Top 17 Utilization review nurse Jobs in Naples, 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 Manager LPN
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- LVN
- Hospital
- Health insurance
- Dental insurance
Quick Apply
2d
Licensed Practical Nurse
Providia Home Care LLC —Naples, FL
- $40 an hour
- Full-time
- Nursing
- Mid-level
- LPN
Quick Apply
RN Care Manager ER Part Time
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Part-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
RN Care Manager
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- PALS Certification
Quick Apply
Care Manager Registered Nurse ER
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
Quick Apply
RN Care Manager PRN
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- 8 hour shift
- Nursing
- RN License
- PALS Certification
Quick Apply
Care Manager Registered Nurse PRN
Physicians Regional Medical Center - Collier —Naples, FL
- Part-time
- Nursing
- RN License
- PALS Certification
Quick Apply
Registered Nurse Administrator
Home Care Collective, LLC —Naples, FL
- $75,000 - $85,000 a year
- Full-time
- Nursing
- RN License
- HIPAA
- Mileage reimbursement
- Health insurance
Quick Apply
Registered Nurse
Preferred Care Home Health Services —Naples, FL
- Full-time
- Nursing
- Management
- RN License
Quick Apply
Team Manager Nursing Home
VITAS Healthcare —Naples, FL
- Full-time
- RN License
- Nursing home
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
12d
Team Manager Inpatient
VITAS Healthcare —Naples, FL
- Full-time
- RN License
- Bachelor's degree
- Recruiting
- Disability insurance
- Health insurance
Quick Apply
10d

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PRN Medical Services LPN
David Lawrence Mental Health Center —Naples, FL
Skills in nursing assessment, evaluation, planning, and intervention = Required. Graduation from an accredited nursing program = Required.
$34 an hour
Quick Apply

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
10d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
10d

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utilization review nurse jobs near naples, fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

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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

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utilization review nurse jobs in naples, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Manager LPN

Licensed Practical Nurse

RN Care Manager ER Part Time

RN Care Manager

Care Manager Registered Nurse ER

RN Care Manager PRN

Care Manager Registered Nurse PRN

Registered Nurse Administrator

Registered Nurse

Team Manager Nursing Home

Team Manager Inpatient

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