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Remote Monday Friday Rn Jobs in Folsom, CA (NOW HIRING)

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Remote Monday Friday Rn information

What is a Remote Monday Friday RN?

A Remote Monday Friday RN is a registered nurse who works remotely, typically from home, and is scheduled to work Monday through Friday. These positions often involve tasks like telehealth consultations, case management, triage, patient education, and care coordination, rather than direct bedside care. Remote RNs use technology to communicate with patients, healthcare teams, and insurance companies. This role allows for a more predictable work schedule and is ideal for nurses seeking work-life balance.

What are the key skills and qualifications needed to thrive as a Remote Monday Friday RN, and why are they important?

To thrive as a Remote Monday–Friday RN, you need an active RN license, strong clinical assessment skills, and experience in telehealth or case management. Familiarity with telemedicine platforms, EHR systems, and secure communication tools is typically required. Outstanding time management, self-motivation, and excellent virtual communication are essential soft skills for success in a remote work environment. These abilities ensure that patient care remains effective, compliant, and responsive even when delivered outside of traditional healthcare settings.

What are some common challenges faced by Remote Monday Friday RNs, and how can they be addressed?

Remote Monday-Friday RNs often encounter challenges such as establishing effective communication with patients and colleagues without in-person interaction, managing time efficiently while balancing a potentially high caseload, and staying updated on evolving protocols remotely. To address these, it's important to leverage secure digital communication tools, set clear boundaries and schedules, and actively participate in virtual team meetings and training sessions. Building strong digital rapport with patients and collaborating closely with interdisciplinary teams ensures quality care and support.

What is the difference between Remote Monday Friday Rn vs Remote Monday Friday Lpn?

AspectRemote Monday Friday RnRemote Monday Friday Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentPrimarily clinical, patient care, and documentationSimilar clinical tasks, often with more limited scope
Employer UsageHospitals, clinics, telehealth servicesLong-term care facilities, outpatient clinics, telehealth
Common Search IntentRemote RN jobs with Monday-Friday scheduleRemote LPN jobs with Monday-Friday schedule

Remote Monday Friday Rn and Remote Monday Friday Lpn roles both involve providing patient care remotely, but RNs have a broader scope of practice and require a registered nurse license, while LPNs have a more limited scope and require a practical nurse license. Both roles are in demand in telehealth and healthcare settings, with differences mainly in credentials and responsibilities.

What are popular job titles related to Remote Monday Friday Rn jobs in Folsom, CA?

For Remote Monday Friday Rn jobs in Folsom, CA, the most frequently searched job titles are:

What job categories do people searching Remote Monday Friday Rn jobs in Folsom, CA look for?

The top searched job categories for Remote Monday Friday Rn jobs in Folsom, CA are:

What cities near Folsom, CA are hiring for Remote Monday Friday Rn jobs?

Cities near Folsom, CA with the most Remote Monday Friday Rn job openings:

Remote Monday Friday Rn jobs near you
Infographic showing various Remote Monday Friday Rn job openings in Folsom, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Medical Reviewer (Physician) - Remote CA

Gainwell Technologies

West Sacramento, CA • Remote

$140K - $160K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 14 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

138th of 247 rated software companies

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell Technologies is seeking a Medical Reviewer (Physician) to support Medical Review Services for California healthcare programs. This role provides physician-level clinical expertise supporting medical policy, claim adjudication, Treatment Authorization Requests (TARs), appeals, provider-related medical review activities, and other healthcare program requirements.

Your role in our mission
  • Perform physician-level medical reviews of claims, TARs, appeals, and other clinical documentation.
  • Apply medical expertise, applicable policies, coverage requirements, and clinical standards when making or supporting review determinations.
  • Provide technical and clinical expertise related to suspended claims, appeals, provider inquiries, and other medical review activities.
  • Support medical policy interpretation and development as needed.
  • Provide clinical expertise supporting drug utilization review when assigned.
  • Document medical review findings and clinical rationale clearly and accurately.
  • Collaborate with pharmacists, nurses, other clinicians, operations teams, and business partners.
  • Maintain knowledge of applicable Medicaid, Medicare, California healthcare program, and regulatory requirements.
  • Meet established quality, accuracy, productivity, and timeliness standards.
What we're looking for
  • Current, non-expired physician license from the State of California, in good standing.
  • Must not be under suspension from Medicare, Medicaid, or the practice of medicine in California.
  • Must not have been previously sanctioned for fraud or abuse.
  • Three (3) years of experience as a medical consultant for a government or private-sector healthcare payer; or one (1) year of MMIS experience providing technical expertise and assistance for the entire suspended claims process, appeals process, and provider relations; or three (3) years of experience in drug utilization review.
  • Strong oral and written communication skills.
  • Strong clinical judgment and ability to interpret complex medical documentation.
What you should expect in this role
  • Full-time position.
  • Remote work environment.
  • Monday through Friday work schedule.
  • Work primarily from your home office while supporting Medical Review Services for California healthcare programs.
  • Spend the majority of your day reviewing medical, clinical, claim, authorization, and/or supporting documentation relevant to your area of expertise.
  • Work independently while collaborating with physicians, pharmacists, nurses, other clinical specialists, operations teams, and business partners.
  • Navigate multiple computer systems and applications to complete reviews, document findings, and support timely determinations.
  • Maintain all professional licenses, certifications, and credentials required for the position in active, unrestricted, and good-standing status, as applicable.
  • Maintain knowledge of applicable medical policies, coverage requirements, clinical standards, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
  • Receive ongoing training and support related to program requirements, systems, policies, and medical review processes.
  • Travel requirement: 0-10%.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis.

#LI-REMOTE

#LI-MA1

The pay range for this position is $140,000 - $160,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Gainwell Technologies logo

About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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