Top 46 Rn work from home Jobs in Greenbrae, Ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —San Francisco, CA
- $30.37 - $59.21 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Discharge planning
- Health insurance
Registered Nurse
Premier Home Health Providers Inc. —Mill Valley, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Registered Nurse
Caring Hand Home Health Solutions, Inc. —Mill Valley, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
9d
Registered Nurse II - Triage
LIFELONG MEDICAL CARE —Berkeley, CA
- $51.00 - $59.13 an hour
- Full-time
- Remote
- Spanish
- Nursing
- Patient monitoring
Quick Apply
2d
Registered Nurse
Madrona Hospice Care Inc. —San Rafael, CA
- $140 - $150 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Oncology RN
Color Health —South San Francisco, CA
- Full-time
- Remote
- Spanish
- Nursing
- 7 years
- Paid parental leave
- Paid holidays
Quick Apply
1d
Flex Nurse Educator - San Francisco, CA
IQVIA —Petaluma, CA
- $90,000 - $95,000 a year
- Weekends as needed
- Remote
- Spanish
- Nursing
- Up to 50% travel
5d
Hospice Registered Nurse
Best Hospice Providers Inc. —Sonoma, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Registered Nurse
Best Home Health Providers, Inc. —San Francisco, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Remote Registered Nurse (RN), Bilingual | $35.50/hr
Carenet Health —United States
- $35.50 an hour
- Weekends as needed
- Remote
- Spanish
- Nursing
- RN License
- Paid holidays
- Health insurance

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Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)
Donor Network West —San Francisco, CA
Must maintain a valid driver’s license and current vehicle insurance based on applicable state minimum insurance coverage standards.
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Healthcare Investigator
Staffing Solutions Organization —Ohio
Identifies rule violations, contributing factors, and potential risks; develops clear, well‑supported investigation summary reports. Paid time off and holidays.
$53,000 - $55,000 a year
13h
Care Manager (RN)
Axelon Services Corporation —Ohio
Provide high-quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
$48.35 an hour
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rn work from home jobs near greenbrae, ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare -
San Francisco, CA

Apply Now

Job Details

Full-time
$30.37 - $59.21 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Pre-authorization review for utilization management
Acute care experience
Productivity software
Nursing

Full Job Description

JOB DESCRIPTION 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).

Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.

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: $30.37 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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rn work from home jobs in greenbrae, ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Registered Nurse

Registered Nurse

Registered Nurse II - Triage

Registered Nurse

Oncology RN

Flex Nurse Educator - San Francisco, CA

Hospice Registered Nurse

Registered Nurse

Remote Registered Nurse (RN), Bilingual | $35.50/hr

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