Top 154 Clinical director Jobs in Melbourne Fl

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
Clinical Manager (RN) Home Health - Melbourne, FL
Confidential —Melbourne, FL
- Full-time
- RN License
- Mid-level
- Home Health
- Continuing education credits
- Health insurance
Quick Apply
1d
RN Hospice Clinical Manager
Amedisys —Melbourne, FL
- $90,000 - $95,000 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Health savings account
4d
Regional Director of Clinical Services RN - Central & Southwest Florida
Clear Choice Health Care —Florida
- Full-time
- Background check
- Nursing
- Anatomy knowledge
- Health insurance
- Dental insurance
Quick Apply
Medical Director
Southeastern Medical Consulting —Florida
- $200 an hour
- Contract
- Remote
- Senior level
- Leadership
- Communication skills
Quick Apply
8h
Regional Clinical Director
Step Forward ABA —Satellite Beach, FL
- $87,000 - $105,000 a year
- School experience
- 3 years
- Clinic
- Mileage reimbursement
- Dental insurance
Quick Apply
IV Infusion Nurse FL (Brevard County)
IV Active —Palm Bay, FL
- $50 - $150 an hour
- RN License
- Mid-level
- Critical & Intensive Care
Director of Nursing
Greenbrier Senior Living —Melbourne, FL
- $76,000 - $77,000 a year
- Customer service
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4h
RN Care Manager
Christian Care Ministry —Palm Bay, FL
- $74,500 - $101,500 a year
- Full-time
- 18 years or older
- Nursing
- Microsoft Excel
- Paid parental leave
- Health savings account
4d
Orthopedic Trauma Advanced Practice Provider
Health First Careers —Brevard County, FL
- Full-time
- BLS Certification
- English
- Mid-level
- Health insurance
Director Quality and Safety - Outpatient Clinics
Health First Careers —Rockledge, FL
- Full-time
- Nursing
- RN License
- 5 years
Director of Substance Use
Circles of Care, Inc. —Rockledge, FL
- Licensed Clinical Social Worker
- Outpatient experience
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Director of Nursing
The Promenade - Concordis Senior Living —Sebastian, FL
- Weekends as needed
- Background check
- Nursing
- Microsoft Excel
- Wellness program
- Health insurance
Quick Apply
8d
Board Certified Behavior Analyst (BCBA)
The Sonder Autism Center —Melbourne, FL
- From $75,000 a year
- Full-time
- Background check
- Experience working with individuals with disabilities
- Computer literacy
- Health savings account
- Health insurance
Quick Apply
Digital Health Specialist - Physical Therapist - Hybrid-3 days in Clinic and 2 days Telehealth, Rockledge, FL
CORA Physical Therapy —Rockledge, FL
- Full-time
- Hybrid work
- Physical & Rehabilitation Medicine
- Mid-level
- Clinic
- Continuing education credits
- Disability insurance
Quick Apply
Digital Health Specialist - Physical Therapist - Hybrid-Full-Time 2 Days on-site and 3 Days Telehealth-West Melbourne, FL
CORA Physical Therapy —West Melbourne, FL
- Full-time
- Hybrid work
- Physical & Rehabilitation Medicine
- Mid-level
- Clinic
- Continuing education credits
- Disability insurance
Quick Apply
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
Licensed Clinical Social Worker/Licensed Professional Counselor
Feeling Good Psychotherapy —Florida
- $48 - $50 an hour
- Contract
- Remote
- Licensed Clinical Social Worker
- HIPAA
- Clinic experience
- Disability insurance
- Health insurance
Quick Apply
6d
Wellness Nursing Director
The Promenade - Concordis Senior Living —Sebastian, FL
- Weekends as needed
- Background check
- Nursing
- Microsoft Excel
- Wellness program
- Health insurance
Quick Apply
5d
Dentist – DDS / DMD
Aspen Dental —Melbourne, FL
- $200,000 - $300,000 a year
- Full-time
- Dental office
- Doctoral degree
- Surgery
- Health insurance
- 401(k)
Quick Apply

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clinical director jobs near melbourne fl

Care Review Clinician (RN) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Acute care facility experience
Pre-authorization review for utilization management
Productivity software

Full Job Description

JOB DESCRIPTION

Must reside in Florida

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - 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 to ensure 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 (MDs) and presents them 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 the Molina care model.
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.

Utilization Management (UM) experience highly preferred.

#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 director jobs in melbourne fl

Care Review Clinician (RN) - Remote in FL

Clinical Manager (RN) Home Health - Melbourne, FL

RN Hospice Clinical Manager

Regional Director of Clinical Services RN - Central & Southwest Florida

Medical Director

Regional Clinical Director

IV Infusion Nurse FL (Brevard County)

Director of Nursing

RN Care Manager

Orthopedic Trauma Advanced Practice Provider

Director Quality and Safety - Outpatient Clinics

Director of Substance Use

Director of Nursing

Board Certified Behavior Analyst (BCBA)

Digital Health Specialist - Physical Therapist - Hybrid-3 days in Clinic and 2 days Telehealth, Rockledge, FL

Digital Health Specialist - Physical Therapist - Hybrid-Full-Time 2 Days on-site and 3 Days Telehealth-West Melbourne, FL

Care Review Clinician (BH Licensed) - Remote in FL

Licensed Clinical Social Worker/Licensed Professional Counselor

Wellness Nursing Director

Dentist – DDS / DMD

I want to receive the latest job alert for clinical director in melbourne fl

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