The position is fully remote. Excellent computer skills and attention to detail are very important ... Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient ...
Registered Nurse - Clinical Documentation
San Francisco, CA · Remote
$60 - $80/hr
Registered Nurses (Data labelling and training) Type: Contract Compensation: $60-$80/hour Location ... Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ...
Quick apply
Registered Nurse - Clinical Documentation
San Francisco, CA · Remote
$60 - $80/hr
Registered Nurses (Data labelling and training) Type: Contract Compensation: $60-$80/hour Location ... Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ...
(RN) Appeals Medical Review Nurse - REMOTE
Long Beach, CA · On-site +1
$26.14 - $56.64/hr
... medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of ...
(RN) Appeals Medical Review Nurse - REMOTE
Long Beach, CA · On-site +1
$26.14 - $56.64/hr
... medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of ...
Lead, Medical Review Nurse (RN) Remote
Long Beach, CA · Remote
$37 - $50.25/hr
... medical claims experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Requires strong ...
Lead, Medical Review Nurse (RN) Remote
Long Beach, CA · Remote
$37 - $50.25/hr
... medical claims experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Requires strong ...
Remote Case Management RN - California License
San Bernardino, CA · On-site +1
$43 - $48/hr
Education/Licensure: - Active, valid, and unrestricted California RN license. Other Skills ... a remote setting. - Experience using standardized clinical guidelines. - Strong organizational ...
Remote Case Management RN - California License
San Bernardino, CA · On-site +1
$43 - $48/hr
Education/Licensure: - Active, valid, and unrestricted California RN license. Other Skills ... a remote setting. - Experience using standardized clinical guidelines. - Strong organizational ...
ASC Registered Nurse II
Vacaville, CA · On-site +1
Benefits may include medical, dental, and vision insurance, life, disability, and long-term care ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...
ASC Registered Nurse II
Vacaville, CA · On-site +1
Benefits may include medical, dental, and vision insurance, life, disability, and long-term care ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...
Connection Center Triage RN
Rancho Cordova, CA · On-site +1
$47.41 - $70.52/hr
Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health ... Job Summary and Responsibilities As our Connection Center Triage RN, you will rapidly assess and ...
Connection Center Triage RN
Rancho Cordova, CA · On-site +1
$47.41 - $70.52/hr
Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health ... Job Summary and Responsibilities As our Connection Center Triage RN, you will rapidly assess and ...
Clinical Nurse - Fully Remote | Upto $100/hr
San Francisco, CA · Remote
$100/hr
Registered Nurses Type: Contract Compensation: $60-$100/hour Location: Remote Role Responsibilities * Design questions related to the Registered Nurse occupation using your professional experience.
Quick apply
Clinical Nurse - Fully Remote | Upto $100/hr
San Francisco, CA · Remote
$100/hr
Registered Nurses Type: Contract Compensation: $60-$100/hour Location: Remote Role Responsibilities * Design questions related to the Registered Nurse occupation using your professional experience.
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ... Triaging and providing medical guidance as instructed by the patient's provider. • Documents ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ... Triaging and providing medical guidance as instructed by the patient's provider. • Documents ...
... medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice.
... medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice.
Bilingual Medical Scribe (Remote with Sign-on Bonus)
Berkeley, CA · Remote
$19.25 - $26/hr
This is a remote position* $500 SIGN-ON BONUS FOR FLUENT SPANISH-SPEAKERS! Scribe-X offers ... Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ...
Quick apply
Bilingual Medical Scribe (Remote with Sign-on Bonus)
Berkeley, CA · Remote
$19.25 - $26/hr
This is a remote position* $500 SIGN-ON BONUS FOR FLUENT SPANISH-SPEAKERS! Scribe-X offers ... Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ...
Utilization Review Supervisor RN
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... an RN for medical case management activities or qualified for vocational case management)
Quick apply
Utilization Review Supervisor RN
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... an RN for medical case management activities or qualified for vocational case management)
Utilization Review Supervisor RN
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... an RN for medical case management activities or qualified for vocational case management)
Utilization Review Supervisor RN
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... an RN for medical case management activities or qualified for vocational case management)
RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual ... Medical, dental, and vision coverage * Paid time off and paid holidays * Professional development ...
Quick apply
RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual ... Medical, dental, and vision coverage * Paid time off and paid holidays * Professional development ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... medical and/or behavioral health setting, or equivalent combination of relevant education and ... Nurse (RN). License must be active and unrestricted in state of practice. • Valid and ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... medical and/or behavioral health setting, or equivalent combination of relevant education and ... Nurse (RN). License must be active and unrestricted in state of practice. • Valid and ...
Utilization Management Nurse I, RN
Huntington Beach, CA · Remote
$34.98 - $42.85/hr
Remote in California only Are you ready to make a lasting impact and transform the healthcare space ... Skills · Knowledge of medical necessity criteria (MCG/InterQual). · Understanding of CMS/state UM ...
Utilization Management Nurse I, RN
Huntington Beach, CA · Remote
$34.98 - $42.85/hr
Remote in California only Are you ready to make a lasting impact and transform the healthcare space ... Skills · Knowledge of medical necessity criteria (MCG/InterQual). · Understanding of CMS/state UM ...
Remote Role Responsibilities * Manage end-to-end prior authorisation workflows for medical and ... Clinical licensure ( RN , LPN , or equivalent) or relevant certification ( CPUR , CPUM
Quick apply
Remote Role Responsibilities * Manage end-to-end prior authorisation workflows for medical and ... Clinical licensure ( RN , LPN , or equivalent) or relevant certification ( CPUR , CPUM
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure ... Registered Nurse (RN). License must be active and restricted in state of practice. Strong attention ...
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure ... Registered Nurse (RN). License must be active and restricted in state of practice. Strong attention ...
Remote Complex Care Registered Nurse- South Bay San Diego Residents Only (Active CA RN License Re...
San Diego, CA · Remote
The Remote Complex Care RN (CCM RN) serves as the clinical center of the Care Anywhere pod - owning ... Embedded within a team-based pod alongside APCs, Health Coaches, Care Coordinators, Medical ...
Remote Complex Care Registered Nurse- South Bay San Diego Residents Only (Active CA RN License Re...
San Diego, CA · Remote
The Remote Complex Care RN (CCM RN) serves as the clinical center of the Care Anywhere pod - owning ... Embedded within a team-based pod alongside APCs, Health Coaches, Care Coordinators, Medical ...
Remote Primary Care Provider (NP/PA)
Round Mountain, CA · On-site +1
$106K - $137K/yr
Chief Medical Officer FLSA Status: Exempt Work Location: Remote (California-based) Schedule ... Collaborate closely with RNs, LVNs, MAs, and care coordination teams Telehealth & Patient Care
Remote Primary Care Provider (NP/PA)
Round Mountain, CA · On-site +1
$106K - $137K/yr
Chief Medical Officer FLSA Status: Exempt Work Location: Remote (California-based) Schedule ... Collaborate closely with RNs, LVNs, MAs, and care coordination teams Telehealth & Patient Care
Remote Medical Spa Rn information
What is a Remote Medical Spa RN job?
A Remote Medical Spa RN is a licensed registered nurse who provides aesthetic and wellness treatments via telehealth or virtual consultations. They may guide patients on skincare routines, perform virtual assessments, recommend treatments, and support in-office providers. This role often involves patient education, coordinating care, and ensuring compliance with medical spa protocols. Some positions may also include training staff or assisting with remote prescribing under a supervising physician.
What are the typical daily responsibilities of a Remote Medical Spa RN?
Remote Medical Spa RNs primarily conduct virtual consultations, assess client suitability for aesthetic treatments, provide pre- and post-procedure guidance, and coordinate care plans. They document patient interactions using secure EHR systems, collaborate closely with supervising medical directors and aestheticians, and may help monitor client progress remotely. While patient care is provided virtually, strong communication and documentation skills are crucial for ensuring safety and satisfaction. This role is ideal for nurses who are self-motivated, enjoy client education, and are comfortable with telehealth technology.
What are the key skills and qualifications needed to thrive in the Remote Medical Spa Rn position, and why are they important?
To thrive as a Remote Medical Spa RN, you need an active RN license, strong knowledge of aesthetic treatments, and experience with telehealth practices. Familiarity with HIPAA-compliant communication platforms, electronic health records (EHRs), and specialized software for virtual consultations is important. Exceptional communication skills, attention to detail, and the ability to build trust remotely with clients are essential soft skills. These abilities ensure safe, effective client care and a positive experience in a virtual and rapidly evolving med spa environment.
Molina Healthcare rating
8.1
Based on 193 frontline employees who took The Breakroom Quiz
133rd of 281 rated insurance
Job description
JOB DESCRIPTION
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional 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
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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