Glendale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Glendale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Avondale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Avondale, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Phoenix, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Phoenix, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Our RN organ placement coordinators provide 24/7 coverage, managing services from the initial donor ... Remote Schedule: Available for 24-hour shift models. Rotating schedule covering day, night, weekend ...
Quick apply
Our RN organ placement coordinators provide 24/7 coverage, managing services from the initial donor ... Remote Schedule: Available for 24-hour shift models. Rotating schedule covering day, night, weekend ...
Scottsdale, AZ · Remote
$50K/yr
Medical
Dental
Vision
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · Remote
$50K/yr
Medical
Dental
Vision
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · Remote
$50K/yr
Medical
Dental
Vision
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · Remote
$50K/yr
Medical
Dental
Vision
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · On-site +1
$50K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Scottsdale, AZ · On-site +1
$50K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · On-site +1
$50K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · On-site +1
$50K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Quick apply
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Phoenix, AZ · On-site +1
$78K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$78K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$78K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$78K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$80K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$80K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
Medical
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ...
Phoenix, AZ · On-site +1
Medical
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ...
Phoenix, AZ · On-site +1
$36 - $41/hr
Medical
Dental
Vision
Life
Retirement
PTO
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Phoenix, AZ · On-site +1
$36 - $41/hr
Medical
Dental
Vision
Life
Retirement
PTO
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Phoenix, AZ · On-site +1
$80K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · On-site +1
$80K - $100K/yr
Medical
Dental
Vision
Retirement
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Phoenix, AZ · Remote
Medical
Dental
Vision
Life
Retirement
PTO
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Phoenix, AZ · Remote
Medical
Dental
Vision
Life
Retirement
PTO
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Phoenix, AZ · On-site +1
Medical
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ...
Phoenix, AZ · On-site +1
Medical
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ...
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ...
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
Quick apply
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
| Aspect | Remote Optum Rn | Remote UnitedHealth Group Rn |
|---|---|---|
| Credentials | Registered Nurse (RN) license, applicable certifications | Registered Nurse (RN) license, applicable certifications |
| Work Environment | Remote healthcare services, telehealth platforms | Remote healthcare services, telehealth platforms |
| Employer & Industry | Optum, healthcare and health services industry | UnitedHealth 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.
For Remote Optum Rn jobs in Glendale, AZ, the most frequently searched job titles are:
The top searched job categories for Remote Optum Rn jobs in Glendale, AZ are:
Cities near Glendale, AZ with the most Remote Optum Rn job openings:
$26.41 - $51.49/hr
Full-time
This job post has expired today. Applications are no longer accepted.
8.0
Based on 199 frontline employees who took The Breakroom Quiz
164th of 308 rated insurance
JOB DESCRIPTION
This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Prefers candidates with 3 years of experience.
Remote position, must reside in Arizona.
Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time with some weekends and 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
Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Get the full story on Breakroom
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.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
