinical, secondary analyses, real-world ...
San Clemente, CA · Remote
$275K/yr
... influential MDs, ODs, practice administrators and large group leaders. How will you get here ... Total Targeted Cash Compensation: $275K + RSU* #GKOSUS #LI-REMOTE Generous. Innovative. Leadership ...
San Clemente, CA · Remote
$275K/yr
... influential MDs, ODs, practice administrators and large group leaders. How will you get here ... Total Targeted Cash Compensation: $275K + RSU* #GKOSUS #LI-REMOTE Generous. Innovative. Leadership ...
A Remote MDS (Minimum Data Set) job involves assessing and coordinating patient care for nursing home residents while working remotely. MDS professionals, such as nurses or specialists, complete assessments, ensure compliance with regulations, and help optimize reimbursement for healthcare facilities. They use electronic health records (EHR) to review patient data and collaborate with on-site teams. This role requires strong clinical knowledge, attention to detail, and familiarity with Medicare and Medicaid guidelines. Remote MDS jobs provide flexibility while supporting quality patient care.
To thrive as a Remote MDS (Minimum Data Set) Coordinator, you need expertise in clinical assessment, care planning, and knowledge of long-term care regulations, typically backed by an RN or LPN license. Familiarity with MDS software systems, clinical documentation platforms, and regulatory compliance tools like CMS guidelines is essential. Strong attention to detail, effective time management, and excellent communication skills are vital for accuracy and coordination with interdisciplinary teams. These abilities ensure precise data collection and reporting, regulatory compliance, and optimal patient care outcomes in a remote setting.
Remote MDS Coordinators often encounter challenges such as maintaining consistent communication with on-site clinical staff and ensuring the accuracy of documentation without being physically present. To address these, most organizations utilize collaborative tools like secure messaging platforms, video conferences, and comprehensive EHR systems, which help bridge the gap and promote effective teamwork. Building strong relationships with facility staff and setting up regular virtual check-ins can also enhance information flow and clarify expectations. Staying organized and proactively seeking feedback will help Remote MDS professionals deliver accurate assessments and maintain regulatory compliance despite the physical distance.
The most popular types of Mds jobs in California are:
For Remote Mds jobs in California, the most frequently searched job titles are:
The top searched job categories for Remote Mds jobs in California are:
Cities in California with the most Remote Mds job openings:
Sacramento, CA • Remote
$30.37 - $59.21/hr
Full-time
Re-posted 14 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
165th of 309 rated insurance
JOB DESCRIPTION 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).
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.
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: $30.37 - $59.21 / 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
