Gilbert, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Gilbert, AZ · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Our RN organ placement coordinators provide 24/7 coverage, managing services from the initial donor ... Remote Schedule: Available for 24-hour shift models. Rotating schedule covering day, night, weekend ...
Quick apply
Our RN organ placement coordinators provide 24/7 coverage, managing services from the initial donor ... Remote Schedule: Available for 24-hour shift models. Rotating schedule covering day, night, weekend ...
Gilbert, AZ · On-site +1
$107K - $135K/yr
... triage calls from our members during the weekend. A day at Devoted could include: Home-based ... An unrestricted and active APRN licensure to practice in the assigned geography. * Current ...
Gilbert, AZ · On-site +1
$107K - $135K/yr
... triage calls from our members during the weekend. A day at Devoted could include: Home-based ... An unrestricted and active APRN licensure to practice in the assigned geography. * Current ...
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Quick apply
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · On-site +1
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · On-site +1
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · On-site +1
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · On-site +1
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Quick apply
Mesa, AZ · Remote
$65K - $75K/yr
Clinical licensure (RN, LPN, RPh, or PharmD) or healthcare-related certifications are a plus * Work Environment: Ability to work independently from a home or corporate office to achieve objectives.
Chandler, AZ · On-site +1
$38K - $70K/yr
... triage model projection or to resolve medical treatment issues as needed. Maintains contact with ... RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as ...
Chandler, AZ · On-site +1
$38K - $70K/yr
... triage model projection or to resolve medical treatment issues as needed. Maintains contact with ... RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as ...
Chandler, AZ · On-site +1
... triage model projection or to resolve medical treatment issues as needed. Maintains contact with ... RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as ...
Chandler, AZ · On-site +1
... triage model projection or to resolve medical treatment issues as needed. Maintains contact with ... RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as ...
Chandler, AZ · On-site +1
$70K/yr
... triage model projection or to resolve medical treatment issues as needed. Maintains contact with ... RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as ...
Chandler, AZ · On-site +1
$70K/yr
... triage model projection or to resolve medical treatment issues as needed. Maintains contact with ... RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as ...
$11.25 - $14.86
1% of jobs
$14.86 - $18.48
0% of jobs
$18.48 - $22.10
1% of jobs
$22.10 - $25.72
4% of jobs
$28.93 is the 25th percentile. Wages below this are outliers.
$25.72 - $29.34
21% of jobs
$29.34 - $32.96
18% of jobs
The median wage is $33.82 / hr.
$32.96 - $36.58
20% of jobs
$38.97 is the 75th percentile. Wages above this are outliers.
$36.58 - $40.20
15% of jobs
$40.20 - $43.81
8% of jobs
$43.81 - $47.43
7% of jobs
$47.43 - $51.05
4% of jobs
$11
$35
$51
A typical workday for a Remote RN Triage nurse involves fielding calls or online messages from patients seeking medical advice, assessing symptoms based on established protocols, and determining the appropriate level of care or urgency. You may document all interactions in electronic health records, coordinate with physicians or advanced practice providers, and sometimes follow up with patients to ensure their concerns are addressed. While you work independently from a remote location, you are often part of a collaborative virtual team and may attend regular team meetings or briefings. This structure helps ensure consistent, quality patient care and provides ongoing peer support.
A Remote RN Triage job involves providing telephone-based or virtual patient care, assessing symptoms, offering medical advice, and directing patients to the appropriate level of care. Triage nurses rely on clinical protocols to determine whether a patient needs emergency care, a doctor's visit, or self-care at home. They work for hospitals, clinics, insurance companies, or telehealth services. This role requires strong critical thinking, decision-making skills, and an active RN license.
To thrive as a Remote RN Triage nurse, you need an active registered nurse (RN) license, strong clinical judgment, and experience in patient assessment and telephone triage. Familiarity with telehealth platforms, electronic health records (EHRs), and triage protocols such as Schmitt-Thompson guidelines is typically required. Excellent listening skills, compassion, and the ability to clearly communicate medical advice over the phone or online set outstanding candidates apart. These competencies are critical to accurately evaluating patient needs, ensuring safe care from a distance, and providing reassurance in potentially urgent situations.
$26.41 - $51.49/hr
Full-time
Posted 17 days ago
8.0
Based on 198 frontline employees who took The Breakroom Quiz
163rd of 304 rated insurance
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.
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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
