Orlando, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent ...
Orlando, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent ...
Fort Lauderdale, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent ...
Fort Lauderdale, FL · Remote
$26.41 - $43/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent ...
Orlando, FL · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Preferred Qualifications Certified Professional in Healthcare Management (CPHM). Recent hospital ...
Orlando, FL · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Preferred Qualifications Certified Professional in Healthcare Management (CPHM). Recent hospital ...
Orlando, FL · Remote
$18 - $40/hr
Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of ...
Orlando, FL · Remote
$18 - $40/hr
Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of ...
Lake Mary, FL · Remote
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Quick apply
Lake Mary, FL · Remote
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Lake Mary, FL · On-site +1
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Lake Mary, FL · On-site +1
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Orlando, FL · Remote
$40/hr
BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ... Minorities/Females/Disabled/Veterans Healthcare Quality Strategies, Inc. is Equal Opportunity ...
Orlando, FL · Remote
$40/hr
BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ... Minorities/Females/Disabled/Veterans Healthcare Quality Strategies, Inc. is Equal Opportunity ...
Lake Mary, FL · On-site +1
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Lake Mary, FL · On-site +1
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Lake Mary, FL · Remote
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Quick apply
Lake Mary, FL · Remote
$72K - $81K/yr
... the health care team. This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active and unrestricted, in state of current practice and residence, within the ...
Clermont, FL · On-site +1
$64K - $84K/yr
... (RN) in the outpatient clinic. The LPN uses a systematic problem-solving process in the care of multiple patients with predictable health care needs to provide individualized, goal-directed nursing ...
Clermont, FL · On-site +1
$64K - $84K/yr
... (RN) in the outpatient clinic. The LPN uses a systematic problem-solving process in the care of multiple patients with predictable health care needs to provide individualized, goal-directed nursing ...
Lake Mary, FL · On-site +1
$23 - $27/hr
... health care team. The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License ...
Lake Mary, FL · On-site +1
$23 - $27/hr
... health care team. The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License ...
Orlando, FL · On-site +1
This position offers hybrid or remote working arrangements. The Position Wilson Elser's Orlando ... This is an excellent opportunity for healthcare professionals seeking to expand their careers and ...
Orlando, FL · On-site +1
This position offers hybrid or remote working arrangements. The Position Wilson Elser's Orlando ... This is an excellent opportunity for healthcare professionals seeking to expand their careers and ...
... health care team. The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License ...
Quick apply
... health care team. The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License ...
Orlando, FL · Remote
$85K - $90K/yr
Monitor client health metrics, proactively identifying at-risk accounts to implement mitigation ... Active Registered Nurse (RN) license, Nurse Practitioner (NP), Physician Assistant (PA), or ...
Quick apply
Orlando, FL · Remote
$85K - $90K/yr
Monitor client health metrics, proactively identifying at-risk accounts to implement mitigation ... Active Registered Nurse (RN) license, Nurse Practitioner (NP), Physician Assistant (PA), or ...
Lake Mary, FL · On-site +1
$72K - $75K/yr
Education: * R.N. * Bachelor's degree in a health-related field preferred. Licensure/Certification Requirements: * Registered Nurse (current active and unrestricted, in state of current practice and ...
Lake Mary, FL · On-site +1
$72K - $75K/yr
Education: * R.N. * Bachelor's degree in a health-related field preferred. Licensure/Certification Requirements: * Registered Nurse (current active and unrestricted, in state of current practice and ...
Saint Cloud, FL · On-site +1
$70K/yr
Join Our Team of Remote Hybrid Registered Dietitians at NutraCo! Are you a compassionate and driven ... health problems through clinical nutrition treatment. Your responsibilities will include:
Saint Cloud, FL · On-site +1
$70K/yr
Join Our Team of Remote Hybrid Registered Dietitians at NutraCo! Are you a compassionate and driven ... health problems through clinical nutrition treatment. Your responsibilities will include:
Lake Mary, FL · Remote
$72K - $75K/yr
Education: * R.N. * Bachelor's degree in a health-related field preferred. Licensure/Certification Requirements: * Registered Nurse (current active and unrestricted, in state of current practice and ...
Quick apply
Lake Mary, FL · Remote
$72K - $75K/yr
Education: * R.N. * Bachelor's degree in a health-related field preferred. Licensure/Certification Requirements: * Registered Nurse (current active and unrestricted, in state of current practice and ...
The RN Care Manager provides clinical oversight and care management for a dedicated POD model ... Remote near Orlando Florida. Benefits: * 401(k) * Health insurance * Dental insurance * Vision ...
Quick apply
The RN Care Manager provides clinical oversight and care management for a dedicated POD model ... Remote near Orlando Florida. Benefits: * 401(k) * Health insurance * Dental insurance * Vision ...
The RN Care Manager provides clinical oversight and care management for a dedicated POD model ... Remote near Orlando Florida. Benefits: * 401(k) * Health insurance * Dental insurance * Vision ...
The RN Care Manager provides clinical oversight and care management for a dedicated POD model ... Remote near Orlando Florida. Benefits: * 401(k) * Health insurance * Dental insurance * Vision ...
Lake Mary, FL · Remote
$72K - $81K/yr
Education: * R.N. * Bachelor's degree in a health-related field preferred. Licensure/Certification Requirements: * Registered Nurse (current active and unrestricted, in state of current practice ...
Quick apply
Lake Mary, FL · Remote
$72K - $81K/yr
Education: * R.N. * Bachelor's degree in a health-related field preferred. Licensure/Certification Requirements: * Registered Nurse (current active and unrestricted, in state of current practice ...
$22.44 - $26.36
5% of jobs
$26.36 - $30.27
15% of jobs
$31.82 is the 25th percentile. Wages below this are outliers.
$30.27 - $34.19
13% of jobs
$34.19 - $38.11
15% of jobs
The median wage is $38.86 / hr.
$38.11 - $42.02
14% of jobs
$42.02 - $45.94
11% of jobs
$47.53 is the 75th percentile. Wages above this are outliers.
$45.94 - $49.86
8% of jobs
$49.86 - $53.78
6% of jobs
$53.78 - $57.69
8% of jobs
$57.69 - $61.61
3% of jobs
$61.61 - $65.53
2% of jobs
$22
$41
$65
| Aspect | Remote Novant Health Rn | Remote Novant Health Lpn |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Patient assessments, care planning, telehealth consultations | Basic patient care, medication administration, telehealth support |
| Industry Usage | Commonly used for clinical decision-making roles | Used for supportive patient care tasks |
Remote Novant Health Rn roles typically require an RN license and involve more complex clinical responsibilities, while Remote Novant Health Lpn positions require an LPN license and focus on supportive patient care. Both roles are vital in telehealth settings, but RNs handle more advanced clinical tasks compared to LPNs.
$26.41 - $43/hr
Full-time
This job post has expired today. Applications are no longer accepted.
8.0
Based on 198 frontline employees who took The Breakroom Quiz
163rd of 304 rated insurance
JOB DESCRIPTION
Must reside in Florida
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.
#PJHS3
#LI-AC1
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: $26.41 - $43 / 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
