Top 680 Family support worker Jobs in Miami, 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
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
Executive Assistant/ Personal Assistant
Advanced Pharma —Miami, FL
- Up to $60,000 a year
- Full-time
- Hybrid work
- Clean driving record
- 5 years
- Writing skills
Quick Apply
Medical Assistant 2, Breast Cancer - Office I, $3000 Bonus,FT
Baptist Health South Florida —Miami, FL
- $21.24 - $27.61 an hour
- Full-time
- Bilingual
- BLS Certification
- HIPAA
- Wellness program
- Health insurance
13d
Medical Assistant - Pulmonology - FT - Days - $2,500 Sign On Bonus - MPG
Memorial Healthcare System —Hollywood, FL
- Full-time
- Vital signs
- Medication administration
- BLS Certification
4d
Program Specialist I/Community Health Worker
CAN Community Health Inc. —Miami, FL
- $21.15 - $24.33 an hour
- Weekends as needed
- Background check
- HIPAA
- High school diploma or GED
- Paid training
- Paid holidays
12d
Social Worker
Interwell Health —Miami, FL
- Remote
- HIPAA
- Mid-level
- Master's degree
4d
NBHWC Certified Health Coach
Cadence Health —Miami, FL
- $22 - $26 an hour
- Full-time
- Remote
- Spanish
- Google Workspace
- Mid-level
- Paid parental leave
- Health insurance
Community Health Worker, Patient Engagement
Imagine Pediatrics —Miami, FL
- $23 - $28 an hour
- Remote
- Spanish
- Mid-level
- 3 years
- Health savings account
- Paid holidays
Quick Apply
EHS Specialist
Amazon.com Services LLC —Miami, FL
- Weekends as needed
- Microsoft Word
- CPR Certification
- Microsoft Excel
10d
Laboratory Assistant
HCA Florida Mercy Hospital —Miami, FL
- Part-time
- Pediatrics
- 2 years
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
11d
Community Health Worker, State and Federal Grants, Jackson Main, FT, Days
Jackson Health —Miami, FL
- Full-time
- High school diploma or GED
- Public Health
- Entry level
Quick Apply
Patient Care Technician PCT
DAVITA —Miami, FL
- Weekends as needed
- Outpatient experience
- High school diploma or GED
- Clinic
- Paid training
- Health insurance
Member Team Lead
Sam's Club —Miami, FL
- $22 - $30 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
Practice Assistant - Corporate
Holland & Knight LLP —Miami, FL
- Full-time
- Background check
- Administrative experience
- Bachelor's degree
- Profit sharing
- Paid parental leave
Beauty Advisor/Artist Beauty Advisor - Jo Malone London Brickell City Centre - Miami, FL
Estee Lauder —Miami, FL
- $16.61 - $27.81 an hour
- Weekends as needed
- Merchandising
- Fair chance
- Entry level
- Paid holidays
- Disability insurance
8d
Assistant Property Manager
Flow —Miami, FL
- Full-time
- Google Workspace
- Sales
- Mid-level
- Commuter assistance
- Health savings account
(USA) Member Specialist
Sam's Club —Miami, FL
- $18 - $26 an hour
- High school
- Merchandising
- Continuous improvement
- Paid jury duty
- Disability insurance
Oncology Customer Care Agent, Cancer Care
Baptist Health South Florida —Miami, FL
- $16.77 - $21.29 an hour
- 8 hour shift
- Office
- High school diploma or GED
- Computer skills
- Wellness program
- Health insurance
9d
ER Discharge Coordinator
HCA Florida Mercy Hospital —Miami, FL
- Full-time
- Urgent Care
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply

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Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Miami, FL

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

family support worker jobs in miami, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Executive Assistant/ Personal Assistant

Medical Assistant 2, Breast Cancer - Office I, $3000 Bonus,FT

Medical Assistant - Pulmonology - FT - Days - $2,500 Sign On Bonus - MPG

Program Specialist I/Community Health Worker

Social Worker

NBHWC Certified Health Coach

Community Health Worker, Patient Engagement

EHS Specialist

Laboratory Assistant

Community Health Worker, State and Federal Grants, Jackson Main, FT, Days

Patient Care Technician PCT

Member Team Lead

Practice Assistant - Corporate

Beauty Advisor/Artist Beauty Advisor - Jo Malone London Brickell City Centre - Miami, FL

Assistant Property Manager

(USA) Member Specialist

Oncology Customer Care Agent, Cancer Care

ER Discharge Coordinator

I want to receive the latest job alert for family support worker in miami, fl

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