Top 38 Remote authorization Jobs in Jacksonville 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
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Jacksonville, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Utilization Management Nurse Reviewer LPN (Work at Home for FL residents only)
Coastal Care Services, Inc. —Florida
- From $28 an hour
- Full-time
- Remote
- Microsoft Word
- Background check
- Spanish
- Disability insurance
- Health insurance
Quick Apply
13d
Authorization Specialist (Remote)
Aveanna Healthcare —Jacksonville, FL
- $18 - $22 an hour
- Full-time
- Remote
- Microsoft Excel
- Customer service
- Mid-level
Quick Apply
3d
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Molina Healthcare —Jacksonville, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
7d
Contract Online English Teacher for American Schools
Air Education Inc. —Jacksonville, FL
- $24 an hour
- Contract
- Remote
- Spanish
- English
- Mid-level
- Referral program
Quick Apply
Denial Recovery Analyst | Enterprise Denials - Durbin Park
UF Health —Saint Johns, FL
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
Associate Provider Network Manager
Liberty Dental Plan Careers —Jacksonville, FL
- $53,000 - $63,000 a year
- Remote
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Payroll Manager
Habitat Health —Jacksonville, FL
- $100,000 - $132,000 a year
- Remote
- Mid-level
- Finance
- Bachelor's degree
- COVID-19 protective measures
- Paid parental leave
1d
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
8d
Supply Chain Director
Stellar Energy Global Infrastructure Inc —Jacksonville, FL
- $135,000 - $180,000 a year
- Full-time
- Remote
- 7 years
- Microsoft Excel
- Finance
Quick Apply
13d
Territory Sales Representative / Restaurant Specialist - Jacksonville, FL
SpotOn —Palm Valley, FL
- $120,000 - $275,000 a year
- Full-time
- Remote
- Mid-level
- US work authorization
- 2 years
- Commuter assistance
- Paid parental leave
Quick Apply
Vice President of Fabrication
Stellar Energy Global Infrastructure Inc —Jacksonville, FL
- $180,000 - $220,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
8d
AI Product Architect
Nymbus, Inc. —Jacksonville, FL
- Remote
- Java
- AWS
- Travel
- Dental insurance
- 401(k)
Quick Apply
9d
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply

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Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
$26.41 - $51.49 an hour
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Jacksonville, FL
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
$26.41 - $51.49 an hour

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Licensed Insurance- Sales Agent, P&C (Remote)
Concentrix —Ashley, OH
You will be working with inbound calls but may follow up with outbound calls occasionally. Must have an active resident license to sell Property & Casualty…
$18 an hour
Multi Line Licensed Insurance Agent (Remote - P&C Required)
RELI Exchange —Ohio
*Licensing:* Existing *Property & Casualty (P&C) license* in your resident state is *required*. *Insurance Expertise:* Proven experience in insurance sales or a…
$45,000 - $90,000 a year
Quick Apply
9d

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remote authorization jobs near jacksonville fl

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

remote authorization jobs in jacksonville fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Utilization Management Nurse Reviewer LPN (Work at Home for FL residents only)

Authorization Specialist (Remote)

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

Contract Online English Teacher for American Schools

Denial Recovery Analyst | Enterprise Denials - Durbin Park

Associate Provider Network Manager

Payroll Manager

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

Supply Chain Director

Territory Sales Representative / Restaurant Specialist - Jacksonville, FL

Vice President of Fabrication

AI Product Architect

Appeal Analyst RN | Remote | Contract

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

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