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Remote Rn Mother Baby Prn Jobs in California (NOW HIRING)

Responsible for providing constant inpatient and/or remote patient observation and surveillance under the direction of a registered nurse (RN) of assigned patients. Observation may include more than ...

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Remote Rn Mother Baby Prn information

What is the difference between Remote Rn Mother Baby Prn vs Remote Rn Neonatal Prn?

AspectRemote Rn Mother Baby PrnRemote Rn Neonatal Prn
CertificationsRN license, Mother Baby specialty certificationRN license, Neonatal specialty certification
Work EnvironmentMother Baby units, postpartum wardsNeonatal intensive care units, NICU
Employer & IndustryHospitals, maternity centersHospitals, neonatal care facilities
Search & ComparisonOften compared due to similar patient populations and certificationsSpecialized neonatal care focus

Remote Rn Mother Baby Prn and Remote Rn Neonatal Prn both require RN licensure and specialized certifications. The main difference lies in their work environments: Mother Baby roles focus on postpartum and maternity care, while Neonatal roles specialize in neonatal intensive care. Both are in hospital settings but serve different patient needs, making them distinct yet related positions in maternal and neonatal healthcare.

What are the most commonly searched types of Rn Mother Baby Prn jobs in California?

The most popular types of Rn Mother Baby Prn jobs in California are:

What cities in California are hiring for Remote Rn Mother Baby Prn jobs?

Cities in California with the most Remote Rn Mother Baby Prn job openings:

Care Review Clinician (RN) Remote (AZ)

Molina Healthcare

Long Beach, CA • Remote

$26.41 - $51.49/hr

Full-time

Posted 26 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

164th of 309 rated insurance


Job description

JOB DESCRIPTION 

This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure.  The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient.  Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Prefers candidates with 3 years of experience.

Remote position, must reside in Arizona.

Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time with some weekends and holidays. 

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. 
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 - $51.49 / 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

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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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