Top 836 Nurse Jobs in Deland, 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
Registered Nurse (RN) - Full time/Part-Time
North Florida Reproductive Medicine —Daytona Beach, FL
- $25 - $35 an hour
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse
VitalCore Health Strategies —Daytona Beach, FL
- $34 - $45 an hour
- Full-time
- Background check
- RN License
- Patient care
- Paid holidays
- Disability insurance
Quick Apply
1d
Home Health Clinical Manager
Centerwell —Daytona Beach, FL
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
14d
Registered Nurse RN Triage
Florida Cancer Specialists & Research Institute —Ormond Beach, FL
- Full-time
- Hybrid work
- Background check
- RN License
- BLS Certification
- Tuition reimbursement
- 401(k) matching
12d
Registered Nurse
Volusia County Schools —DeLand, FL
- $24.07 - $38.21 an hour
- School experience
- CPR Certification
- Nursing
Registered Nurse
Concentra Inc —Ormond Beach, FL
- $85,000 - $90,000 a year
- Full-time
- Nursing
- RN License
- HIPAA
Quick Apply
Registered Nurse RN Triage
Florida Cancer Specialists & Research Institute —Port Orange, FL
- Full-time
- Hybrid work
- Background check
- RN License
- BLS Certification
- Tuition reimbursement
- 401(k) matching
11d
IV Infusion Nurse FL (Volusia County)
IV Active —Daytona Beach, FL
- $50 - $150 an hour
- RN License
- Mid-level
- Critical & Intensive Care
Registered Nurse (RN) – 4 Day Flexible Schedule
Concierge Home Care —Sanford, FL
- $45 - $50 an hour
- 12 hour shift
- Background check
- RN License
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
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
NO OASIS - Home Health Nurse (RN) - Daytona, Ormond, Palm Coast
Onyx Home Care —Daytona Beach, FL
- $50 - $60 an hour
- Choose your own hours
- RN License
- Home Health
- Entry level
- Mileage reimbursement
- Dental insurance
Registered Nurse Outpatient Oncology
The Oncology Institute of Hope and Innovation —Lake Mary, FL
- $40 - $47 an hour
- Full-time
- Spanish
- Nursing
- RN License
- Continuing education credits
- AD&D insurance
Quick Apply
Registered Nurse (RN) - PRN Days | Orange City Rehab
PAM Health, LLC —Orange City, FL
- PRN
- RN License
- Hospital
- BLS Certification
- Opportunities for advancement
- Referral program
Quick Apply
11d
Home Health Visiting Registered Nurse (RN)
HEALTH CARE 4 ALL INC —Sanford, FL
- $50 an hour
- Part-time
- CPR Certification
- RN License
- Mid-level
- Opportunities for advancement
- Flexible schedule
Quick Apply
Clinical Care Nurse (RN)
Conviva Senior Primary Care —Orange City, FL
- $71,100 - $97,800 a year
- Full-time
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
1d
Registered Nurse - Men's Residential Treatment - Deland
SMA Healthcare Inc —DeLand, FL
- Part-time
- Background check
- CPR Certification
- Clean driving record
- Paid holidays
- Disability insurance
Endoscopy Registered Nurse
Wellness Avenue Surgery (12213-1) —Orange City, FL
- Full-time
- Nursing
- Surgery
- OSHA
- Health savings account
- Paid holidays
Nurse Case Manager
FirstLight Home Care of Volusia —DeLand, FL
- $50 - $100 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
- Paid training
- Paid holidays
Quick Apply
Registered Nurse - PRN
Concentra Inc —Ormond Beach, FL
- $40 - $50 an hour
- Per diem
- Nursing
- RN License
- HIPAA

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nurse jobs near deland, 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

nurse jobs in deland, fl

Care Review Clinician (BH Licensed) - Remote in FL

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IV Infusion Nurse FL (Volusia County)

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Care Review Clinician (RN) Remote

NO OASIS - Home Health Nurse (RN) - Daytona, Ormond, Palm Coast

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Registered Nurse (RN) - PRN Days | Orange City Rehab

Home Health Visiting Registered Nurse (RN)

Clinical Care Nurse (RN)

Registered Nurse - Men's Residential Treatment - Deland

Endoscopy Registered Nurse

Nurse Case Manager

Registered Nurse - PRN

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