Top 2065 Nursing occupations Jobs in Mount Dora, 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. —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Registered Nurse Coordinator ER Apopka
Lake Monroe - Wekiwa - Emerg Med - FSER —Apopka, FL
- Full-time
- Mid-level
- Pediatrics
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registered Nurse/ IV Therapy
Immunity Health Spa —Leesburg, FL
- $30 - $34 an hour
- Part-time
- Background check
- CPR Certification
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN)
Rheumatology care associates —Clermont, FL
- $30 - $36 an hour
- Part-time
- Experience working with individuals with developmental disabilities
- RN License
- HIPAA
- Health insurance
- Paid time off
Quick Apply
1d
Nurse RN
Lake County School District (FL) —Howey in the Hills, FL
- $43,966 - $68,212 a year
- Background check
- CPR Certification
- First Aid Certification
Nursing Assistant | CFH Surgical Unit | Days | Part time
UF Health —Leesburg, FL
- Part-time
- Surgery
- BLS Certification
- English
13d
Remote Hospice Triage RN FT Monday-Friday 6:30a-4p (No Wknds)
IntellaTriage —Orlando, FL
- $25 - $28 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Typing
- Paid training
- Health insurance
Quick Apply
9d
PRN Nurse | Mount Dora, FL | $40/Hour | Supplemental Hours Available
Quad Nurse, LLC —Mount Dora, FL
- $40 an hour
- PRN
- RN License
- Mid-level
- Home Health
- Flexible schedule
Quick Apply
Nursing Aide
The Ashton at Villages Crossing —Lady Lake, FL
- Serving
- High school diploma or GED
- Home health
- Paid training
- Health insurance
Quick Apply
RN/LPN Skilled Nursing
Waterman Village —Mount Dora, FL
- $25 - $40 an hour
- Full-time
- Skilled nursing facility
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
6d
Nursing Assistant | CFH Medical Unit | Nights | Full time
UF Health —Leesburg, FL
- Full-time
- BLS Certification
- Inpatient
- English
6d
Weekend Nursing Supervisor
Sandgate Care and Rehab —Eustis, FL
- $50,000 - $70,000 a year
- Full-time
- Nursing home
- Mid-level
Quick Apply
CNA/HHA - M-F 8am to 4:30 pm - The Villages
Cornerstone Health Services, Inc. —The Villages, FL
- $16.96 - $25.24 an hour
- Full-time
- Background check
- BLS Certification
- English
Quick Apply
14d
Nursing Assistant | Observation Unit | Days | Full time
UF Health —The Villages, FL
- Full-time
- BLS Certification
- English
- High school diploma or GED
Medication Technician
INNOVATIVE REGENCY PARK —Eustis, FL
- $16 - $18 an hour
- Part-time
- CPR Certification
- Ability to walk for extended periods
- BLS Certification
Quick Apply
Second Level Reviewer I PRN Remote
AdventHealth Corporate —Altamonte Springs, FL
- $31.82 - $59.17 an hour
- PRN
- Remote
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Care Review Clinician (RN) Remote
Molina Healthcare —Mid Florida, FL
- $26.41 - $51.49 an hour
- 8 hour shift
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Registered Nurse-Hourly
Mid Florida Surgery Center —Mount Dora, FL
- Part-time
- RN License
- Operating room
- Entry level
Quick Apply
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
6d

I want to receive the latest job alert for nursing occupations in mount dora, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

nursing occupations jobs near mount dora, 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

nursing occupations jobs in mount dora, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Registered Nurse Coordinator ER Apopka

Registered Nurse/ IV Therapy

Registered Nurse (RN)

Nurse RN

Nursing Assistant | CFH Surgical Unit | Days | Part time

Remote Hospice Triage RN FT Monday-Friday 6:30a-4p (No Wknds)

PRN Nurse | Mount Dora, FL | $40/Hour | Supplemental Hours Available

Nursing Aide

RN/LPN Skilled Nursing

Nursing Assistant | CFH Medical Unit | Nights | Full time

Weekend Nursing Supervisor

CNA/HHA - M-F 8am to 4:30 pm - The Villages

Nursing Assistant | Observation Unit | Days | Full time

Medication Technician

Second Level Reviewer I PRN Remote

Care Review Clinician (RN) Remote

Registered Nurse-Hourly

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

I want to receive the latest job alert for nursing occupations in mount dora, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected