Charleston, SC · Remote
$25.08 - $51.49/hr
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 ...
Charleston, SC · Remote
$25.08 - $51.49/hr
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 ...
This is a remote opportunity within the Low Country, Charleston and NE Columbia operational area ... Serves as a subject matter expert for clinical quality matters when collaborating with other RNs ...
This is a remote opportunity within the Low Country, Charleston and NE Columbia operational area ... Serves as a subject matter expert for clinical quality matters when collaborating with other RNs ...
Charleston, SC · Remote
This is a remote position with a requirement of a South Carolina resident and a BSN RN license. Minimum of 3 years of professional experience in related field required (i.e., maternal health, labor ...
Charleston, SC · Remote
This is a remote position with a requirement of a South Carolina resident and a BSN RN license. Minimum of 3 years of professional experience in related field required (i.e., maternal health, labor ...
SC · On-site +1
$85K - $92K/yr
Current, unrestricted Registered Nurse (RN), Licensed Practical Nurse (LPN) and or Certified Case ... Ability to file, post, and mail materials; copy data from one record to another; interview to ...
SC · On-site +1
$85K - $92K/yr
Current, unrestricted Registered Nurse (RN), Licensed Practical Nurse (LPN) and or Certified Case ... Ability to file, post, and mail materials; copy data from one record to another; interview to ...
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
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Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Charleston, SC · Remote
Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South ...
Charleston, SC · Remote
Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South ...
Charleston, SC · Remote
Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South ...
Charleston, SC · Remote
Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South ...
Charleston, SC · On-site +1
Travel: While this is a remote position, occasional travel to Humana's offices for training or ... Our integrated care teams, which include physicians, nurses, behavioral health specialists and more ...
Charleston, SC · On-site +1
Travel: While this is a remote position, occasional travel to Humana's offices for training or ... Our integrated care teams, which include physicians, nurses, behavioral health specialists and more ...
Charleston, SC · On-site +1
Active licensure in discipline (RN, RT, ETC) by the South Carolina Board of Nursing or a compact state required. Current Basic Life Support (BLS) required, either a certification from an American ...
Charleston, SC · On-site +1
Active licensure in discipline (RN, RT, ETC) by the South Carolina Board of Nursing or a compact state required. Current Basic Life Support (BLS) required, either a certification from an American ...
Charleston, SC · Remote
$2.4K - $10K/mo
... data handled or services rendered in the undertaking of the position * Fulfill those ... Ability to practice autonomously in a remote clinical environment, including independently ...
New
Charleston, SC · Remote
$2.4K - $10K/mo
... data handled or services rendered in the undertaking of the position * Fulfill those ... Ability to practice autonomously in a remote clinical environment, including independently ...
New
North Charleston, SC · Remote
$2.4K - $10K/mo
... data handled or services rendered in the undertaking of the position * Fulfill those ... Ability to practice autonomously in a remote clinical environment, including independently ...
New
North Charleston, SC · Remote
$2.4K - $10K/mo
... data handled or services rendered in the undertaking of the position * Fulfill those ... Ability to practice autonomously in a remote clinical environment, including independently ...
New
Goose Creek, SC · Remote
$2.4K - $10K/mo
... data handled or services rendered in the undertaking of the position * Fulfill those ... Ability to practice autonomously in a remote clinical environment, including independently ...
New
Goose Creek, SC · Remote
$2.4K - $10K/mo
... data handled or services rendered in the undertaking of the position * Fulfill those ... Ability to practice autonomously in a remote clinical environment, including independently ...
New
Summerville, SC · On-site +1
BSN RN or LICSW required. Role Overview: Responsible for managing and coordinating care, services ... Those fully remote associates residing in states where service is required by contract, law, or ...
Summerville, SC · On-site +1
BSN RN or LICSW required. Role Overview: Responsible for managing and coordinating care, services ... Those fully remote associates residing in states where service is required by contract, law, or ...
Summerville, SC · On-site +1
BSN RN or LICSW required. Role Overview: Responsible for managing and coordinating care, services ... Those fully remote associates residing in states where service is required by contract, law, or ...
Summerville, SC · On-site +1
BSN RN or LICSW required. Role Overview: Responsible for managing and coordinating care, services ... Those fully remote associates residing in states where service is required by contract, law, or ...
The RME Specialist will load the set-up data as well as assigned equipment in the correct data base ... Coordinates with the Telemonitoring nurse, Lifeline group, and clinicians on equipment issues ...
The RME Specialist will load the set-up data as well as assigned equipment in the correct data base ... Coordinates with the Telemonitoring nurse, Lifeline group, and clinicians on equipment issues ...
Working knowledge of ad-hoc query tools and data repositories that support data extraction and ... This is a remote position; however, preference given to candidates in these locations: AL, FL, GA ...
Working knowledge of ad-hoc query tools and data repositories that support data extraction and ... This is a remote position; however, preference given to candidates in these locations: AL, FL, GA ...
Charleston, SC · On-site +1
$99K - $136K/yr
Experience analyzing data to solve different business problems and create data visualizations that ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Charleston, SC · On-site +1
$99K - $136K/yr
Experience analyzing data to solve different business problems and create data visualizations that ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Charleston, SC · On-site +1
This position will report to the Nurse Manager II who oversees all clinical trials personnel within ... Remote work may be approved after 12 months of University employment and in accordance with the ...
Charleston, SC · On-site +1
This position will report to the Nurse Manager II who oversees all clinical trials personnel within ... Remote work may be approved after 12 months of University employment and in accordance with the ...
Charleston, SC · On-site +1
$15.25 - $20/hr
Using patient feedback, performance data, qualitative insights, and partnerships, you will identify ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Charleston, SC · On-site +1
$15.25 - $20/hr
Using patient feedback, performance data, qualitative insights, and partnerships, you will identify ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
$6.97 - $12.47
0% of jobs
$12.47 - $17.98
0% of jobs
$17.98 - $23.48
4% of jobs
$23.48 - $28.98
18% of jobs
$29.70 is the 25th percentile. Wages below this are outliers.
$28.98 - $34.48
20% of jobs
The median wage is $36.74 / hr.
$34.48 - $39.98
18% of jobs
$44.93 is the 75th percentile. Wages above this are outliers.
$39.98 - $45.48
16% of jobs
$45.48 - $50.98
10% of jobs
$50.98 - $56.48
6% of jobs
$56.48 - $61.99
4% of jobs
$61.99 - $67.49
3% of jobs
$6
$39
$67
As a Remote RN Data Abstractor, your daily responsibilities generally include reviewing electronic health records and extracting key clinical data according to specific project or regulatory guidelines. You'll input this information into secure databases, ensure accuracy, and follow up to clarify any ambiguous or incomplete documentation with healthcare providers. While you may work independently, periodic virtual meetings and collaboration with clinical quality teams or project managers are common. Staying organized and up-to-date with changing guidelines is also a key part of the role, making attention to detail and self-motivation particularly important.
A Remote RN Data Abstractor is a registered nurse who reviews and extracts clinical data from medical records for quality improvement, compliance, and research purposes. They work remotely, analyzing patient charts to ensure accuracy and adherence to healthcare guidelines. This role often requires experience with electronic health records (EHRs), attention to detail, and knowledge of medical coding and terminology. It is commonly used for quality reporting, accreditation, or clinical registry submissions.
To excel as a Remote RN Data Abstractor, you need a current RN license, strong clinical knowledge, and experience with medical record review and data abstraction. Familiarity with electronic health records (EHRs), medical coding systems such as ICD-10, and clinical quality measures is highly beneficial. Strong attention to detail, time management, and effective written communication are crucial soft skills in this remote position. These competencies ensure accurate and efficient data collection, support compliance with regulatory standards, and enable seamless collaboration across distributed healthcare teams.
$25.08 - $51.49/hr
Full-time
Posted 24 days ago
8.0
Based on 197 frontline employees who took The Breakroom Quiz
161st of 300 rated insurance
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
Pay Range: $25.08 - $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
