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Remote Molina Nurse Jobs (NOW HIRING)

Molina Healthcare

RN Care Manager - STARS

Long Beach, CA · Remote

$30.37 - $59.21/hr

This is a 100% remote role. Must be an RN and reside in California. Job Summary Provides support ... Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate ...

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How much do remote molina nurse jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote molina nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is the difference between Remote Molina Nurse vs Remote Medical Coder?

AspectRemote Molina NurseRemote Medical Coder
Required CredentialsRN license, state-specific licensing, CPR certificationCertification (CPC, CCS), coding credentials
Work EnvironmentHome-based, healthcare provider settingHome-based, healthcare administration setting
Employer & Industry UsageHealth insurance companies, healthcare providersHospitals, insurance companies, billing services
Common Search & ComparisonRemote Molina Nurse vs Remote Medical Coder

The Remote Molina Nurse primarily provides patient care and case management within health insurance settings, requiring nursing credentials. In contrast, the Remote Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are home-based and serve the healthcare industry, but they differ in responsibilities and required qualifications.

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Remote Molina Nurse jobs near you
Infographic showing various Remote Molina Nurse job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 58% Full Time, 15% Part Time, and 23% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Remote Care Review Clinician (RN) - Illinois license Required

Molina Healthcare

Remote

$27.73 - $54.06/hr

Full-time

Posted 6 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance

Job description


JOB DESCRIPTION
Highlights of requirements:
  • Fully remote position to conduct Prior Authorization reviews for services.
  • Open to candidates across the country, but you MUST have an active RN license in good standing in the state Illinois.
  • Priority will be given to candidates who have performed reviews for Prior Authorization cases within a Managed Care Organization like Molina.
  • Schedule is Monday - Friday working 9:30 AM - 6 PM CST.

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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