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Remote Optum Rn Jobs in Deltona, FL (NOW HIRING)

MedWatch

Case Manager Assistant / LPN

Lake Mary, FL · Remote

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 Requirements: * Licensed ...

MedWatch, LLC

Case Manager Assistant / LPN

Lake Mary, FL · On-site +1

$23 - $27/hr

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 Requirements: * Licensed ...

Alopex

Clinical Training Specialist

Daytona Beach, FL · On-site +1

... RN, LPN, or other relevant license Work Location, Shift & Schedule This position is remote (please see remote requirements below). Shifox/Alopex employees work Monday-Friday 8:00 am-5:00 pm or ...

Scribe-X

Remote Medical Scribe

Orlando, FL · Remote

$14 - $17/hr

  • Medical

  • PTO

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

FCCI Insurance Group

Medical Case Manager

Lake Mary, FL · On-site +1

$62K - $96K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

Oscar Health

Physician - Virtual Urgent Care

Orlando, FL · Remote

$227K - $298K/yr

... remote point of care diagnostics * Participate in collaborative care model with various care team members including but not limited to registered nurses, medical assistants, PCPs, behavioral health ...

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All JobsOptum Rn JobsRemote Optum Rn JobsRemote Optum Rn Jobs in Deltona, FL

Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

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For Remote Optum Rn jobs in Deltona, FL, the most frequently searched job titles are:

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The top searched job categories for Remote Optum Rn jobs in Deltona, FL are:

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Cities near Deltona, FL with the most Remote Optum Rn job openings:

Remote Optum Rn jobs near you
Infographic showing various Remote Optum Rn job openings in Deltona, FL as of June 2026, with employment types broken down into 94% Full Time, 1% Part Time, and 5% Contract. Highlights an 41% Physical, 2% Hybrid, and 57% Remote job distribution.

Care Review Clinician (RN) - Remote in FL

Molina Healthcare

Orlando, FL • Remote

$26.41 - $43/hr

Full-time

Re-posted 16 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

164th of 308 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

Pay Range: $26.41 - $43 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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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

Social media

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