ZipRecruiter

Log In

2

Remote Oracle Rn Jobs in Long Beach, CA (NOW HIRING)

next page

Showing results 1-20

All JobsOracle Rn JobsRemote Oracle Rn JobsRemote Oracle Rn Jobs in Long Beach, CA

Remote Oracle Rn information

What is the difference between Remote Oracle Rn vs Remote Oracle Database Administrator?

AspectRemote Oracle RnRemote Oracle Database Administrator
CertificationsOracle Nursing Certification, RN LicenseOracle Certified Professional (OCP), Database Certification
Work EnvironmentHealthcare settings, clinics, hospitalsIT departments, data centers, corporate environments
Job FocusPatient care, clinical proceduresDatabase management, system maintenance

Remote Oracle Rn roles focus on patient care and clinical responsibilities in healthcare settings, requiring nursing licenses and healthcare certifications. In contrast, Remote Oracle Database Administrators handle database systems, requiring IT certifications and technical expertise. Both roles are remote but serve different industries and skill sets, making their job functions distinct despite similar titles.

What are popular job titles related to Remote Oracle Rn jobs in Long Beach, CA? For Remote Oracle Rn jobs in Long Beach, CA, the most frequently searched job titles are:
What job categories do people searching Remote Oracle Rn jobs in Long Beach, CA look for? The top searched job categories for Remote Oracle Rn jobs in Long Beach, CA are:
What cities near Long Beach, CA are hiring for Remote Oracle Rn jobs? Cities near Long Beach, CA with the most Remote Oracle Rn job openings:
Remote Oracle Rn jobs near you
(RN) Remote Care Review Clinician - Utilization Review

(RN) Remote Care Review Clinician - Utilization Review

Molina Healthcare

Long Beach, CA • On-site, Remote

$25.08 - $51.49/hr

Full-time

Posted 21 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

Job description


JOB DESCRIPTION
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. SC Single state or Compact RN License.
• 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

Molina Healthcare logo

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

FacebookTwitter

View All Molina Healthcare Jobs

Apply