Top 561 Senior social 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
Director, Field Marketing
Constellation Brands —Miami, FL
- $147,500 - $240,700 a year
- Full-time
- Microsoft Word
- Marketing
- Office
- Health insurance
- Dental insurance
Senior Director, Major & Principal Gifts
Greater Miami Jewish Federation —Miami, FL
- $150,000 - $200,000 a year
- Full-time
- Background check
- Management
- Office
- Paid holidays
- Relocation assistance
Quick Apply
People & Culture - Recruiter / Senior Recruiter, Talent Acquisition, Retail
Aritzia —Miami, FL
- Full-time
- Senior level
Senior Recruiter
Current —Aventura, FL
- $108,000 - $130,000 a year
- Full-time
- Remote
- Mid-level
- Finance
- Bachelor's degree
- Disability insurance
- Health insurance
Executive Assistant to the CEO
the COOL company —Miami, FL
- Remote
- Google Workspace
- 5 years
- English
8d
Director, HRBP
Lennar —Miami, FL
- Full-time
- Senior level
- Leadership
- Paid parental leave
- Health insurance
Lead, Social Media Creative
Royal Caribbean Group —Miami, FL
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
Executive Operations Coordinator
Festinger Advisors LLC —Coral Gables, FL
- $70,000 - $90,000 a year
- Email
- Hybrid work
- Hospitality
- Google Workspace
- Research
- Paid holidays
- Opportunities for advancement
Quick Apply
Child Welfare Management Consulting Senior Manager
Accenture —Miami, FL
- $122,700 - $338,300 a year
- Full-time
- System design
- 8 years
- Children
- Paid holidays
- Disability insurance
9d
Practice Assistant - Corporate
Holland & Knight LLP —Miami, FL
- Full-time
- Background check
- Administrative experience
- Bachelor's degree
- Profit sharing
- Paid parental leave
Executive Assistant
Lennar —Miami, FL
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Paid parental leave
- Health insurance
Senior Video Storyteller
Socure —Miami, FL
- $125,000 - $150,000 a year
- Full-time
- Management
- Senior level
- Negotiation
Executive Operations Administrator
The University of St. Augustine for Health Sciences —Miami, FL
- $79,300 - $111,510 a year
- Weekends as needed
- Microsoft Word
- School experience
- Microsoft Outlook
- Paid holidays
- Disability insurance
Art Director
Playboy Enterprises, Inc. —Miami Beach, FL
- $155,000 - $175,000 a year
- Full-time
- 8 years
- Mentoring
- Organizational skills
- Commuter assistance
- Health savings account
Quick Apply
Deputy Director of Creative, Design
Southern Poverty Law Center —Miami, FL
- $115,200 a year
- 5 years
- Office
- High school diploma or GED
11d
Senior Paid Social Manager
Scribd, Inc. —Miami, FL
- $107,500 - $113,000 a year
- Full-time
- 6 years
- Residential
- Analysis skills
- Paid parental leave
- Disability insurance
Manager, Fashion Expertise, Bal Harbour
Chanel —Bal Harbour, FL
- $92,400 - $107,000 a year
- Weekends as needed
- Ability to walk for extended periods
- 5 years
- Mid-level
- Health savings account
- AD&D insurance
Customer Success Manager
Trivium —Miami, FL
- $42,000 - $90,000 a year
- Full-time
- Remote
- Sales
- English
- Mid-level
- Flexible schedule
Quick Apply

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senior social jobs near miami, 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

senior social jobs in miami, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Director, Field Marketing

Senior Director, Major & Principal Gifts

People & Culture - Recruiter / Senior Recruiter, Talent Acquisition, Retail

Senior Recruiter

Executive Assistant to the CEO

Director, HRBP

Lead, Social Media Creative

Executive Operations Coordinator

Child Welfare Management Consulting Senior Manager

Practice Assistant - Corporate

Executive Assistant

Senior Video Storyteller

Executive Operations Administrator

Art Director

Deputy Director of Creative, Design

Senior Paid Social Manager

Manager, Fashion Expertise, Bal Harbour

Customer Success Manager

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