Tampa, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
... 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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
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 ...
Tampa, FL · Remote
$26.41 - $51.49/hr
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 ...
Tampa, FL · Remote
$67K - $126K/yr
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Tampa, FL · Remote
$67K - $126K/yr
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Tampa, FL · Remote
$85K - $90K/yr
The Associate Medical Editor is a licensed oncology registered nurse, preferably with a master ... This is a fully remote position and can be based anywhere within the U.S. ESSENTIAL FUNCTIONS:
Tampa, FL · Remote
$85K - $90K/yr
The Associate Medical Editor is a licensed oncology registered nurse, preferably with a master ... This is a fully remote position and can be based anywhere within the U.S. ESSENTIAL FUNCTIONS:
Lakeland, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Lakeland, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Auburndale, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Auburndale, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Riverview, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Riverview, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Brandon, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Brandon, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Davenport, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Davenport, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Temple Terrace, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Temple Terrace, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Winter Haven, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Winter Haven, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Bartow, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Bartow, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Seffner, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Seffner, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Tampa, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Tampa, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Haines City, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Haines City, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Plant City, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Plant City, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Lake Wales, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Lake Wales, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Valrico, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Valrico, FL · Remote
$60.52K - $129.62K/yr
Position Summary This is a fulltime remote role with 50-75% travel required for face-to-face visits ... Active and unrestricted RN license in FL * Must reside in Hillsborough or Polk County Florida
Tampa, FL · Remote
Responsible for providing constant inpatient and/or remote patient observation and surveillance under the direction of a registered nurse (RN) of assigned patients. Observation may include more than ...
Tampa, FL · Remote
Responsible for providing constant inpatient and/or remote patient observation and surveillance under the direction of a registered nurse (RN) of assigned patients. Observation may include more than ...
| 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.
$26.41 - $51.49/hr
Full-time
Posted 25 days ago
8.0
Based on 191 frontline employees who took The Breakroom Quiz
147th of 258 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 - $51.49 / 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
