Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Registered Nurse - Workers' Compensation Field Case Manager
Sacramento, CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE SACRAMENTO COUNTY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Registered Nurse - Workers' Compensation Field Case Manager
Sacramento, CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE SACRAMENTO COUNTY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Registered Nurse - Workers' Compensation Field Case Manager
Bodega Bay, CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE SAN FRANCISCO BAY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Registered Nurse - Workers' Compensation Field Case Manager
Bodega Bay, CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE SAN FRANCISCO BAY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Registered Nurse - Workers' Compensation Field Case Manager
CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE RIVERSIDE COUNTY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Registered Nurse - Workers' Compensation Field Case Manager
CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE RIVERSIDE COUNTY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Workers' Compensation Telephonic Case Manager
Huntington Beach, CA · Remote
$45 - $55/hr
A California Registered Nursing (RN) License and/or CCM Certification is preferred * Exceptional ... remote work environment * Proficient computer skills using Microsoft Office Programs * Workers ...
Quick apply
Apply Early
Workers' Compensation Telephonic Case Manager
Huntington Beach, CA · Remote
$45 - $55/hr
A California Registered Nursing (RN) License and/or CCM Certification is preferred * Exceptional ... remote work environment * Proficient computer skills using Microsoft Office Programs * Workers ...
Apply Early
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · Remote
$26.41 - $43/hr
Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
RN Care Manager - Remote (Must reside in Mississippi)
Long Beach, CA · Remote
$23.76 - $51.49/hr
Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ... Microsoft Office suite/applicable software program proficiency, and ability to navigate online ...
RN Care Manager - Remote (Must reside in Mississippi)
Long Beach, CA · Remote
$23.76 - $51.49/hr
Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ... Microsoft Office suite/applicable software program proficiency, and ability to navigate online ...
RN Care Manager - Remote (Must reside in Mississippi)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Office suite/applicable software program proficiency, and ability to navigate online portals and ...
RN Care Manager - Remote (Must reside in Mississippi)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Office suite/applicable software program proficiency, and ability to navigate online portals and ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Strong understanding of both RN and PN scope of practice * Fluency in English with excellent ... Monthly remote-work and annual home office equipment stipends * Flexible Spending Account
Quick apply
Strong understanding of both RN and PN scope of practice * Fluency in English with excellent ... Monthly remote-work and annual home office equipment stipends * Flexible Spending Account
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RN. This is a remote position, where you will partner with people in your community who are ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Population Health RN -- Clinical Operations Leader Vigilance Health | Remote | Full-Time You\'ve ... You know what it takes to run a remote care management program. You\'ve wrestled with ACO quality ...
Population Health RN -- Clinical Operations Leader Vigilance Health | Remote | Full-Time You\'ve ... You know what it takes to run a remote care management program. You\'ve wrestled with ACO quality ...
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed ... Working knowledge of Microsoft Office suite. Ability to prioritize and manage multiple deadlines.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed ... Working knowledge of Microsoft Office suite. Ability to prioritize and manage multiple deadlines.
Supervisor, Healthcare Services (Remote in FL - Weekends)
Long Beach, CA · On-site +1
$66K - $129K/yr
... Microsoft Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent ... Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in ...
Supervisor, Healthcare Services (Remote in FL - Weekends)
Long Beach, CA · On-site +1
$66K - $129K/yr
... Microsoft Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent ... Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in ...
Registered Nurse - Workers' Compensation Field Case Manager
Santa Barbara, CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE SANTA BARBARA COUNTY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Registered Nurse - Workers' Compensation Field Case Manager
Santa Barbara, CA · Remote
$110K - $130K/yr
Registered Nurse - Workers' Compensation Field Case Manager MUST RESIDE IN THE SANTA BARBARA COUNTY ... This is a field-based position with a home office setup and local travel up to 60% to medical ...
Supervisor, Healthcare Services (Training/Auditing) Remote in FL
Long Beach, CA · On-site +1
$66K - $129K/yr
... Microsoft Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent ... Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in ...
Supervisor, Healthcare Services (Training/Auditing) Remote in FL
Long Beach, CA · On-site +1
$66K - $129K/yr
... Microsoft Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent ... Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in ...
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed ... Working knowledge of Microsoft Office suite. Ability to prioritize and manage multiple deadlines.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed ... Working knowledge of Microsoft Office suite. Ability to prioritize and manage multiple deadlines.
Remote Office Rn information
What is the difference between Remote Office Rn vs Remote Medical Assistant?
| Aspect | Remote Office Rn | Remote Medical Assistant |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Certified Medical Assistant (CMA) or Medical Assistant (MA) certification |
| Work Environment | Remote administrative and clinical support for healthcare providers | Remote administrative support, scheduling, and patient communication |
| Industry Usage | Healthcare, hospitals, clinics, telehealth | Medical offices, clinics, telehealth services |
| Common Search Intent | RN remote jobs, telehealth RN roles | Medical assistant remote jobs, telehealth MA roles |
The main difference is that Remote Office Rn requires an RN license and involves clinical and administrative tasks, while Remote Medical Assistant roles typically require certification and focus on administrative support within healthcare settings. Both roles support healthcare providers remotely but differ in credentials and responsibilities.
How does a Remote Office RN maintain effective communication and collaboration with physicians and other care team members while working off-site?
What are Remote Office RNs?
What are the key skills and qualifications needed to thrive as a Remote Office RN, and why are they important?
Full-time
Posted 17 hours ago
Key responsibilities
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state and federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Conducts reviews to determine prior authorization and financial responsibility for members.
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
143rd of 277 rated insurance
Job description
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.
- Utilization Management (UM) experience highly preferred.
#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
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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