Top 227 Nurse Jobs in Okeechobee, 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
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
PRN Emergency Room RN
HCA Florida Raulerson Hospital —Okeechobee, FL
- PRN
- Mid-level
- Pediatrics
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
14d
CDI Specialist
HCTec —Florida
- Up to $95,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
RN Case Manager Nurse PRN
HCA Florida Raulerson Hospital —Okeechobee, FL
- PRN
- Mid-level
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
9d
RN Needed in OKEECHOBEE
Family Pillars Homecare —Okeechobee, FL
- $35 an hour
- Urgently hiring
- Clean driving record
- RN License
- BLS Certification
Quick Apply
RN, Admissions (weekends)
Hospice of Okeechobee, Inc —Okeechobee, FL
- $67,976.53 - $106,213.33 a year
- Weekends as needed
- Background check
- Spanish
- RN License
Quick Apply
21h
Registered Nurse
Centurion Health —Okeechobee, FL
- 8 hour shift
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Disability insurance
Quick Apply
RN Care Coordinator
Hospice of Okeechobee, Inc —Okeechobee, FL
- $61,860.66 - $96,657.28 a year
- Full-time
- Background check
- RN License
- BLS Certification
Quick Apply
Registered Nurse
Valor Healthcare, Inc. —Okeechobee, FL
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
Registered Nurse - IVIG Infusion Opportunities - PRN
Pro Med Healthcare Services —Okeechobee, FL
- Part-time
- RN License
- BLS Certification
- Mid-level
Quick Apply
Admissions RN
VITAS Healthcare —Okeechobee, FL
- $39 an hour
- Full-time
- RN License
- Mid-level
- Home health
- Disability insurance
- Health insurance
Quick Apply
Med Surg RN
HCA Florida Raulerson Hospital —Okeechobee, FL
- Full-time
- Medical-Surgical
- 1 year
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registered Nurse
Shirley's Personal Care Services —Okeechobee, FL
- Temporary
- Nursing
- Vital signs
- Hospital
- Health insurance
- Flexible schedule
Quick Apply
Lisence Practical Nurse
Shirley's Personal Care Services —Okeechobee, FL
- Part-time
- Vital signs
- Hospital
- BLS Certification
- Health insurance
- Flexible schedule
Quick Apply
Licensed Practical Nurse
DPS Home Health Agency Inc —Okeechobee, FL
- Background check
- Vital signs
- Mid-level
Quick Apply
New Graduate Nurse Residency
HCA Florida Raulerson Hospital —Okeechobee, FL
- Full-time
- Adults
- No experience needed
- Travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
REGISTERED NURSE - 50453001
The State of Florida —Port Saint Lucie, FL
- $67,742.74 a year
- Weekends as needed
- CPR Certification
- Nursing
- Skilled nursing facility
- Paid holidays
- Dental insurance
ICU RN
HCA Florida Raulerson Hospital —Okeechobee, FL
- Full-time
- Mid-level
- Critical & Intensive Care
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
6d
Home Health Registered Nurse
Socra Health —Okeechobee, FL
- $35 - $40 an hour
- Contract
- Vital signs
- RN License
- HIPAA
Quick Apply
14d

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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

nurse jobs in okeechobee, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (RN) - Remote in FL

PRN Emergency Room RN

CDI Specialist

RN Case Manager Nurse PRN

RN Needed in OKEECHOBEE

RN, Admissions (weekends)

Registered Nurse

RN Care Coordinator

Registered Nurse

Registered Nurse - IVIG Infusion Opportunities - PRN

Admissions RN

Med Surg RN

Registered Nurse

Lisence Practical Nurse

Licensed Practical Nurse

New Graduate Nurse Residency

REGISTERED NURSE - 50453001

ICU RN

Home Health Registered Nurse

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