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Remote Oracle Rn Jobs in San Mateo, CA (NOW HIRING)

Vynca

Manager, Case Management (RN)

San Mateo, CA · Remote

$100K - $125K/yr

Remote with up to 25% travel - must be based in one of the following states: Arizona, California ... Active, unrestricted RN license with the ability to obtain California licensure within 6 months of ...

SimX, Inc

Territory Manager (Remote)

San Francisco, CA · Remote

$70K - $90K/yr

... industry (RN, EMT, Paramedic, PA, MD, DO, etc). Degree in marketing, communications, business ... Remote work environment SimX covers 99% of employee premiums and 50% of dependent premiums for ...

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All JobsOracle Rn JobsRemote Oracle Rn JobsRemote Oracle Rn Jobs in San Mateo, 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.

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The top searched job categories for Remote Oracle Rn jobs in San Mateo, CA are:

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Infographic showing various Remote Oracle Rn job openings in San Mateo, CA as of August 2026, with employment types broken down into 2% As Needed, 51% Full Time, 19% Part Time, and 28% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare

San Jose, CA • Remote

$30.37 - $59.21/hr

Full-time

Re-posted 28 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

170th of 315 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. 
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). 

Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.
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: $30.37 - $59.21 / 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

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