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Remote Rn Ibclc Jobs in California (NOW HIRING)

WelbeHealth

Telehealth Triage RN

Los Angeles, CA · Remote

REMOTE **SHIFT: details regarding shift/schedule will be discussed further, as they are based on ... Graduate of an Accredited School of Nursing with an unencumbered RN license * Nursing knowledge and ...

Molina Healthcare

Care Manager (RN)

Long Beach, CA · Remote

This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...

CVS Health

Case Manager, Registered Nurse

Sacramento, CA · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...

Molina Healthcare

Care Manager (RN)

Long Beach, CA · Remote

$26.41 - $51.49/hr

This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...

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All JobsRemote Rn Ibclc JobsRemote Rn Ibclc Jobs in California

Remote Rn Ibclc information

What is the difference between Remote Rn Ibclc vs Remote Rn Certified Diabetes Educator?

AspectRemote Rn IbclcRemote Rn Certified Diabetes Educator
CertificationsRN license, IBCLC certificationRN license, Certified Diabetes Educator (CDE)
Work EnvironmentHealthcare facilities, telehealth, clinicsDiabetes management programs, telehealth, clinics
Industry UsageMaternal and infant health, lactation consultingChronic disease management, diabetes education

Both roles require an RN license, but the Remote Rn Ibclc focuses on lactation consulting, while the Remote Rn Certified Diabetes Educator specializes in diabetes management. Their work environments often overlap in telehealth settings, but their certifications and patient focus differ significantly.

What are the most commonly searched types of Rn Ibclc jobs in California? The most popular types of Rn Ibclc jobs in California are:
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Remote Rn Ibclc jobs near you

Registered Nurse - Utilization Review - RNUR26-06087

NavitasPartners

San Jose, CA • Remote

$40/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Title: Registered Nurse - Utilization Review

Location: Santa Rosa, CA 

Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)

Required Qualifications
  • Active Registered Nurse (RN) License required
  • Minimum 1-2 years acute care nursing experience preferred
  • Experience in Utilization Review, Case Management, or similar role preferred
  • Strong understanding of medical necessity, payer guidelines, and clinical documentation
  • Knowledge of insurance authorization processes preferred
  • Strong analytical, communication, and decision-making skills
  • Ability to work independently in a remote environment
  • Proficiency with EMR systems preferred (Epic experience a plus)
Job Responsibilities
  • Perform utilization review of inpatient and outpatient cases
  • Evaluate medical necessity based on clinical guidelines and payer policies
  • Review patient records and documentation for appropriate level of care
  • Collaborate with physicians, case managers, and insurance providers
  • Process prior authorizations and continued stay reviews
  • Document all review decisions accurately in EMR systems
  • Identify cases requiring further clinical escalation
  • Ensure compliance with regulatory, hospital, and insurance standards
  • Support discharge planning and care coordination as needed
  • Maintain productivity and quality standards in a remote setting

For more details contact at sthakur@navitashealth.com 

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Apply