Top 897 Clinician Jobs in Hialeah, Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Utilization Review Specialist
Ascend Healthcare —Miami, FL
- $75,000 - $82,000 a year
- Full-time
- Remote
- Background check
- LMFT
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Miami, 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. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Molina Healthcare —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
5d
Pediatric Occupational Therapist
CREATIVE KIDS THERAPY —Miami Lakes, FL
- $55 - $58 an hour
- Full-time
- Background check
- CPR Certification
- BLS Certification
- Flexible schedule
Quick Apply
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
W2 Therapist for Private Practice
Genesis Counseling —Pembroke Pines, FL
- $70 - $125 an hour
- Full-time
- Private practice
- LMFT
- Microsoft Excel
- Health insurance
- 401(k) matching
Quick Apply
Physical Therapist - Pelvic Floor Specialist
Aries Physical Therapy —Fort Lauderdale, FL
- $80,000 - $100,000 a year
- Urgently hiring
- Physical & Rehabilitation Medicine
- Mid-level
- Clinic
- Continuing education credits
- Health insurance
Quick Apply
23h
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
Implant dentist (Full-Arch & Advanced Implant Surgery)
Drill Dental —Aventura, FL
- $105,499.67 - $127,053.37 a year
- Part-time
- Dental office
- Surgery
- 5 years
Quick Apply
5d
Physical Therapist PT - West Pembroke Pines
CORA Physical Therapy —Pembroke Pines, FL
- $37.88 - $50.00 an hour
- Full-time
- Physical & Rehabilitation Medicine
- Outpatient experience
- Clinic
- Continuing education credits
- Disability insurance
Quick Apply
Digital Health Specialist - Physical Therapist - Hybrid
CORA Physical Therapy —Fort Lauderdale, FL
- $37.88 - $50.00 an hour
- Full-time
- Hybrid work
- Physical & Rehabilitation Medicine
- Mid-level
- Clinic
- Continuing education credits
- Disability insurance
Quick Apply
Physical Therapist (Full Time)
PhysicalOne, Physical Therapy & Wellness —Plantation, FL
- $85,000 - $100,000 a year
- Full-time
- Private practice
- Spanish
- CPR Certification
- Profit sharing
- Continuing education credits
Quick Apply
Mental Health Professional-LMHC, LMFT, LCSW, Psychologist
VitalCore Health Strategies —Fort Lauderdale, FL
- $38 an hour
- PRN
- LMFT
- Psychiatry
- Licensed Clinical Social Worker
Charter Schools - Speech Language Pathologist
The Stepping Stones Group —Miami Gardens, FL
- $45 - $52 an hour
- Part-time
- Mid-level
- Master's degree
- Children
- Health insurance
- 401(k)
Quick Apply
Travel Certified Hand Therapist / Hand Specialist (OT)
Blue United Sourcing —Miami, FL
- $54 - $60 an hour
- Day shift
- Skilled nursing facility
- Mid-level
- Travel
Quick Apply
Physical Therapist (PT)
Powerback Rehabilitation —Hialeah, FL
- $39.20 - $46.00 an hour
- Full-time
- 5 years
- Physical & Rehabilitation Medicine
- Master's degree
- Relocation assistance
- Health insurance
LTSS Service Coordinator - Clinician
Elevance Health —Miami, FL
- Spanish
- Nursing
- Experience working with individuals with disabilities
- Employee stock purchase plan
- Paid holidays
Psychiatrist - Outpatient (Telehealth) - Remote (MD/DO)
Inlight Psychiatry & Therapy —Florida
- $192,000 - $384,000 a year
- Choose your own hours
- Remote
- Psychiatry
- HIPAA
- Outpatient experience
Quick Apply
7d

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clinician jobs near hialeah, fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Miami, FL

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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

clinician jobs in hialeah, fl

Care Review Clinician (BH Licensed) - Remote in FL

Utilization Review Specialist

Care Review Clinician (RN) - Remote in FL

Care Review Clinician (RN) - Remote in FL

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

Pediatric Occupational Therapist

Remote Clinical Psychologist (PhD/PsyD) – Autism Assessments

W2 Therapist for Private Practice

Physical Therapist - Pelvic Floor Specialist

Care Review Clinician (BH Licensed) - Remote in FL

Implant dentist (Full-Arch & Advanced Implant Surgery)

Physical Therapist PT - West Pembroke Pines

Digital Health Specialist - Physical Therapist - Hybrid

Physical Therapist (Full Time)

Mental Health Professional-LMHC, LMFT, LCSW, Psychologist

Charter Schools - Speech Language Pathologist

Travel Certified Hand Therapist / Hand Specialist (OT)

Physical Therapist (PT)

LTSS Service Coordinator - Clinician

Psychiatrist - Outpatient (Telehealth) - Remote (MD/DO)

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