The position is fully remote. Excellent computer skills and attention to detail are very important ... Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays ...
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved ...
Quick apply
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved ...
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Strong preference for a valid and active CA RN license. * CST/MST time zone preferred. To all ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Strong preference for a valid and active CA RN license. * CST/MST time zone preferred. To all ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
Monday through Friday 7:00AM to 6:00PM PST (No weekends, no nights, no holidays, no call ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
Monday through Friday 7:00AM to 6:00PM PST (No weekends, no nights, no holidays, no call ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
RN Case Manager - Managed Care REMOTE
Los Angeles, CA · Remote
$39 - $41/hr
Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or ...
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RN Case Manager - Managed Care REMOTE
Los Angeles, CA · Remote
$39 - $41/hr
Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or ...
Care Manager, LTSS (RN)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote position with substantial field work and productivity is important. Preferred ... Monday through Friday 8:30AM to 5:00PM EST (No weekends, no nights, no other holidays (Half Day ...
Care Manager, LTSS (RN)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote position with substantial field work and productivity is important. Preferred ... Monday through Friday 8:30AM to 5:00PM EST (No weekends, no nights, no other holidays (Half Day ...
RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Anaheim & surrounding areas Find Your Passion and Purpose as an Registered ...
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RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Anaheim & surrounding areas Find Your Passion and Purpose as an Registered ...
Lead Appeals and Grievances RN
Los Angeles, CA · Remote
$132K - $163K/yr
Job Summary The Lead Appeals and Grievances RN is responsible for assisting with the development of ... on weekends, holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in ...
Lead Appeals and Grievances RN
Los Angeles, CA · Remote
$132K - $163K/yr
Job Summary The Lead Appeals and Grievances RN is responsible for assisting with the development of ... on weekends, holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in ...
This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Job Summary Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Job Summary Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours ... RN. This is a remote position, where you will partner with people in your community who are ...
Remote Weekend Rn information
What are the key skills and qualifications needed to thrive as a Remote Weekend RN, and why are they important?
What is a Remote Weekend RN?
What are some common challenges faced by Remote Weekend RNs, and how can they be managed effectively?
What is the difference between Remote Weekend Rn vs Remote Night Rn?
| Aspect | Remote Weekend Rn | Remote Night Rn |
|---|---|---|
| Work Schedule | Weekend shifts, typically Saturday and Sunday | Night shifts, usually overnight hours |
| Certifications | Registered Nurse (RN) license, CPR, BLS | Registered Nurse (RN) license, CPR, BLS |
| Work Environment | Home-based telehealth or remote hospital settings | Home-based telehealth or remote hospital settings |
| Industry Usage | Healthcare, telehealth services | Healthcare, telehealth services |
The main difference between a Remote Weekend Rn and a Remote Night Rn lies in their work schedules. Weekend RNs work primarily on weekends, while Night RNs cover overnight shifts. Both roles require similar certifications and work in remote healthcare environments, serving telehealth or remote hospital settings. Your choice depends on your preferred working hours and schedule flexibility.
Molina Healthcare rating
8.1
Based on 193 frontline employees who took The Breakroom Quiz
133rd of 281 rated insurance
Job description
JOB DESCRIPTION
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional 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
What Molina Healthcare employees say
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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