Top 1012 Care provider Jobs in Naples 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
Medication Technician
American House Senior Living Communities —Estero, FL
- Full-time
- Background check
- 18 years or older
- Current TB test
CNA/HHA Needed - WEEKLY PAY!
Whitsyms In- Home Care —Marco Island, FL
- Part-time
- Home Health
- Home health
- In-person
Quick Apply
Patient Service Representative
Radiology Regional Center, P.A —Naples, FL
- $18 - $23 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
Nutrition Services Worker
Collier County Public Schools —Naples, FL
- Part-time
- Background check
- Elementary school
- School
5d
Caregivers
Senior Helpers - Naples & Bonita Springs —Naples, FL
- $17 - $20 an hour
- Part-time
- Background check
- Home Health
- Entry level
Quick Apply
CNAs & HHAs Needed in Naples/Ft Myers
AQUA Home Care —Naples, FL
- $21 - $25 an hour
- Part-time
- Background check
- CPR Certification
- BLS Certification
- Flexible schedule
- Referral program
Quick Apply
Driver - PACE - Fort Myers - Part Time
Hope Hospice and Community Services, Inc. —Naples, FL
- $16.96 - $25.24 an hour
- Part-time
- Background check
- CPR Certification
- Local
Quick Apply
Medical Device Rep – Entry Level
Crown Medical, Inc. —Naples, FL
- $88,421 - $119,672 a year
- Full-time
- Driver's License
- Organizational skills
- Communication skills
Quick Apply
Home Health Aide
Senior Helpers - Naples & Bonita Springs —Naples, FL
- Full-time
- Background check
- CPR Certification
- BLS Certification
- Flexible schedule
Quick Apply
Host/Hostess
Experience Senior Living —Naples, FL
- $20 a year
- Part-time
- Background check
- Basic math
- Team management
- Paid holidays
- Disability insurance
Quick Apply
7d
In Home Caregiver
Senior Helpers - Naples & Bonita Springs —Naples, FL
- $17 - $19 a week
- Part-time
- Background check
- Home Health
- Entry level
Quick Apply
Medical Records Reviewer
VITAS Healthcare —Naples, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply
4h
Caregiver Opportunities
Senior Helpers - Naples & Bonita Springs —Naples, FL
- $17 - $19 an hour
- Part-time
- Background check
- Entry level
- Flexible schedule
Quick Apply
General Secretary
Collier County Public Schools —Naples, FL
- Full-time
- Background check
- Computer literacy
- High school diploma or GED
1d
HHA/CNA NAPLES
Senior Helpers - Naples & Bonita Springs —Naples, FL
- $18 - $20 an hour
- Full-time
- Background check
- CPR Certification
- BLS Certification
- Flexible schedule
Quick Apply
ESE Secretary
Collier County Public Schools —Naples, FL
- Full-time
- Background check
- Computer literacy
- Office
Assistant Safe School
Collier County Public Schools —Naples, FL
- Full-time
- Background check
- Computer literacy
- Basic math
2d
Health Clinic Aide
Collier County Public Schools —Naples, FL
- Full-time
- Background check
- CPR Certification
- Computer literacy
Dispatching/Scheduling - Customer Service
NEST of Florida —Bonita Springs, FL
- From $20 an hour
- Evening shift
- Hybrid work
- Background check
- Computer literacy
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply

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care provider jobs near naples 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

care provider jobs in naples fl

Care Review Clinician (RN) - Remote in FL

Medication Technician

CNA/HHA Needed - WEEKLY PAY!

Patient Service Representative

Nutrition Services Worker

Caregivers

CNAs & HHAs Needed in Naples/Ft Myers

Driver - PACE - Fort Myers - Part Time

Medical Device Rep – Entry Level

Home Health Aide

Host/Hostess

In Home Caregiver

Medical Records Reviewer

Caregiver Opportunities

General Secretary

HHA/CNA NAPLES

ESE Secretary

Assistant Safe School

Health Clinic Aide

Dispatching/Scheduling - Customer Service

I want to receive the latest job alert for care provider in naples fl

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