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Remote World Health Organization Rn Jobs in California

Adventist Health

RN (Home Health), Per Diem

Hanford, CA · On-site +1

$46.75 - $64.13/hr

Registered Nurse (RN) licensure in the state of practice: Required * Cardiopulmonary Resuscitation ... Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our ...

Adventist Health

LVN (Home Health)

Simi Valley, CA · On-site +1

$29.14 - $39.96/hr

Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to ... Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our ...

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Remote World Health Organization Rn information

What is the difference between Remote World Health Organization Rn vs Remote Public Health Nurse?

AspectRemote World Health Organization RnRemote Public Health Nurse
CredentialsRegistered Nurse (RN) license, WHO-specific trainingRN license, public health certification often preferred
Work EnvironmentGlobal health initiatives, WHO projects, remote consultationsCommunity health programs, public health agencies, remote or field work
Employer & IndustryWorld Health Organization, international health organizationsPublic health departments, non-profits, government agencies
Search & ComparisonOften compared for global health roles, international focusCompared for community health and public health roles

The Remote World Health Organization Rn typically works on international health initiatives with WHO, requiring specialized training and a global focus. The Remote Public Health Nurse often works within local or national public health programs, focusing on community health. Both roles require RN licensure but differ mainly in scope, employer, and work environment.

What cities in California are hiring for Remote World Health Organization Rn jobs? Cities in California with the most Remote World Health Organization Rn job openings:
Remote World Health Organization Rn jobs near you
Care Review Clinician (RN) Remote

Care Review Clinician (RN) Remote

Molina Healthcare

Long Beach, CA • On-site, Remote

$23.76 - $51.49/hr

Full-time

Posted 11 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

Job description


JOB DESCRIPTION
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been admitted to this hospital. The Medicare will support them to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.
This is a remote position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
Schedule: Monday through Friday 7:00AM to 5:00PM EST Flexible work schedule (Weekends, holidays, no night, no call.) Alternative work schedule ava immediately exp: 8-10-hour shifts w/ 1-2 weekend days (Saturday or Sunday)
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

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About Molina Healthcare

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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.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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