Top 7271 Health Technologists and Technicians, All Other Jobs in Tallahassee, FL

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
RN Psychiatric | Nights | Pediatrics | Tallahassee, FL
Amergis Healthcare Staffing —Tallahassee, FL
- $1,548 a week
- 18 years or older
- CPR Certification
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant
HCA Florida Capital Cardiology Specialists —Tallahassee, FL
- Full-time
- No experience needed
- 1 year
- No travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
11d
Mobile Health Technician
Examinetics Inc —Tallahassee, FL
- $23.50 an hour
- Background check
- Clean driving record
- Vital signs
- Paid training
- Health insurance
Quick Apply
13d
Medical Assistant
Solaris Health Holdings LLC —Tallahassee, FL
- Full-time
- Vital signs
- Medical office experience
- HIPAA
Quick Apply
Lab Assistant - $19.50
OneBlood —Tallahassee, FL
- $19.50 an hour
- Full-time
- Computer literacy
- Writing skills
- English
4d
Janitorial Associate
Walmart —Tallahassee, FL
- $15 - $28 an hour
- Part-time
- High school
- Sanitation
- Entry level
- Paid jury duty
- Disability insurance
Retail Stocking Associate - Part Time
Burlington Stores —Tallahassee, FL
- $15 an hour
- Part-time
- Merchandising
- Organizational skills
- Entry level
- Paid holidays
- Health insurance
8h
Telemetry Technician - Per Diem
Select Specialty Hospital - Tallahassee —Tallahassee, FL
- $21 an hour
- 12 hour shift
- Inpatient
- High school diploma or GED
- Critical & Intensive Care
- Opportunities for advancement
Cleaner
ServiceMaster Commercial Cleaning by Professionals —Tallahassee, FL
- $16 an hour
- Part-time
- Background check
- Classroom
- Sanitation
- Health insurance
- Dental insurance
Quick Apply
14h
Patient Care Technician - In-Home Caregiver
Tally In Home Care —Tallahassee, FL
- From $22 an hour
- Part-time
- Experience working with individuals with disabilities
- Home health
- Reliable transportation
Quick Apply
12d
Laboratory Assistant
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Pediatrics
- 2 years
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
5d
Clerk Services Assistance- Trial Clerk
Leon County Clerk of Courts and Comptroller's Office —Tallahassee, FL
- $19.23 an hour
- Part-time
- Background check
- Office
- Administrative experience
3d
Call Center Representative - English & Spanish (Remote)
Stratford Solutions Inc. —Tallahassee, FL
- $18 an hour
- Weekends as needed
- Remote
- Spanish
- Computer literacy
- High school diploma or GED
Quick Apply
6d
Mental Health Prof II Mast PRN
HCA Florida Capital Hospital —Tallahassee, FL
- PRN
- No experience needed
- Fingerprint clearance
- No travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
12d
Patient Care Technician
HCA Florida Capital Hospital —Tallahassee, FL
- Part-time
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
3h
Cashier/Customer Service Representative
Trader Joe’s —Tallahassee, FL
- $21.87 - $26.34 an hour
- Part-time
- Bilingual
- Writing skills
- Supervising experience
Quick Apply
Dietary Aide
Miracle Hill Nursing and Rehabilitation —Tallahassee, FL
- Full-time
- Rehabilitation center
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
10d
Part-Time Test Administrator
Prometric Testing —Tallahassee, FL
- $15 - $18 an hour
- Part-time
- Customer service
- Entry level
- On-the-job training
Quick Apply
5d
Patient Care Representative
Capital Health Plan —Tallahassee, FL
- Full-time
- High school diploma or GED
- Communication skills
- Entry level
- AD&D insurance
- Disability insurance
Quick Apply

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Health Technologists and Technicians, All Other jobs near Tallahassee, FL

Care Review Clinician (RN) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Acute care facility experience
Pre-authorization review for utilization management
Productivity software

Full Job Description

JOB DESCRIPTION

Must reside in Florida

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - 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 to ensure 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 (MDs) and presents them 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 the Molina care model.
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). 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.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.

Utilization Management (UM) experience highly preferred.

#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

Health Technologists and Technicians, All Other jobs in Tallahassee, FL

Care Review Clinician (RN) - Remote in FL

RN Psychiatric | Nights | Pediatrics | Tallahassee, FL

Medical Assistant

Mobile Health Technician

Medical Assistant

Lab Assistant - $19.50

Janitorial Associate

Retail Stocking Associate - Part Time

Telemetry Technician - Per Diem

Cleaner

Patient Care Technician - In-Home Caregiver

Laboratory Assistant

Clerk Services Assistance- Trial Clerk

Call Center Representative - English & Spanish (Remote)

Mental Health Prof II Mast PRN

Patient Care Technician

Cashier/Customer Service Representative

Dietary Aide

Part-Time Test Administrator

Patient Care Representative

I want to receive the latest job alert for Health Technologists and Technicians, All Other in Tallahassee, FL

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