Top 32776 Special Education Teachers, All Other Jobs in Tampa, FL

Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Saint Petersburg, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Reading Teacher/Tutor/Reading Therapist - 4 yr degree in education or speech path
Brandon Reading Clinic —Brandon, FL
- $22 - $26 an hour
- Part-time
- Mid-level
- 3 years
- Experience working with children
- 401(k)
- 401(k) matching
Quick Apply
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
Special Agent: Psychology/Counseling Expertise
Federal Bureau of Investigation —Tampa, FL
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
Special Agent: Education/Teaching Expertise
Federal Bureau of Investigation —Tampa, FL
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Education
- Bachelor's degree
Part Time Online Teachers -All Subjects
Hudson Global Scholars —Tampa, FL
- Part-time
- Remote
- School experience
- Teaching Certification
- Mid-level
Quick Apply
Program Manager/Training Lead
Contact Government Services, LLC —Tampa, FL
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Special Education Teacher - Florida Connections Academy
Connections Education —Temple Terrace, FL
- Remote
- Experience working with individuals with disabilities
- Teaching Certification
- Mid-level
Treatment Counselor (Children's Services)
Hillsborough County, Florida —Tampa, FL
- $56,451.20 - $73,386.56 a year
- Background check
- Management
- Customer service
Behavioral Health Care Advocate - UM - Remote
Optum —Tampa, FL
- $60,200 - $107,400 a year
- Full-time
- Microsoft Outlook
- Pass drug screening
- Mid-level
Quick Apply
Victim Advocate
THE CRISIS CENTER OF TAMPA BAY INC —Tampa, FL
- Weekends as needed
- HIPAA
- Mid-level
- Office
Quick Apply
Admissions Representative
UMA Education —Tampa, FL
- $20 an hour
- Weekends as needed
- Remote
- 18 years or older
- High school diploma or GED
- Travel
- Paid training
- Health savings account
Quick Apply
Patient Advocate- Tampa
MAXhealth —Tampa, FL
- From $23 an hour
- Full-time
- Hybrid work
- Adults
- High school diploma or GED
- Leadership
- Paid holidays
- Disability insurance
Quick Apply
10d
Human Resource Wellness Coordinator
Hillsborough County, Florida —Tampa, FL
- $65,000 a year
- CPR Certification
- Customer service
- Ability to walk for extended periods
- Wellness program
11d
Health Educator (Remote in Florida)
Molina Healthcare —Tampa, FL
- $19.84 - $38.69 an hour
- Full-time
- Remote
- Bachelor of Science
- Research
- Mid-level
- Health insurance
Real Estate Attorney & Instructor
Old Republic Title —Tampa, FL
- Full-time
- Hybrid work
- 5 years
- Public speaking
- Residential
- Free parking
- Health savings account
Corporate Paralegal 5+ years experience
Older Lundy Alvarez & Koch —Tampa, FL
- $65,000 - $73,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Physical Therapist - PT
Florida Orthopaedic Institute —Sun City Center, FL
- $77,000 - $100,000 a year
- CPR Certification
- Patient monitoring
- BLS Certification
- Continuing education credits
- Paid holidays
Quick Apply
Speech Language Pathologist Home Health PRN
Bon Secours by Compassus —Sun City Center, FL
- Part-time
- OSHA
- Mid-level
- Master's degree
- Tuition reimbursement
Quick Apply

I want to receive the latest job alert for Special Education Teachers, All Other in Tampa, FL

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Special Education Teachers, All Other jobs near Tampa, FL

Care Review Clinician (RN) - Remote in FL

Molina Healthcare, Inc. -
Tampa, FL

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

Special Education Teachers, All Other jobs in Tampa, FL

Care Review Clinician (RN) - Remote in FL

Care Review Clinician (RN) - Remote in FL

Reading Teacher/Tutor/Reading Therapist - 4 yr degree in education or speech path

Care Review Clinician (RN) - Remote in FL

Special Agent: Psychology/Counseling Expertise

Special Agent: Education/Teaching Expertise

Part Time Online Teachers -All Subjects

Program Manager/Training Lead

Special Education Teacher - Florida Connections Academy

Treatment Counselor (Children's Services)

Behavioral Health Care Advocate - UM - Remote

Victim Advocate

Admissions Representative

Patient Advocate- Tampa

Human Resource Wellness Coordinator

Health Educator (Remote in Florida)

Real Estate Attorney & Instructor

Corporate Paralegal 5+ years experience

Physical Therapist - PT

Speech Language Pathologist Home Health PRN

I want to receive the latest job alert for Special Education Teachers, All Other in Tampa, FL

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected