Top 91 | social services | Jobs in Saint Augustine, 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
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
7d
Masters Level Clinician- Rapid Response Services On-call Weekends Friday (5pm) to Monday(8am)
EPIC Behavioral Healthcare —Saint Augustine, FL
- $55,000 - $57,000 a year
- Weekends as needed
- Background check
- LMFT
- Addiction Medicine
- 403(b) matching
- Paid holidays
Quick Apply
Collaborative Care Coordinator
ANGEL KIDS PEDIATRICS, P A —Jacksonville, FL
- $20.00 - $23.08 an hour
- Full-time
- Mid-level
- Microsoft Office
- Master's degree
- Disability insurance
- Health insurance
Quick Apply
2d
Counselor - Adult Outpatient - St. Johns
SMA Healthcare Inc —Saint Augustine, FL
- Full-time
- Background check
- LMFT
- Clean driving record
- Paid holidays
- Disability insurance
Community Health Assoc II | Full-Time | Day
UF Health —Saint Augustine, FL
- Full-time
- Background check
- Hospital
- Mid-level
5d
Victim Advocate
Betty Griffin Center —Saint Augustine, FL
- $20 an hour
- Weekends as needed
- Background check
- Microsoft Excel
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
5d
DCM Case Manager - St Augustine
INTREPID STAFFING SERVICES LLC —Saint Augustine, FL
- $25 an hour
- Weekends as needed
- Spanish
- Customer service
- English
Mental Health Targeted Case Manager
Chrysalis Health —Palm Coast, FL
- $55,000 - $56,000 a year
- Full-time
- Hybrid work
- Experience working with children
- Bachelor's degree
- Children
- Continuing education credits
- Health insurance
Quick Apply
SNAP CASE MANAGER (PT - St. Johns)
Youth Crisis Center Inc —Saint Augustine, FL
- $19 an hour
- Part-time
- Computer literacy
- Writing skills
- Mid-level
Quick Apply
Case Manager| Case Managerment| Day Full Time
UF Health —Saint Augustine, FL
- Full-time
- Master of Social Work
- Nursing
- RN License
Intake Coordinator - Cohen Clinics
Centerstone of Tennessee, Inc. —Jacksonville, FL
- $50,700 - $71,100 a year
- Full-time
- Military
- Mid-level
- Clinic
- 403(b) matching
- Health savings account
Quick Apply
12d
Licensed Clinical Social Worker
HarmonyCares —Jacksonville, FL
- Full-time
- Remote
- Background check
- Clean driving record
- Computer literacy
- Paid training
- Paid holidays
Licensed Clinical Social Worker
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Social Worker
VITAS Healthcare —Palm Coast, FL
- $26 - $28 an hour
- Full-time
- Master of Social Work
- Skilled nursing facility
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Licensed Mental Health Therapist
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
17h
Licensed Mental Health Therapist
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
17h
Copy of Licensed Outpatient Therapist (Remote, Flexible Hours)
Consciousabraxas —Saint Augustine Beach, FL
- $0 a year
- Part-time
- Remote
- Bilingual
- LMFT
- Google Workspace
- Flexible schedule
Quick Apply
Interviewing Clerk
Software Technology Inc —Saint Augustine, FL
- Computer literacy
- Writing skills
- English
Quick Apply
Licensed Outpatient Therapist (Florida: Remote, Flexible Hours)
Consciousabraxas —Saint Augustine Beach, FL
- $0 a year
- Part-time
- Remote
- Bilingual
- LMFT
- Google Workspace
- Flexible schedule
Quick Apply

I want to receive the latest job alert for | social services | in saint augustine, 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

| social services | jobs near saint augustine, 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

| social services | jobs in saint augustine, fl

Care Review Clinician (BH Licensed) - Remote in FL

Licensed Clinical Social Worker/Licensed Professional Counselor

Masters Level Clinician- Rapid Response Services On-call Weekends Friday (5pm) to Monday(8am)

Collaborative Care Coordinator

Counselor - Adult Outpatient - St. Johns

Community Health Assoc II | Full-Time | Day

Victim Advocate

DCM Case Manager - St Augustine

Mental Health Targeted Case Manager

SNAP CASE MANAGER (PT - St. Johns)

Case Manager| Case Managerment| Day Full Time

Intake Coordinator - Cohen Clinics

Licensed Clinical Social Worker

Licensed Clinical Social Worker

Social Worker

Licensed Mental Health Therapist

Licensed Mental Health Therapist

Copy of Licensed Outpatient Therapist (Remote, Flexible Hours)

Interviewing Clerk

Licensed Outpatient Therapist (Florida: Remote, Flexible Hours)

I want to receive the latest job alert for | social services | in saint augustine, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected