Jacksonville, FL · Remote
$26.41 - $43/hr
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 ...
Jacksonville, FL · Remote
$26.41 - $43/hr
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 ...
Saint Petersburg, FL · Remote
$26.41 - $43/hr
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 ...
Saint Petersburg, FL · Remote
$26.41 - $43/hr
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 ...
Orlando, FL · Remote
$26.41 - $43/hr
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 ...
Orlando, FL · Remote
$26.41 - $43/hr
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 ...
Tampa, FL · Remote
$26.41 - $43/hr
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 ...
Tampa, FL · Remote
$26.41 - $43/hr
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 ...
Tallahassee, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Lakeland, FL · On-site +1
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tallahassee, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Tampa, FL · Remote
Medical
Dental
Vision
Life
PTO
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Fort Myers, FL · On-site +1
$39.78/hr
... remote data and reports from the manufacturer web sites (Carelink, Merlin, Latitude, Biotronik ... RCIS (Registered Cardiovascular Invasive Specialist) or RN (Registered Nurse) preferred. Other:
Fort Myers, FL · On-site +1
$39.78/hr
... remote data and reports from the manufacturer web sites (Carelink, Merlin, Latitude, Biotronik ... RCIS (Registered Cardiovascular Invasive Specialist) or RN (Registered Nurse) preferred. Other:
Senior Care Manager - RN Duration: 6+ Months Location: Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the assessment, reassessment, care planning and ...
Senior Care Manager - RN Duration: 6+ Months Location: Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the assessment, reassessment, care planning and ...
... wellness nationwide. This is not a generalist telehealth role. This is for experienced nurse ... Active NP or APRN license in a minimum of 8 U.S. states * Active, unrestricted DEA license
Quick apply
... wellness nationwide. This is not a generalist telehealth role. This is for experienced nurse ... Active NP or APRN license in a minimum of 8 U.S. states * Active, unrestricted DEA license
Lake Mary, FL · On-site +1
$72K - $81K/yr
This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active ... Be aware of any alternative treatment possibilities that may allow the patient to reach wellness ...
Lake Mary, FL · On-site +1
$72K - $81K/yr
This is a remote/work-from-home position. License Requirements : * Registered Nurse (current active ... Be aware of any alternative treatment possibilities that may allow the patient to reach wellness ...
Miami, FL · Remote
Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...
Quick apply
Miami, FL · Remote
Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...
Miami, FL · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Quick apply
Miami, FL · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
West Palm Beach, FL · On-site +1
$69K - $128K/yr
Medical
Dental
Vision
Life
Retirement
PTO
The UM RN is responsible for participating in field UM program review activities and providing advanced clinical and administrative recommendations and consultation to local and VISN UM staff.
West Palm Beach, FL · On-site +1
$69K - $128K/yr
Medical
Dental
Vision
Life
Retirement
PTO
The UM RN is responsible for participating in field UM program review activities and providing advanced clinical and administrative recommendations and consultation to local and VISN UM staff.
Miami, FL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
Miami, FL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
Saint Petersburg, FL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
Saint Petersburg, FL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
Miami Beach, FL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
Miami Beach, FL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
A Remote Wellness Nurse RN provides virtual healthcare support, focusing on patient education, chronic disease management, and preventive care. They work from home or a remote location, using technology to assess patient needs, offer guidance, and collaborate with healthcare teams. This role typically involves phone or video consultations, medical record reviews, and wellness coaching to promote overall health. It requires an active RN license and experience in case management, telehealth, or patient education.
To thrive as a Remote Wellness Nurse RN, you need a current RN license, experience in health coaching or wellness, and strong assessment and triage skills. Familiarity with telehealth platforms, electronic health records (EHRs), and secure telecommunication tools is typically required. Excellent communication, self-motivation, and the ability to build rapport virtually are standout soft skills for this role. These qualities are essential for delivering effective patient education and support while working independently in a remote healthcare environment.
A typical day for a Remote Wellness Nurse RN involves providing health coaching, answering patient questions, conducting virtual assessments, and documenting wellness plans using telehealth platforms. You might also collaborate with physicians, case managers, and other wellness professionals to coordinate holistic care. While schedules often allow some flexibility, you’ll need strong self-management skills to balance outreach, follow-ups, and documentation. This role is well-suited for nurses who enjoy patient education and preventative care without the demands of direct bedside nursing.
$26.41 - $43/hr
Full-time
Re-posted 14 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
163rd of 304 rated insurance
JOB DESCRIPTION
Must reside in Florida
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.
#PJHS3
#LI-AC1
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 - $43 / 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
