Top 433 Work from home Jobs in Key West Fl

Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Medicare Sales Independent Contractor (1099) - Remote
MyPlanAdvocate —Florida
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
9d
Remote Independent Medicare Sales Agent (1099)
MyPlanAdvocate —Florida
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
9d
Licensed Health Insurance Agent (Remote) with a focus on Medicare Advantage, ACA and Final Expense
Dominion Outsourcing —Florida
- $18 - $21 an hour
- Remote
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
1d
Full Stack Engineer
Alpha Drive Ai —Florida
- $125,000 - $150,000 a year
- Full-time
- Remote
- English
- Mid-level
- Residential
- Health savings account
- AD&D insurance
Quick Apply
1d
Experienced Mortgage Loan Officer - Florida | 14 Days To Close | PRMG
14 Days to Close —Florida
- $80,000 - $200,000 a year
- Part-time
- Remote
- Sales
- Mid-level
- 3 years
- Work from home
Quick Apply
Licensed Mental Health Therapist
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
2d
Licensed Mental Health Therapist
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
2d
Licensed Mental Health Counselor
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- Mid-level
- Master's degree
1d
Licensed Psychiatric Nurse Practitioner
Headway —Florida
- Up to $206.36 an hour
- Full-time
- Remote
- Private practice
- Nursing
- Psychiatry
1d
Functional Dietitian, Independent Contractor
My Functional Dietitian —Florida
- From $50 an hour
- Part-time
- Remote
- Background check
- Spanish
- HIPAA
- Flexible schedule
Quick Apply
Medicare Sales Agent - Independent Contractor (1099) Opportunity
MyPlanAdvocate —Florida
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
13d
Medicare Sales Agent - Independent Contractor (1099) Opportunity
MyPlanAdvocate —Florida
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
Associate Attorney
Guardian —Florida
- $65,000 - $75,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
8d
Commercial Insurance Producer
Morales Group Professional —Florida
- $90,000 - $110,000 a year
- Email
- Remote
- Mid-level
- Communication skills
- Commercial
Quick Apply
GENAI / MACHINE LEARNING AI / DATA Scientist
Hudson Manpower —Florida
- Full-time
- Remote
- Senior level
Quick Apply
Brain Health / Longevity Registered Dietitian
BetterBrain —Florida
- From $50 an hour
- Full-time
- Remote
- Clinic experience
- Mid-level
- Neurology
- Paid training
- Continuing education credits
Quick Apply
3d
Psychotherapist
Evolve to Thrive —Florida
- $68.02 - $73.65 an hour
- Part-time
- Remote
- Bilingual
- Background check
- Private practice
- Flexible schedule
Quick Apply
Associate Attorney
Rathbone Group —Florida
- $85,000 - $100,000 a year
- Full-time
- Remote
- Background check
- Doctoral degree
- Pass drug screening
- Disability insurance
- Health insurance
Quick Apply
7d
AWS AI Engineer / USC and GC Candidates can ONLY Apply
Hudson Manpower —Florida
- Full-time
- Remote
- 7 years
- System design
- English
- Profit sharing
- Paid training
Quick Apply

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Care Review Clinician (RN) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

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

Full Job Description

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.

Utilization Management (UM) experience highly preferred.

#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

Apply Now

Refine Your Search

work from home jobs in key west fl

Care Review Clinician (RN) - Remote in FL

Medicare Sales Independent Contractor (1099) - Remote

Remote Independent Medicare Sales Agent (1099)

Licensed Health Insurance Agent (Remote) with a focus on Medicare Advantage, ACA and Final Expense

Full Stack Engineer

Experienced Mortgage Loan Officer - Florida | 14 Days To Close | PRMG

Licensed Mental Health Therapist

Licensed Mental Health Therapist

Licensed Mental Health Counselor

Licensed Psychiatric Nurse Practitioner

Functional Dietitian, Independent Contractor

Medicare Sales Agent - Independent Contractor (1099) Opportunity

Medicare Sales Agent - Independent Contractor (1099) Opportunity

Associate Attorney

Commercial Insurance Producer

GENAI / MACHINE LEARNING AI / DATA Scientist

Brain Health / Longevity Registered Dietitian

Psychotherapist

Associate Attorney

AWS AI Engineer / USC and GC Candidates can ONLY Apply

I want to receive the latest job alert for work from home in key west fl

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