Top 1354 Director of compensation Jobs in Doral, Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
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
Primary Therapist
Galen Hope —Coral Gables, FL
- $65,000 - $95,000 a year
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- Health savings account
- Health insurance
Quick Apply
Medical Director Veterinarian
Hammocks Veterinary Hospital —Miami, FL
- Spanish
- English
- Clinic experience
- Continuing education credits
- Relocation assistance
Organizer/Labor Representative
United Teachers of Dade (UTD) —Miami Springs, FL
- $49,500 - $55,000 a year
- Weekends as needed
- Mid-level
- Microsoft Office
- 3 years
- Health savings account
- Health insurance
Quick Apply
Medical Director, Veterinarian
Hammocks Veterinary Hospital —Miami, FL
- Spanish
- English
- Surgery
- Continuing education credits
- Paid parental leave
CNA - Certified Nursing Assistant
Hampton Court Nursing and Rehabilitation Center —North Miami Beach, FL
- From $16.64 an hour
- 8 hour shift
- Background check
- CPR Certification
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
Montessori Toddler Teacher / Lead Guide (AMS/AMI) — Full-Time
The Learning Nest Edgewater —Miami, FL
- $3,200 - $3,500 a month
- Full-time
- Background check
- Classroom
- Spanish
- Paid time off
Quick Apply
Principal Investigator / Medical Director
Quotient Sciences —Miami, FL
- Full-time
- 18 years or older
- Medicine
- BC/BE
Quick Apply
23h
Community Sales Director
The Arbor Company —Miami, FL
- $100,000 - $125,000 a year
- Full-time
- Management
- Mid-level
- Business development
- Health insurance
- Retirement plan
Quick Apply
Sommelier
Spicy Hospitality —Miami Beach, FL
- $10 - $15 an hour + tips
- Weekends as needed
- Hospitality
- English
- Mid-level
Quick Apply
Manager, ATC Operations
Atlas Air —Miami, FL
- $94,000 - $126,500 a year
- Weekends as needed
- Bachelor of Science
- Writing skills
- Analysis skills
- Health insurance
- Dental insurance
SRC Airworthiness Investigator
Atlas Air —Miami, FL
- $75,500 - $101,500 a year
- Microsoft Excel
- Analysis skills
- US work authorization
- Health insurance
- Dental insurance
Medical Director Veterinarian
Sunset Animal Clinic —Miami, FL
- Clinic experience
- Surgery
- Mentoring
- Continuing education credits
- Relocation assistance
4d
Licensed Psychiatrist
School Based Healthcare Solutions Network, Inc. —Miami, FL
- $120 - $180 an hour
- Contract
- Medicine
- Psychiatry
- Mid-level
- Flexible schedule
Quick Apply
Licensed Psychologist
School Based Healthcare Solutions Network, Inc. —Miami, FL
- $50 - $90 an hour
- Contract
- Outpatient experience
- Experience working with children
- Doctor of Philosophy
Quick Apply
Patient Care Navigator (Hybrid)
Genuine Health Group LLC —Coral Gables, FL
- From $18 an hour
- Full-time
- Hybrid work
- Bilingual
- Microsoft Word
- Background check
- Health savings account
- Paid holidays
Quick Apply
Credit Products Officer II (C&I Specialty)
BankUnited, N. A. —Miami Lakes, FL
- $130,000 - $160,000 a year
- Microsoft Word
- 7 years
- Research
Registered Nurse (RN) Health Coach (West Broward)
Genuine Health Group LLC —Broward County, FL
- $75,000 a year
- Full-time
- Hybrid work
- Spanish
- Nursing
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Director of Education
Cotulla Education —Fort Lauderdale, FL
- $90,000 - $105,000 a year
- Weekends as needed
- Classroom
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
Quick Apply

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director of compensation jobs near doral, fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Miami, FL

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

director of compensation jobs in doral, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Primary Therapist

Medical Director Veterinarian

Organizer/Labor Representative

Medical Director, Veterinarian

CNA - Certified Nursing Assistant

Montessori Toddler Teacher / Lead Guide (AMS/AMI) — Full-Time

Principal Investigator / Medical Director

Community Sales Director

Sommelier

Manager, ATC Operations

SRC Airworthiness Investigator

Medical Director Veterinarian

Licensed Psychiatrist

Licensed Psychologist

Patient Care Navigator (Hybrid)

Credit Products Officer II (C&I Specialty)

Registered Nurse (RN) Health Coach (West Broward)

Director of Education

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