Top 24 Rn work from home Jobs in Torrance, Ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —Los Angeles, CA
- $30.37 - $59.21 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Discharge planning
- Health insurance
RN - Clinical Documentation Improvement Specialist - Remote
Optum —Los Alamitos, CA
- $72,800 - $130,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
Quick Apply
Case Manager - Intensive Case Management, Hybrid/Remote
UCLA Health —Los Angeles, CA
- $143,675 - $185,811 a year
- Remote
- Computer literacy
- Mid-level
- Windows
5d
RN Case Manager
Zócalo Health —Los Angeles, CA
- $85,000 a year
- Full-time
- Remote
- RN License
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Staff RN III - Hospice - FT - Days
Torrance Memorial Medical Center —Torrance, CA
- $52.47 - $82.88 an hour
- Full-time
- Remote
- Nursing
- RN License
- BLS Certification
Quick Apply
6d
Clinical Liaison
Coast Medical Service - Internal —Hermosa Beach, CA
- $75,000 - $90,000 a year
- Per diem
- Remote
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Staff RN - Hospice - Per Diem Nights
Torrance Memorial Medical Center —Torrance, CA
- $70.62 an hour
- Per diem
- Remote
- Nursing
- RN License
- BLS Certification
Quick Apply
6d
CA Medical Case Manager II
CorVel Corporation —Los Angeles, CA
- $32.18 - $48.68 an hour
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Registered Nurse. Private Duty.
Vitale Nursing Inc —Beverly Hills, CA
- $65 - $70 an hour
- Part-time
- Remote
- Background check
- CPR Certification
- Blood sampling
- Paid training
- Health insurance
Quick Apply
Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)
Pair Team —Los Angeles, CA
- $80,000 - $95,000 a year
- Email
- Remote
- Background check
- Spanish
- Nursing
- Dental insurance
- 401(k)
Quick Apply
2d
Clinical Education Consultant
United Aesthetics Alliance —Los Angeles, CA
- Part-time
- Remote
- RN License
- 5 years
- Travel
Quick Apply
Field Nursing Operations Manager (West Coast)
Science 37 —Los Angeles, CA
- Weekends as needed
- Remote
- Nursing
- Vital signs
- RN License
Quick Apply
Bilingual Spanish RN, Care Management (Los Angeles)
SCAN Health Plan —Los Angeles, CA
- $44.42 - $61.20 an hour
- Full-time
- Remote
- Background check
- Spanish
- Nursing
- Wellness program
- Paid holidays
Quick Apply
3h
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

RN - Clinical Documentation Improvement Specialist - Remote
Optum —Los Alamitos, CA
Engages and consults with Medical Director/leadership when needed, per the escalation process, to resolve issues regarding answering clarifications and…
$72,800 - $130,000 a year
Quick Apply
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —Los Angeles, CA
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
$30.37 - $59.21 an hour

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Appeals Nurse Consultant (Remote)
CVS Health —Columbus, OH
Must have active and unrestricted RN licensure in state of residence. Qualified applicants with arrest or conviction records will be considered for employment…
$60,522 - $129,615 a year
2d
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST
IntellaTriage —Columbus, OH
Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends).
$25 - $28 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for rn work from home in torrance, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

rn work from home jobs near torrance, ca

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

Molina Healthcare -
Los Angeles, 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.

Apply Now

Refine Your Search

rn work from home jobs in torrance, ca

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

RN - Clinical Documentation Improvement Specialist - Remote

Case Manager - Intensive Case Management, Hybrid/Remote

RN Case Manager

Staff RN III - Hospice - FT - Days

Clinical Liaison

Staff RN - Hospice - Per Diem Nights

CA Medical Case Manager II

Registered Nurse. Private Duty.

Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)

Clinical Education Consultant

Field Nursing Operations Manager (West Coast)

Bilingual Spanish RN, Care Management (Los Angeles)

Appeal Analyst RN | Remote | Contract

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for rn work from home in torrance, ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected