Top 39 Utilization review therapist Jobs in Florida

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Molina Healthcare —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
1d
Psychologist
Clay Consulting —Gulf Breeze, FL
- $120,000 - $150,000 a year
- Extended hours
- Microsoft Excel
- Computer literacy
- HIPAA
Quick Apply
11d
Licensed Therapist
Thousand Branches Wellness —Miami, FL
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
10d
Social Work Specialist Medicine Orlando
AdventHealth Orlando —Orlando, FL
- $21.56 - $40.09 an hour
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Care Management Social Worker
AdventHealth Ocala —Ocala, FL
- $23.71 - $44.09 an hour
- Full-time
- Background check
- Microsoft Outlook
- Computer literacy
- Paid parental leave
- Disability insurance
Care Management Social Worker
AdventHealth Palm Coast Parkway —Palm Coast, FL
- $23.71 - $44.09 an hour
- Day shift
- Background check
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Clin Social Wrkr IP/OP LCSW
UF Health —Gainesville, FL
- Full-time
- Master of Social Work
- Hospital
- Licensed Clinical Social Worker
7d
Social Work Care Management Neuro ED OBS Part Time
AdventHealth Orlando —Orlando, FL
- $21.56 - $44.09 an hour
- Part-time
- Background check
- Master of Social Work
- Microsoft Outlook
- Paid parental leave
- Disability insurance
Care Coordinator, Social Worker II - Arnold Palmer Hospital, Spina Bifida Clinic - Downtown Orlando
Orlando Health —Orlando, FL
- Full-time
- Mid-level
- Outpatient experience
- Clinic
- Paid parental leave
- Health savings account
7d
Social Work Care Management Neuro ED OBS Orlando Nights
AdventHealth Orlando —Orlando, FL
- $23.71 - $44.09 an hour
- Weekends as needed
- Background check
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
LCSW, Care Coordinator - Outpatient Specialty Neurologic Rehab Clinics - Hempel & Pineloch
Orlando Health —Orlando, FL
- Full-time
- Hospital
- Licensed Clinical Social Worker
- Mid-level
- Paid parental leave
- Loan repayment program
14d
Licensed Program Therapist
The Wave International —Clearwater, FL
- Full-time
- Background check
- LMFT
- CPR Certification
- Health savings account
- Health insurance
Quick Apply
11d
Social Worker MSW
Cleveland Clinic —Stuart, FL
- Full-time
- Master of Social Work
- Computer literacy
- Licensed Clinical Social Worker
1d
Care Coordinator, Social Worker II- Health Central Case Management- Part Time- Sat, Sun, one Weekday- Days
Orlando Health —Ocoee, FL
- Part-time
- Acute care
- Surgery
- Inpatient
- Benefits from day one
18h
Clinical Supervisor
DGP HEALTH & WELLNESS CORP —Delray Beach, FL
- Full-time
- LMFT
- Spanish
- Psychiatry
Quick Apply
Assistant Director of Research & Assessment
University of Florida —Gainesville, FL
- Doctoral degree
- Administrative experience
- University
Outpatient Clinical Program Manager
The Vines Behavioral Health Hospital —Ocala, FL
- Full-time
- Addiction Medicine
- Hospital
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
4d
Occupational Therapist
InnovAge —Tampa, FL
- $38.80 - $50.48 an hour
- Email
- Background check
- Clean driving record
- Doctoral degree
- AD&D insurance
- Paid holidays
3d
Regional Director of Outpatient Programs
Family First Adolescent Services —Tampa, FL
- Full-time
- LMFT
- Licensed Clinical Social Worker
- HIPAA
Quick Apply
11d
Clinical Director – Licensed Therapist
Access Granted Now, Inc. —Parrish, FL
- $85,000 - $95,000 a year
- Full-time
- LMFT
- CPR Certification
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
2d

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utilization review therapist jobs near florida

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE

Molina Healthcare -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour
1 day ago

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

Job Summary

Provides support for member services review assessment activities for a specific area of specialty. Responsible for ensuring that services are medically necessary, align with established clinical guidelines, insurance policies, and regulations, and that 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

Analyzes clinical service requests from members and 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 them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes member referrals to other clinical programs as appropriate.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to applicable utilization management policies and procedures.

Required Qualifications

At least 2 years experience in a hospital acute care, inpatient review, prior authorization, nursing, and/or managed care setting, or equivalent combination of relevant education and experience.
Occupational Therapist (OT), Physical Therapist (PT), Speech-Language Pathologist (SLP). 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.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

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: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

utilization review therapist jobs in florida

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE

Psychologist

Licensed Therapist

Social Work Specialist Medicine Orlando

Care Management Social Worker

Care Management Social Worker

Clin Social Wrkr IP/OP LCSW

Social Work Care Management Neuro ED OBS Part Time

Care Coordinator, Social Worker II - Arnold Palmer Hospital, Spina Bifida Clinic - Downtown Orlando

Social Work Care Management Neuro ED OBS Orlando Nights

LCSW, Care Coordinator - Outpatient Specialty Neurologic Rehab Clinics - Hempel & Pineloch

Licensed Program Therapist

Social Worker MSW

Care Coordinator, Social Worker II- Health Central Case Management- Part Time- Sat, Sun, one Weekday- Days

Clinical Supervisor

Assistant Director of Research & Assessment

Outpatient Clinical Program Manager

Occupational Therapist

Regional Director of Outpatient Programs

Clinical Director – Licensed Therapist

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