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Remote Rn Telephone Triage Jobs in California (NOW HIRING)

Molina Healthcare

Care Manager, LTSS (RN)

Long Beach, CA · On-site +1

$26.41 - $51.49/hr

***Remote and field travel in Dane County for member visits*** Job Summary Provides support for care ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...

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Remote Rn Telephone Triage information

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$13

$37

$51

How much do remote rn telephone triage jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for remote rn telephone triage in California is $37.56, according to ZipRecruiter salary data. Most workers in this role earn between $23.94 and $44.86 per hour, depending on experience, location, and employer.

What is a Remote RN Telephone Triage job?

A Remote RN Telephone Triage job involves assessing patients’ symptoms and providing medical guidance over the phone or via telehealth services. Nurses use clinical protocols to determine the urgency of care needed and may advise self-care, schedule appointments, or refer patients to emergency services. This role requires strong critical thinking, communication skills, and the ability to work independently while following established guidelines. It is commonly used in healthcare organizations, insurance companies, and telehealth services to provide 24/7 medical support.

What are the typical daily responsibilities of a Remote RN Telephone Triage nurse?

As a Remote RN Telephone Triage nurse, your primary responsibilities include answering patient calls, assessing symptoms remotely, providing medical advice, and directing patients to the appropriate level of care based on standardized triage protocols. You will also document each patient interaction in electronic health records, coordinate with providers or care teams as needed, and occasionally follow up with patients for ongoing situations. This role often involves working independently but requires frequent collaboration with physicians and other healthcare professionals. Flexibility in scheduling, attention to detail, and strong communication skills are essential for managing diverse patient inquiries and ensuring high-quality, timely care.

What are the key skills and qualifications needed to thrive in the Remote Rn Telephone Triage position, and why are they important?

To thrive as a Remote RN Telephone Triage nurse, you need an active RN license, strong clinical judgment, and experience in patient assessment and triage protocols. Familiarity with telehealth platforms, electronic health records (EHRs), and standardized triage guidelines such as Schmitt-Thompson protocols is frequently required. Outstanding communication, critical thinking, and the ability to remain calm under pressure are standout soft skills. These abilities ensure safe, accurate assessments and guidance for patients, which is crucial when providing care remotely without in-person evaluation.

What are popular job titles related to Remote Rn Telephone Triage jobs in California? For Remote Rn Telephone Triage jobs in California, the most frequently searched job titles are:
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Remote Rn Telephone Triage jobs near you
Appeals and Grievances Nurse Specialist RN II

Appeals and Grievances Nurse Specialist RN II

L.A. Care Health Plan

Los Angeles, CA • Remote

$115K - $142K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

L.A. Care Health Plan rating

9.1

Company rating: 9.1 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

24th of 261 rated insurance

Job description

Salary Range:  $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
 

Job Summary

The Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to members with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the member's satisfaction in a manner consistent with L.A. Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may involve coordinating multiple L.A. Care products, Fee for services (FFS) Medi-Cal/Medicare, or commercial insurance.

Duties

Conducts intake/triage and appropriate classification of Clinical A&G, and Pharmacy requests and makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows procedures on how to handle each type of request and route to the appropriate area within the department.

Investigation, and resolution of clinical member complaints (grievances/appeals) utilizing all regulatory requirements.  Investigation, and resolution of clinical Provider Complaints/ Provider Data Resolution (PDR) (grievances/appeals) utilizing regulatory and internal guidelines and Service Level Agreement (SLA). Identification of Expedited Cases and resolution within 72 hours.

Works with the external providers and Participating Physician Group's (PPG) representatives to obtain relevant medical records and communication documentation.

Prepares resolved complaint files for Centers for Medicare and Medicaid Services (CMS), DMHC, and external review organization (QIO or IRE).  Process the case thru to effectuation and final case documentation in the A&G system of record.

Investigation and preparation of State Fair Hearing cases as assigned. Prepares resolved complaint files for CMS external review organization - Quality Improvement Organization (QIO) or Independent Review Entity (IRE).

Conducts reviews and presents to physicians, provider disputes which would be based on medical necessity reviews. Prepares authorizations, after approval by the Medical Director.

When necessary, outreaches to providers, vendors, hospitals, and members to request necessary information or to provide case status and/or next steps.  In instances where necessary, sends written notifications to appropriate parties. All interactions including verbal outreach and written communication will be documented in the A&G system of record.

Participates inter-rater reliability training and assessments.

Perform other duties as assigned.
Duties Continued
Education Required
Associate's Degree in Nursing
Education Preferred
Bachelor's Degree in Nursing
Experience

Required:

At least 5 years of experience in Clinical RN.

At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment.

Skills


Required:

Excellent interpersonal and communication skills.

Computer literacy and adaptability to computer learning.

Time management and priority setting skills.

Must be organized and a team player

Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies.

Good working knowledge of regulatory requirements/standards.

Licenses/Certifications Required
Registered Nurse (RN) - Active, current and unrestricted California License
Licenses/Certifications Preferred
Required Training
Physical Requirements
Light
Additional Information

This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.

This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

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