- Molina Healthcare (Jacksonville, FL)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **MULTI STATE / COMPACT LICENSURE** **Individual state… more
- Molina Healthcare (Tampa, FL)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Monte Nido (Miami, FL)
- …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has been delivering ... an intimate home setting. We are seeking a Utilization Review Clinician to join our team based...prior authorization, continued stay, change in level of care , discharge, retrospective, facilitating peer to peer reviews, and… more
- Molina Healthcare (Miami, FL)
- …Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Miami, FL)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Jacksonville, FL)
- …a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Miami, FL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Centene Corporation (Tallahassee, FL)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
- Centene Corporation (Tallahassee, FL)
- … process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred. ... OT on weekends and holidays **Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to… more
- Veterans Affairs, Veterans Health Administration (Naples, FL)
- …of an expanded healthcare team (social worker, dietician, clinical pharmacist, behavioral health clinician , and a nurse care manager) to oversee and coordinate ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more