Top 140 Director of social Jobs in Stuart, 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
Foundation Operations Manager
The Club at Admirals Cove —Jupiter, FL
- $70,000 - $80,000 a year
- Weekends as needed
- Customer service
- 5 years
- Mid-level
- Health savings account
- Health insurance
Quick Apply
6d
Lifestyles Services Director
Harbor Place Port St. Lucie —Port Saint Lucie, FL
- Weekends as needed
- Background check
- Hospitality
- Clean driving record
Quick Apply
13d
YouthBuild Program Director
Boys & Girls Clubs of Martin County —Stuart, FL
- $80,000 a year
- Weekends as needed
- Spanish
- English
- 3 years
- Health savings account
- Health insurance
Quick Apply
7d
Program Director
Mentor Community Services —Stuart, FL
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid holidays
- Paid time off
Social Services / Inside Admissions Coordinator
Palm City Nursing and Rehab Center —Palm City, FL
- Background check
- Computer literacy
- Mid-level
Quick Apply
Human Resources Generalist
Coral Shores Behavioral Health —Stuart, FL
- Full-time
- Mid-level
- Bachelor's degree
- Budgeting
- Health insurance
- Dental insurance
Program Director (AmeriCorps)
Boys & Girls Clubs of Martin County —Hobe Sound, FL
- $70,000 a year
- Nights as needed
- Background check
- Customer service
- Public speaking
- Paid holidays
- Disability insurance
Quick Apply
Business Office Director
The Lynmoore at Lawnwood —Fort Pierce, FL
- Full-time
- Background check
- Recruiting
- Fingerprint clearance
- Paid training
- Paid holidays
Quick Apply
5d
PBG ECLC LEAD TEACHER
MANDEL JEWISH COMMUNITY CENTER OF THE PALM BEACHES INC —Palm Beach Gardens, FL
- $43,680 - $52,250 a year
- Full-time
- Classroom
- CPR Certification
- Mid-level
Quick Apply
Preschool Teacher or Assistant Teacher
Expansion Church —Port Saint Lucie, FL
- $15 - $20 an hour
- Full-time
- Bilingual
- Background check
- School experience
- Health insurance
- Dental insurance
Quick Apply
Sales Manager – Food & Nutrition
Quadra Group —Florida
- $135,000 - $198,600 a year
- Overnight shift
- 3 years
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Director - Workday Payroll
Jupiter Medical Center —Jupiter, FL
- On call
- 5 years
- Finance
- Master's degree
APRN- JMCPG Pain Management
Jupiter Medical Center —Jupiter, FL
- Nursing
- Inpatient
- Ability to lift 50 pounds
11d
RN Nursing Supervisor-Nursing Administration-Full Time
Jupiter Medical Center —Jupiter, FL
- Full-time
- Nursing
- RN License
- PALS Certification
TCH-Social Studies 6-8
St. Lucie Public Schools —Port Saint Lucie, FL
- Multiple hires
- 18 years or older
- Pass drug screening
- High school diploma or GED
Mobile Responder -Bachelor's, Master's and Licensed Positions! Day Shift *Bilingual a Plus!
New Horizons of the Treasure Coast Inc. —Fort Pierce, FL
- $74,805 a year
- Full-time
- LMFT
- Spanish
- Mid-level
- Paid training
- Paid holidays
Quick Apply
Director of Performance Improvement
Sandy Pines Hospital —Jupiter, FL
- Full-time
- Mid-level
- Residential
- 3 years
- Health savings account
- AD&D insurance
Quick Apply
Program Director
Kids in the City Academy —Fort Pierce, FL
- $34 an hour
- Part-time
- Background check
- School experience
- Spanish
DIR - ADMISSIONS
SandyPines Residential Treatment Center —Tequesta, FL
- Full-time
- Management
- Writing skills
- Mid-level
- Health insurance
- Dental insurance

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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

director of social jobs in stuart, fl

Care Review Clinician (BH Licensed) - Remote in FL

Foundation Operations Manager

Lifestyles Services Director

YouthBuild Program Director

Program Director

Social Services / Inside Admissions Coordinator

Human Resources Generalist

Program Director (AmeriCorps)

Business Office Director

PBG ECLC LEAD TEACHER

Preschool Teacher or Assistant Teacher

Sales Manager – Food & Nutrition

Director - Workday Payroll

APRN- JMCPG Pain Management

RN Nursing Supervisor-Nursing Administration-Full Time

TCH-Social Studies 6-8

Mobile Responder -Bachelor's, Master's and Licensed Positions! Day Shift *Bilingual a Plus!

Director of Performance Improvement

Program Director

DIR - ADMISSIONS

I want to receive the latest job alert for director of social in stuart, fl

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