Top 852 Remote work from home Jobs in Bartow, Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Accounts Payable Specialist - AI Trainer
DataAnnotation —Lakeland, FL
- $50 - $100 an hour
- Part-time
- Remote
- Mid-level
- Master's degree
- Bachelor's degree
Quick Apply
Staff Accountant - AI Trainer
DataAnnotation —Lakeland, FL
- $50 - $100 an hour
- Part-time
- Remote
- Mid-level
- Master's degree
- Bachelor's degree
Quick Apply
E-Commerce Sales Manager
Seatmatch —Florida
- $80,000 - $110,000 a year
- Full-time
- Remote
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Commercial Lines Account Manager
WAHVE —Lakeland, FL
- Part-time
- Remote
- Senior level
- Marketing
- Commercial
- Health insurance
- 401(k)
8d
Customer Service Representative
Aqua Gulf —Winter Haven, FL
- $40,000 - $45,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Insurance Agent
Pioneer Agency —Lakeland, FL
- $50,000 - $75,000 a year
- Choose your own hours
- Remote
- Computer literacy
- High school diploma or GED
- Computer skills
- Opportunities for advancement
- Flexible schedule
Quick Apply
Wellness Advocate
Confidential —Florida
- $50,000 - $55,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Credit Risk Review Officer II (Remote)
South State Bank —Winter Haven, FL
- $116,153 - $185,543 a year
- Full-time
- Remote
- 7 years
- Computer literacy
- Writing skills
10d
FIU Analyst (Remote)
South State Bank —Winter Haven, FL
- $49,863 - $79,653 a year
- 8 hour shift
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
AI Enablement Analyst (Remote)
South State Bank —Winter Haven, FL
- $76,260 - $121,819 a year
- Full-time
- Remote
- Customer service
- Ability to walk for extended periods
- Computer literacy
10d
Inbound Sales Development Representative - Remote (US Only)
Mark Firth Marketing LLC —Lakeland, FL
- $1,500 - $10,000 a month
- Full-time
- Remote
- Mid-level
- Leadership
- Communication skills
- Flexible schedule
Quick Apply
FIU Director Customer Risk (Remote)
South State Bank —Winter Haven, FL
- $116,153 - $185,543 a year
- 8 hour shift
- Remote
- 7 years
- Word processing
- Bachelor's degree
PUBLIC DEFENDER'S OFFICE, 10TH CIRCUIT- ASSISTANT PUBLIC DEFENDER - 21006825
The State of Florida —Bartow, FL
- $75,000 a year
- Remote
- Writing skills
- Mid-level
- Analysis skills
- Paid holidays
- Dental insurance
8d
Risk Operations Sr Analyst (Remote)
South State Bank —Winter Haven, FL
- $76,260 - $121,819 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Mid-level
- On-the-job training
Online Literacy Educator - Florida
Hoot Reading —Frostproof, FL
- $18 - $20 an hour
- Part-time
- Remote
- School experience
- Computer literacy
- Mid-level
10d
Academic Tutors
Utopia Youth Tutoring —Polk County, FL
- From $35 an hour
- Contract
- Remote
- Senior level
- Business
- Flexible schedule
Quick Apply
Enterprise Terafina Specialist - Remote
South State Bank —Winter Haven, FL
- $68,101 - $108,784 a year
- Full-time
- Remote
- Ability to walk for extended periods
- Word processing
- Computer literacy
Buyer
LidWorks, Co. —Plant City, FL
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
5d
TPRM Governance, Operations, and Reporting Manager (Remote)
South State Bank —Winter Haven, FL
- $87,282 - $139,425 a year
- Full-time
- Remote
- Ability to walk for extended periods
- Bachelor's degree
- Ability to sit for extended periods

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Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and 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 - ensuring 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 and presents cases 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 Molina care model.
Adheres to utilization management (UM) policies and procedures.
May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.
May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports.
May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.
May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress.
May work collaboratively with ABA providers to ensure best service practices for members.
May create and develops forms, recommendations and guidelines and training for BHT service delivery.
May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit.

Required Qualifications

At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience.
Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice.
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room.

#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

remote work from home jobs in bartow, fl

Care Review Clinician (BH Licensed) - Remote in FL

Accounts Payable Specialist - AI Trainer

Staff Accountant - AI Trainer

E-Commerce Sales Manager

Commercial Lines Account Manager

Customer Service Representative

Insurance Agent

Wellness Advocate

Credit Risk Review Officer II (Remote)

FIU Analyst (Remote)

AI Enablement Analyst (Remote)

Inbound Sales Development Representative - Remote (US Only)

FIU Director Customer Risk (Remote)

PUBLIC DEFENDER'S OFFICE, 10TH CIRCUIT- ASSISTANT PUBLIC DEFENDER - 21006825

Risk Operations Sr Analyst (Remote)

Online Literacy Educator - Florida

Academic Tutors

Enterprise Terafina Specialist - Remote

Buyer

TPRM Governance, Operations, and Reporting Manager (Remote)

I want to receive the latest job alert for remote work from home in bartow, fl

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