Top 170 Clinical project Jobs in Gainesville, 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
Systems Analyst
The Cardiac and Vascular Institute —Gainesville, FL
- Computer literacy
- HIPAA
- Mid-level
Quick Apply
Health Science Specialist
North Florida Foundation for Research and Education Inc —Gainesville, FL
- $57,118 - $69,107 a year
- Full-time
- Writing skills
- Mid-level
- Bachelor's degree
Quick Apply
Clinical Research Coord II
University of Florida —Gainesville, FL
- $55,000 - $60,000 a year
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
4d
Research Coordinator I
University of Florida —Gainesville, FL
- $40,000 - $45,000 a year
- Online Application
- Microsoft Access
- Psychiatry
- Addiction Medicine
- Wellness program
- Paid parental leave
Systems Engineer
Elsevier —Gainesville, FL
- $71,600 - $119,400 a year
- Full-time
- DevOps
- AWS
- Continuous improvement
Clinical Research Coordinator III
University of Florida —Gainesville, FL
- $66,000 - $76,000 a year
- Full-time
- Management
- Customer service
- HIPAA
OPS Clinical Trials Assistant
University of Florida —Gainesville, FL
- $15 an hour
- Temporary
- Computer literacy
- High school diploma or GED
- University
12d
Clinical Specialist I, CPT - Gainesville, FL
Abbott Laboratories —Gainesville, FL
- $61,300 - $122,700 a year
- Full-time
- Clinic experience
- Bachelor's degree
- Operating room
- Health insurance
- Tuition reimbursement
OPS Education Admin – Department of Psychiatry
University of Florida —Gainesville, FL
- $19 an hour
- Temporary
- Remote
- Psychiatry
- Mentoring
- US work authorization
Administrative Specialist II - Pediatric Child Health Research Institute
University of Florida —Gainesville, FL
- $60,000 - $70,000 a year
- Full-time
- Writing skills
- HIPAA
- Mid-level
9d
Donor Services Coordinator II - Mid Shift
Lions World Vision Institute —Gainesville, FL
- $24.30 - $28.50 an hour
- Weekends as needed
- Mid-level
- Office
- Databases
- AD&D insurance
- Health insurance
Quick Apply
Res/Fellowship Prog Assistant
University of Florida —Gainesville, FL
- $23.95 - $26.34 an hour
- Online Application
- Psychiatry
- Addiction Medicine
- Mid-level
- Wellness program
- Paid parental leave
Remote Clinical Psychologist (PhD/PsyD) – Autism Assessments
Prosper Health —Florida
- $95 - $110 an hour
- Part-time
- Remote
- Adults
- Mid-level
- Doctor of Philosophy
- Continuing education credits
- Health insurance
Quick Apply
Post-Award Research Grants Administrator, Research Admin, FT,8A-4:30P
Baptist Health South Florida —Florida
- Full-time
- Microsoft Outlook
- Mid-level
- Finance
- Wellness program
- Health insurance
Area Director of Clinical Operations (North Florida area)
Florida Cancer Specialists & Research Institute —Gainesville, FL
- Full-time
- Background check
- Nursing
- 7 years
- Tuition reimbursement
- 401(k) matching
Director Emergency Services
UF Health —Gainesville, FL
- $112,882 - $191,755 a year
- Full-time
- Nursing
- RN License
- Customer service
9d
Locum Physician (MD/DO) - Emergency Medicine in Florida
LocumJobsOnline —Florida
- Full-time
- Medicine
- BC/BE
- BLS Certification
- Travel reimbursement
Administrative Fellowship - University of Florida, College of Medicine
University of Florida —Gainesville, FL
- $70,000 a year
- Full-time
- Research
- Master's degree
- University
Clinical Research Coord II-Multiple Sclerosis (MS) Division
University of Florida —Gainesville, FL
- $53,000 - $65,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills

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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

clinical project jobs in gainesville, fl

Care Review Clinician (BH Licensed) - Remote in FL

Systems Analyst

Health Science Specialist

Clinical Research Coord II

Research Coordinator I

Systems Engineer

Clinical Research Coordinator III

OPS Clinical Trials Assistant

Clinical Specialist I, CPT - Gainesville, FL

OPS Education Admin – Department of Psychiatry

Administrative Specialist II - Pediatric Child Health Research Institute

Donor Services Coordinator II - Mid Shift

Res/Fellowship Prog Assistant

Remote Clinical Psychologist (PhD/PsyD) – Autism Assessments

Post-Award Research Grants Administrator, Research Admin, FT,8A-4:30P

Area Director of Clinical Operations (North Florida area)

Director Emergency Services

Locum Physician (MD/DO) - Emergency Medicine in Florida

Administrative Fellowship - University of Florida, College of Medicine

Clinical Research Coord II-Multiple Sclerosis (MS) Division

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