Top 87 Senior social 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
Customer Success Manager
Feathr —Gainesville, FL
- $75,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Contracts
- Paid holidays
- Health insurance
Quick Apply
6d
Senior Inside Sales Advisor (Remote/Eastern Time)
A Place for Mom —Gainesville, FL
- $24.76 an hour
- Weekends as needed
- Remote
- Bachelor's degree
- US work authorization
- Senior level
- Health insurance
- Dental insurance
Quick Apply
DELINQUENCY PREVENTION CASE MANAGER FAMILY AD
The LJD Jewish Family & Community Services —Gainesville, FL
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Paid holidays
- Paid time off
Quick Apply
FAMILY CARE COUNSELOR
The LJD Jewish Family and Community Services —Gainesville, FL
- From $51,000 a year
- Full-time
- Bachelor's degree
- Children
- Conflict management
- Paid holidays
- Paid time off
Quick Apply
Senior Social Worker - Substance Use Disorder (SUD) Specialist
US Veterans Health Administration —Gainesville, FL
- $100,090 - $130,120 a year
- Online Application
- Background check
- Master of Social Work
- Pass drug screening
- Paid parental leave
- Paid holidays
Senior Social Worker - Veteran Justice Outreach
US Veterans Health Administration —Gainesville, FL
- $100,090 - $130,120 a year
- Online Application
- Background check
- Master of Social Work
- Writing skills
- Paid parental leave
- Paid holidays
5d
GOVERNMENT OPERATIONS CONSULTANT I - 67013410
The State of Florida —Gainesville, FL
- $3,460.80 - $3,806.88 a month
- Online Application
- Background check
- Microsoft Outlook
- Psychiatry
- Paid holidays
- Health insurance
7d
Part Time Activities Assistant
The Atrium at Gainesville —Gainesville, FL
- $15 - $18 an hour
- Part-time
- Databases
- Trade school
- Associate's degree
- Paid training
- Wellness program
Quick Apply
Family and Community Engagement Coordinator
Childrens Home Society of Florida —Gainesville, FL
- $21.63 an hour
- Background check
- School experience
- Spanish
- Paid holidays
- Paid time off
Quick Apply
HUMAN SERVICES SENIOR SUPERVISOR - SES - 67052779
The State of Florida —Gainesville, FL
- $2,941.68 - $3,235.84 a month
- Online Application
- Background check
- CPR Certification
- Microsoft Outlook
- Paid holidays
- Health insurance
6d
Sales and Outreach Director
Trustwell Living at Hunters Crossing Place AL —Gainesville, FL
- $60,000 - $70,000 a year
- Evenings as needed
- Pass drug screening
- Mid-level
- 2 years
- 401(k) matching
Quick Apply
1d
ASSISTANT DISTRICT ADMINISTRATOR-SES - 48007238
The State of Florida —Gainesville, FL
- $52,530 - $57,783 a year
- Background check
- Experience working with individuals with disabilities
- Office
- Paid holidays
- Dental insurance
13d
Associate Director of Strategic Engagement
University of Florida —Gainesville, FL
- $75,000 - $84,500 a year
- Full-time
- Microsoft Word
- Clean driving record
- Microsoft Excel
- Paid holidays
- Disability insurance
PRN Home Health Social Worker
HCA Florida Healthcare at Home —Gainesville, FL
- PRN
- Mid-level
- Home Health
- Reliable transportation
- Employee stock purchase plan
- Disability insurance
Quick Apply
REHABILITATION TECHNICIAN-BLIND (OPS) - 48006099
The State of Florida —Gainesville, FL
- $18.51 an hour
- Temporary
- Background check
- Experience working with individuals with disabilities
- 5 years
9d
RESIDENTIAL UNIT SPECIALIST - 67052802
The State of Florida —Gainesville, FL
- $2,673.84 - $2,941.24 a month
- Online Application
- Background check
- CPR Certification
- Hospital
- Paid holidays
- Health insurance
BEHAVIORAL SPECIALIST - 67072477
The State of Florida —Gainesville, FL
- $3,460.80 - $3,806.88 a month
- Online Application
- Background check
- CPR Certification
- Writing skills
- Paid holidays
- Health insurance
7d
EDUCATION AND TRAINING SPECIALIST - 67014097
The State of Florida —Gainesville, FL
- $36,554.70 - $40,210.17 a year
- Online Application
- Background check
- Microsoft Outlook
- Writing skills
- Paid holidays
- Health insurance
7d
Digital Marketing & Events Director (PRN/Part-Time)
Hopewell In-Home Senior Care —Gainesville, FL
- $30 - $40 an hour
- Part-time
- Background check
- Marketing
- Mid-level
- Health insurance
- 401(k)
Quick Apply

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senior social jobs near gainesville, 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

senior social jobs in gainesville, fl

Care Review Clinician (BH Licensed) - Remote in FL

Customer Success Manager

Senior Inside Sales Advisor (Remote/Eastern Time)

DELINQUENCY PREVENTION CASE MANAGER FAMILY AD

FAMILY CARE COUNSELOR

Senior Social Worker - Substance Use Disorder (SUD) Specialist

Senior Social Worker - Veteran Justice Outreach

GOVERNMENT OPERATIONS CONSULTANT I - 67013410

Part Time Activities Assistant

Family and Community Engagement Coordinator

HUMAN SERVICES SENIOR SUPERVISOR - SES - 67052779

Sales and Outreach Director

ASSISTANT DISTRICT ADMINISTRATOR-SES - 48007238

Associate Director of Strategic Engagement

PRN Home Health Social Worker

REHABILITATION TECHNICIAN-BLIND (OPS) - 48006099

RESIDENTIAL UNIT SPECIALIST - 67052802

BEHAVIORAL SPECIALIST - 67072477

EDUCATION AND TRAINING SPECIALIST - 67014097

Digital Marketing & Events Director (PRN/Part-Time)

I want to receive the latest job alert for senior social in gainesville, fl

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