**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday ... Job Summary Provides support for clinical member services review assessment processes. Responsible ...
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 ... Required Qualifications: • Minimum of 1-2 Years of experience in a clinical or telehealth setting ...
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 ... Required Qualifications: • Minimum of 1-2 Years of experience in a clinical or telehealth setting ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... SC Single state or Compact RN License. • Ability to prioritize and manage multiple deadlines. • ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... SC Single state or Compact RN License. • Ability to prioritize and manage multiple deadlines. • ...
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
... Location Remote (Travel Required) Travel Variable based on project needs; anticipated up to 80 ... Qualifications Required • Active Nurse Practitioner (NP), Physician Assistant (PA), or Registered ...
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... Location Remote (Travel Required) Travel Variable based on project needs; anticipated up to 80 ... Qualifications Required • Active Nurse Practitioner (NP), Physician Assistant (PA), or Registered ...
RN Case Manager - Managed Care REMOTE
Los Angeles, CA · Remote
$39 - $41/hr
Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is ... Experience : 3-5 years of clinical nursing experience, preferably in disease management, case ...
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RN Case Manager - Managed Care REMOTE
Los Angeles, CA · Remote
$39 - $41/hr
Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is ... Experience : 3-5 years of clinical nursing experience, preferably in disease management, case ...
Registered Nurse (RN). License must be active and unrestricted in state of practice ... Solid business/clinical writing/documentation experience. Strong attention to detail and ...
Registered Nurse (RN). License must be active and unrestricted in state of practice ... Solid business/clinical writing/documentation experience. Strong attention to detail and ...
Lead Appeals and Grievances RN
Los Angeles, CA · Remote
$132K - $163K/yr
This position will ensure the effective investigation and resolution of clinical grievances ... holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical ...
Lead Appeals and Grievances RN
Los Angeles, CA · Remote
$132K - $163K/yr
This position will ensure the effective investigation and resolution of clinical grievances ... holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical ...
Remote DRG Clinical Validation Reviewer (Coding RN)
Long Beach, CA · On-site +1
$26.14 - $56.64/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. * Requires a ... Expertise in evidence-based clinical decision support tools and clinical reference resources such ...
Remote DRG Clinical Validation Reviewer (Coding RN)
Long Beach, CA · On-site +1
$26.14 - $56.64/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. * Requires a ... Expertise in evidence-based clinical decision support tools and clinical reference resources such ...
Registered Nurse (RN). License must be active and unrestricted in state of practice. * Requires a ... Expertise in evidence-based clinical decision support tools and clinical reference resources such ...
Registered Nurse (RN). License must be active and unrestricted in state of practice. * Requires a ... Expertise in evidence-based clinical decision support tools and clinical reference resources such ...
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 ... Must possess and maintain valid CPR certification while employed in a clinical role. * Must be a ...
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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 ... Must possess and maintain valid CPR certification while employed in a clinical role. * Must be a ...
Care Review Clinician (RN)(Behavioral Health)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Care Review Clinician (RN)(Behavioral Health)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exe...
Los Angeles, CA · On-site +1
$29 - $45.20/hr
For example, notify the nursing team of incomplete medical records or coding questions. * Attend ... Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge ...
Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exe...
Los Angeles, CA · On-site +1
$29 - $45.20/hr
For example, notify the nursing team of incomplete medical records or coding questions. * Attend ... Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge ...
Registered Nurse (RN) Field Case Manager - Workers' Compensation Make a Meaningful Impact Outside ... If you thrive on clinical decision-making, autonomy, and seeing your patients' progress firsthand ...
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Registered Nurse (RN) Field Case Manager - Workers' Compensation Make a Meaningful Impact Outside ... If you thrive on clinical decision-making, autonomy, and seeing your patients' progress firsthand ...
... Non-Clinical Work: * Paid at $20 per hour * Includes meetings, documentation support, care ... Fully remote or hybrid work options * All referrals provided -- no marketing required
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... Non-Clinical Work: * Paid at $20 per hour * Includes meetings, documentation support, care ... Fully remote or hybrid work options * All referrals provided -- no marketing required
(RN)Care Manager - Nevada Based
Long Beach, CA · On-site +1
$27.73 - $54.06/hr
This role is primarily remote but may include some local field travel. The target area for this ... based on clinical judgment, changes in member health or psychosocial wellness and triggers ...
(RN)Care Manager - Nevada Based
Long Beach, CA · On-site +1
$27.73 - $54.06/hr
This role is primarily remote but may include some local field travel. The target area for this ... based on clinical judgment, changes in member health or psychosocial wellness and triggers ...
Remote Non Clinical Rn information
See Carson, CA salary details
$21.37 - $26.56
3% of jobs
$26.56 - $31.75
11% of jobs
$31.75 - $36.93
11% of jobs
$37.08 is the 25th percentile. Wages below this are outliers.
$36.93 - $42.12
10% of jobs
$42.12 - $47.31
13% of jobs
The median wage is $48.49 / hr.
$47.31 - $52.50
12% of jobs
$57.60 is the 75th percentile. Wages above this are outliers.
$52.50 - $57.69
16% of jobs
$57.69 - $62.87
13% of jobs
$62.87 - $68.06
6% of jobs
$68.06 - $73.25
3% of jobs
$73.25 - $78.44
2% of jobs
$21
$50
$78
How much do remote non clinical rn jobs pay per hour?
What does a typical day look like for a Remote Non Clinical RN?
A typical day for a Remote Non Clinical RN may include reviewing patient charts, conducting telephonic health assessments, collaborating with physicians or care coordinators, and documenting interactions in electronic health record systems. You might also educate patients or their families about care plans, coordinate discharge planning, or evaluate insurance authorizations and medical necessity for services. Most work is independent but involves regular virtual meetings with a multidisciplinary team, ensuring coordinated and seamless patient care. This structure offers flexibility and autonomy while maintaining a strong connection to the broader healthcare team.
What is a Remote Non Clinical RN job?
A Remote Non-Clinical RN job allows registered nurses to work from home or other remote locations without direct patient care. These roles typically involve case management, utilization review, telehealth, clinical documentation review, or patient education. Nurses in these positions use their clinical expertise to support healthcare providers, insurance companies, or patients in an administrative or advisory capacity. This job is ideal for those seeking to leverage their nursing skills outside of traditional bedside care while maintaining flexibility and work-life balance.
What are the key skills and qualifications needed to thrive in the Remote Non Clinical Rn position, and why are they important?
To thrive as a Remote Non Clinical RN, you need a valid RN license, thorough understanding of healthcare processes, and experience in areas like case management, utilization review, or patient education. Familiarity with digital communication platforms, electronic health record (EHR) systems, and telehealth tools is often essential. Excellent organizational skills, self-motivation, and effective written and verbal communication distinguish top performers in remote settings. These skills are crucial for ensuring accurate, efficient support and coordination across virtual healthcare teams while working independently.

Full-time
Posted 6 days ago
Molina Healthcare rating
8.1
Based on 193 frontline employees who took The Breakroom Quiz
134th of 281 rated insurance
Job description
JOB DESCRIPTION
**Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday through Friday from 8:30 AM to 5:30 PM CST and requires prior experience in Utilization Management (UM) and the application of MCG guidelines. Candidates should be comfortable performing utilization reviews and making clinical determinations based on established criteria.**
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
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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.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980