Saint Petersburg, FL · Remote
$26.41 - $43/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 ...
Saint Petersburg, FL · Remote
$26.41 - $43/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
$25 - $26/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Salvo care draws on expertise from Board-certified specialty physicians, registered dietitians ...
Tampa, FL · Remote
$25 - $26/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Salvo care draws on expertise from Board-certified specialty physicians, registered dietitians ...
Tampa, FL · Remote
$40/hr
BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting, Screen Exposure This is not designed to cover or contain a comprehensive listing of activities, duties ...
Tampa, FL · Remote
$40/hr
BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting, Screen Exposure This is not designed to cover or contain a comprehensive listing of activities, duties ...
Tampa, FL · Remote
$29.50 - $39.75/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...
Tampa, FL · Remote
$29.50 - $39.75/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...
Tampa, FL · On-site +1
$29.50 - $39.75/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...
Tampa, FL · On-site +1
$29.50 - $39.75/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
Tampa, FL · Remote
$24 - $26/hr
... Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable ... We are seeking a Clinical Intake/Triage Nurse to join our rapidly growing team. JOIN THE RIA HEALTH ...
Quick apply
Tampa, FL · Remote
$24 - $26/hr
... Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable ... We are seeking a Clinical Intake/Triage Nurse to join our rapidly growing team. JOIN THE RIA HEALTH ...
Tampa Palms, FL · Remote
$29.50 - $39.75/hr
Your work directly contributes to improving lives through proactive, remote care. * Cutting-Edge ... Collaborate with physicians, NPs, nurses, and care coordinators * Educate patients and families on ...
Tampa Palms, FL · Remote
$29.50 - $39.75/hr
Your work directly contributes to improving lives through proactive, remote care. * Cutting-Edge ... Collaborate with physicians, NPs, nurses, and care coordinators * Educate patients and families on ...
Tampa, FL · Remote
$75K - $80K/yr
Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a ... Remote-first flexibility -- work from home anywhere within our accepted states * Growth:
Quick apply
Tampa, FL · Remote
$75K - $80K/yr
Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a ... Remote-first flexibility -- work from home anywhere within our accepted states * Growth:
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
* Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based ...
Tampa, FL · Remote
$14 - $17/hr
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 ...
Quick apply
Tampa, FL · Remote
$14 - $17/hr
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 ...
Tampa, FL · Remote
$61K - $84K/yr
The ideal candidate will have an active RN license and 3-5 years of workers' compensation and/or ... This is a fully remote position with typical business hours; however, there may be instances when ...
Tampa, FL · Remote
$61K - $84K/yr
The ideal candidate will have an active RN license and 3-5 years of workers' compensation and/or ... This is a fully remote position with typical business hours; however, there may be instances when ...
Tampa, FL · Remote
$61K - $84K/yr
The ideal candidate will have an active RN license and 3-5 years of workers' compensation and/or ... This is a fully remote position with typical business hours; however, there may be instances when ...
Tampa, FL · Remote
$61K - $84K/yr
The ideal candidate will have an active RN license and 3-5 years of workers' compensation and/or ... This is a fully remote position with typical business hours; however, there may be instances when ...
Saint Petersburg, FL · Remote
$14 - $17/hr
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 ...
Quick apply
Saint Petersburg, FL · Remote
$14 - $17/hr
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 ...
Tampa, FL · On-site +1
$17 - $22.25/hr
What You'll Do As a Remote Referral Coordinator, you will directly contribute to LifeLink's life ... certification (RN) or appropriate experience in a medical environment. * Completion of all ...
Tampa, FL · On-site +1
$17 - $22.25/hr
What You'll Do As a Remote Referral Coordinator, you will directly contribute to LifeLink's life ... certification (RN) or appropriate experience in a medical environment. * Completion of all ...
Tampa, FL · Remote
$62K - $83K/yr
Clinical background (i.e RT(T), RN, CMD, PhD) * A minimum of five years of managerial experience in ... Annual TB testing * Healthcare training #Remote Who we are : We are a team of more than 72,000 ...
Tampa, FL · Remote
$62K - $83K/yr
Clinical background (i.e RT(T), RN, CMD, PhD) * A minimum of five years of managerial experience in ... Annual TB testing * Healthcare training #Remote Who we are : We are a team of more than 72,000 ...
Tampa, FL · Remote
$170K - $180K/yr
Position is remote and will require 75% travel including overnight business travel. Employees can ... Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN ...
Tampa, FL · Remote
$170K - $180K/yr
Position is remote and will require 75% travel including overnight business travel. Employees can ... Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN ...
| 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 St. Petersburg, FL, the most frequently searched job titles are:
The top searched job categories for Remote Optum Rn jobs in St. Petersburg, FL are:
Cities near St. Petersburg, FL with the most Remote Optum Rn job openings:
$26.41 - $43/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
166th of 311 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 - $43 / 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
