Top 142 Clinical director Jobs in Ocala 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
Health Services Administrator
HEART OF FLORIDA HEALTH CENTER INC —Ocala, FL
- Mid-level
- 3 years
- Master's degree
REGISTERED NURSE SPECIALIST - 64051502
The State of Florida —Ocala, FL
- $69,495.97 a year
- Weekends as needed
- Background check
- Spanish
- Inventory control
- Paid holidays
- Dental insurance
DIRECTOR OF BUSINESS DEVELOPMENT
Arc Hospice & Palliative Care —Ocala, FL
- $125,000 a year
- Marketing
- Mid-level
- Office
Quality Manager
HEART OF FLORIDA HEALTH CENTER INC —Ocala, FL
- Management
- Mid-level
- 3 years
LCSW/LMHC
HEART OF FLORIDA HEALTH CENTER INC —Ocala, FL
- Full-time
- LMFT
- Psychiatry
- BLS Certification
14d
RN Patient Care Manager
Arc Hospice & Palliative Care —Ocala, FL
- $98,000 a year
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Social Services Director
The Lodge Health & Rehabilitation Center —Ocala, FL
- Weekends as needed
- Background check
- Master of Social Work
- Skilled nursing facility
- Paid holidays
- Disability insurance
Quick Apply
1d
Director of Business Development
SNF Recruitment —Ocala, FL
- $90,000 - $115,000 a year
- Full-time
- Mid-level
- 3 years
- Leadership
- Paid time off
- Opportunities for advancement
Quick Apply
Administrator
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Ocala, FL
- Full-time
- Clean driving record
- Addiction Medicine
- Customer service
- Loan repayment program
- Health insurance
Home Health Clinical Manager
Centerwell —The Villages, FL
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Associate Medical Director
CenterWell Senior Primary Care —The Villages, FL
- Online Application
- Background check
- Medicine
- BC/BE
- Paid jury duty
- Health savings account
Clinical Supervisor
Palms Home Care —Ocala, FL
- Full-time
- Background check
- RN License
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
Physical Therapist (PT) Home Health
Elite Home Health Group INC —Ocala, FL
- Full-time
- Background check
- CPR Certification
- BLS Certification
- Opportunities for advancement
Quick Apply
11d
Psychiatrist - All levels of Outpatient Services for Female Patients
Centurion Health —Ocala, FL
- Full-time
- CPR Certification
- Medicine
- Management
- Paid holidays
- Disability insurance
Quick Apply
Operating Room Nurse Robotics Coordinator
HCA Florida Ocala Hospital —Ocala, FL
- Full-time
- Surgery
- Mid-level
- 3 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
LICENSED THERAPIST - CONTRACT (Flexible Hours / Mutiple Locations in FL)
Rite of Passage, Inc. —Florida
- From $40 an hour
- Contract
- Background check
- LMFT
- Pass drug screening
- Flexible schedule
Quick Apply
Licensed Clinical Social Worker/Licensed Professional Counselor
Feeling Good Psychotherapy —Florida
- $48 - $50 an hour
- Contract
- Remote
- Licensed Clinical Social Worker
- HIPAA
- Clinic experience
- Disability insurance
- Health insurance
Quick Apply
2d
Palliative Nurse Practitioner Part Time
Amedisys —The Villages, FL
- $57 - $60 an hour
- Part-time
- CPR Certification
- Nursing
- Customer service
Dietitian
Bridgewater Health and Rehabilitation —Ocala, FL
- Part-time
- Inventory management
- Writing skills
- English
- Referral program
Quick Apply

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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

clinical director jobs in ocala fl

Care Review Clinician (RN) - Remote in FL

Health Services Administrator

REGISTERED NURSE SPECIALIST - 64051502

DIRECTOR OF BUSINESS DEVELOPMENT

Quality Manager

LCSW/LMHC

RN Patient Care Manager

Social Services Director

Director of Business Development

Administrator

Home Health Clinical Manager

Associate Medical Director

Clinical Supervisor

Physical Therapist (PT) Home Health

Psychiatrist - All levels of Outpatient Services for Female Patients

Operating Room Nurse Robotics Coordinator

LICENSED THERAPIST - CONTRACT (Flexible Hours / Mutiple Locations in FL)

Licensed Clinical Social Worker/Licensed Professional Counselor

Palliative Nurse Practitioner Part Time

Dietitian

I want to receive the latest job alert for clinical director in ocala fl

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