Top 1148 Clinician Jobs in Apopka, Fl

Care Review Clinician (RN) Remote
Molina Healthcare —Mid Florida, FL
- $26.41 - $51.49 an hour
- 8 hour shift
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician (RN) - Remote in FL
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Outpatient Endoscopy Center, Registered Nurse, Part-Time Days
Orlando Health —Clermont, FL
- Part-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Loan repayment program
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Clinical Documentation Excellence I, RN - Full Time - Lakeland
Orlando Health —Orlando, FL
- Full-time
- Nursing
- RN License
- Hospital
Lymphedema Therapist
EdemaCare —Orlando, FL
- Part-time
- Bilingual
- Background check
- Mid-level
- Mileage reimbursement
- Disability insurance
Quick Apply
Physical Therapist Home Health SIGN ON BONUS $10,000
Pinnacle Home Care —Celebration, FL
- Full-time
- BLS Certification
- Physical & Rehabilitation Medicine
- Mid-level
- Referral program
Quick Apply
4d
Radiologist
Inspire Radiology Group, LLC —Lake Butler, FL
- $760,000 - $880,000 a year
- 8 hour shift
- Remote
- Hospital
- BC/BE
- Mid-level
- Tuition reimbursement
- Professional development assistance
Quick Apply
5d
Remote Outpatient Psychiatrist (MD/DO) – Flexible Schedule | $325K+
Talkiatry —Orlando, FL
- $325,000 - $375,000 a year
- Part-time
- Medicine
- Doctoral degree
- Psychiatry
- Paid parental leave
- Health savings account
Quick Apply
Traumatic Brain Injury (TBI)
Matrix Providers —Florida
- Psychiatry
- Mid-level
- Neurology
Quick Apply
4d
Physical Therapist - Home Healthcare - West Orange Count/Lake County
TEHC Healthcare —Zellwood, FL
- Full-time
- CPR Certification
- Anatomy knowledge
- BLS Certification
- Flexible schedule
Quick Apply
Physical Therapist - Home Healthcare
TEHC Healthcare —Clermont, FL
- Full-time
- CPR Certification
- Anatomy knowledge
- BLS Certification
- Flexible schedule
Quick Apply
General Dentist
Confidencial —Orlando, FL
- Part-time
- Spanish
- Dental office
- In-person
Quick Apply
Home Health RN Clinical Manager (Office position)
Elevate Home Health —Lake Mary, FL
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Remote Outpatient Psychiatrist (MD/DO) – Flexible Schedule | $325K+
Talkiatry —Florida
- $325,000 - $375,000 a year
- Part-time
- Medicine
- Doctoral degree
- Psychiatry
- Paid parental leave
- Health savings account
Quick Apply
Registered Nurse Home Health
Pinnacle Home Care —Clermont, FL
- Full-time
- RN License
- BLS Certification
- Mid-level
- Referral program
Quick Apply
Physical Therapist - Home Healthcare
TEHC Healthcare —Orlando, FL
- Choose your own hours
- Background check
- CPR Certification
- Anatomy knowledge
- Flexible schedule
Quick Apply
Licensed Practical Nurse Home Health
Pinnacle Home Care —Clermont, FL
- Full-time
- Nursing
- LVN
- BLS Certification
- Referral program
Quick Apply
Mental Health Professional-LMHC, LMFT, LCSW, Psychologist
VitalCore Health Strategies —Orlando, FL
- $38 an hour
- PRN
- LMFT
- Psychiatry
- Licensed Clinical Social Worker
Quick Apply
Assistant Nurse Manager RN Multisystem ICU and PCU Nights
AdventHealth Minneola —Minneola, FL
- $33.99 - $63.22 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Free parking
- Paid parental leave
Quick Apply

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clinician jobs near apopka, fl

Care Review Clinician (RN) Remote

Molina Healthcare -
Mid Florida, FL

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

RN License
Productivity software

Full Job Description

JOB DESCRIPTION

This RN will act as a* Care Review Clinician* supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.

This is a telephonic remote position and productivity is important. Preferred candidates will have previous utilization management, case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.

Schedule: Monday through Friday 8:00AM to 5:00PM EST 8 hours (Weekends, no nights, no call.)

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.

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

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

clinician jobs in apopka, fl

Care Review Clinician (RN) Remote

Care Review Clinician (RN) - Remote in FL

Outpatient Endoscopy Center, Registered Nurse, Part-Time Days

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Clinical Documentation Excellence I, RN - Full Time - Lakeland

Lymphedema Therapist

Physical Therapist Home Health SIGN ON BONUS $10,000

Radiologist

Remote Outpatient Psychiatrist (MD/DO) – Flexible Schedule | $325K+

Traumatic Brain Injury (TBI)

Physical Therapist - Home Healthcare - West Orange Count/Lake County

Physical Therapist - Home Healthcare

General Dentist

Home Health RN Clinical Manager (Office position)

Remote Outpatient Psychiatrist (MD/DO) – Flexible Schedule | $325K+

Registered Nurse Home Health

Physical Therapist - Home Healthcare

Licensed Practical Nurse Home Health

Mental Health Professional-LMHC, LMFT, LCSW, Psychologist

Assistant Nurse Manager RN Multisystem ICU and PCU Nights

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