Top 881 Remote work from home Jobs in Spring Hill, 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
Remote ACA & Ancillaries Opportunity – Leads & Training Provided!
Ideal Concepts —Florida
- $60,000 - $90,000 a year
- Contract
- Remote
- Entry level
- Work from home
Quick Apply
4h
Licensed Health Insurance Agent (Remote) with a focus on Medicare Advantage, ACA and Final Expense
Dominion Outsourcing —Florida
- $18 - $21 an hour
- Remote
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
4d
Patient Services Specialist - Nurse
Serva Health LLC —Florida
- From $65,000 a year
- Weekends as needed
- Remote
- Background check
- Spanish
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Risk Adj Coding Specialist, Remote, Baptist Health Integrated Care,FT
Baptist Health South Florida —Florida
- $23.21 - $29.48 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
- Wellness program
- Health insurance
Pharmacy Care Representative - Work From Home Florida (Active Pharmacy Technician License Needed)
CVS Health —Florida
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Outlook
- Windows
- High school diploma or GED
- Paid holidays
- Health insurance
12d
Accounts Receivable Representative, Physician & Professional Services
Orlando Health —Wesley Chapel, FL
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Benefits from day one
Mobile Home Sales Agent
Integrity Manufactured Home Resales —Pasco County, FL
- $20,000 - $60,000 a year
- Part-time
- Remote
- Real Estate License
- Entry level
- Flexible schedule
Quick Apply
11d
Remote Account Executive
ReminderMedia —Spring Hill, FL
- $65,000 - $125,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Paid holidays
- Health insurance
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
Advertising and Promotions Planning Manager
Seatmatch —Florida
- $80,000 - $110,000 a year
- Full-time
- Remote
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Mortgage Loan Originator
Lending Hand Mortgage Corp. —Florida
- $110,454.16 - $250,000.00 a year
- Part-time
- Remote
- Background check
- Mid-level
- Math
- Work from home
- Flexible schedule
Quick Apply
Full Stack Developer - AI Trainer
DataAnnotation —Florida
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Advertising and Promotions Planning Manager
Seatmatch —Florida
- $80,000 - $110,000 a year
- Full-time
- Remote
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
PART TIME REMOTE OPERATIONS SITE MANAGER ABCD
Storage Asset Management —Brooksville, FL
- $20 an hour
- Part-time
- Remote
- Clean driving record
- Inventory management
- Writing skills
Quick Apply
11d
Director, Internal Accounts
BGIS —Hudson, FL
- $92,000 - $139,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Informatics Support Specialist
Gulfside Healthcare Services, Inc. —Land O' Lakes, FL
- On call
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Flexible schedule
Quick Apply
4d
ABSTRACTOR ASSO/I/II/III
Moffitt Cancer Center —Land O' Lakes, FL
- Full-time
- Remote
- Anatomy knowledge
- Computer Science
- Word processing
Licensed Clinical Social Worker
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Licensed Marriage and Family Therapist
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- LMFT
- Mid-level

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remote work from home jobs near spring hill, fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

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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 spring hill, fl

Care Review Clinician (BH Licensed) - Remote in FL

Remote ACA & Ancillaries Opportunity – Leads & Training Provided!

Licensed Health Insurance Agent (Remote) with a focus on Medicare Advantage, ACA and Final Expense

Patient Services Specialist - Nurse

Risk Adj Coding Specialist, Remote, Baptist Health Integrated Care,FT

Pharmacy Care Representative - Work From Home Florida (Active Pharmacy Technician License Needed)

Accounts Receivable Representative, Physician & Professional Services

Mobile Home Sales Agent

Remote Account Executive

E-Commerce Sales Manager

Advertising and Promotions Planning Manager

Mortgage Loan Originator

Full Stack Developer - AI Trainer

Advertising and Promotions Planning Manager

PART TIME REMOTE OPERATIONS SITE MANAGER ABCD

Director, Internal Accounts

Informatics Support Specialist

ABSTRACTOR ASSO/I/II/III

Licensed Clinical Social Worker

Licensed Marriage and Family Therapist

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

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