This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
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 ...
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) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $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) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $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 Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us ... Flexible PTO policy - take the time you need to recharge * $1,000 home office stipend * We provide ...
Quick apply
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us ... Flexible PTO policy - take the time you need to recharge * $1,000 home office stipend * We provide ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
The position is fully remote. Excellent computer skills and attention to detail are very important ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
The position is fully remote. Excellent computer skills and attention to detail are very important ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
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 ... in-office providers/staff members to manage day to day calls with enrolled patients involving ...
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 ... in-office providers/staff members to manage day to day calls with enrolled patients involving ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications ...
Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team ... Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking.
Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team ... Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking.
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Quick apply
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Quick apply
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Quick apply
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Quick apply
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Quick apply
... Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract ... your remote office. * Competitive Compensation Structure: Benefit from a robust earnings model ...
Remote Office Rn information
See Anaheim, CA salary details
$27.92 is the 25th percentile. Wages below this are outliers.
$26.17 - $27.93
25% of jobs
$27.93 - $29.70
0% of jobs
$29.70 - $31.46
5% of jobs
$31.46 - $33.22
8% of jobs
The median wage is $34.45 / hr.
$33.22 - $34.98
16% of jobs
$36.52 is the 75th percentile. Wages above this are outliers.
$34.98 - $36.74
23% of jobs
$36.74 - $38.50
5% of jobs
$38.50 - $40.27
4% of jobs
$40.27 - $42.03
4% of jobs
$42.03 - $43.79
4% of jobs
$43.79 - $45.55
4% of jobs
$26
$34
$45
How much do remote office rn jobs pay per hour?
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 25 days ago
Molina Healthcare rating
8.0
Based on 196 frontline employees who took The Breakroom Quiz
161st of 299 rated insurance
Job description
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays.)
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
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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