Top 2237 Mds coordinator, rn Jobs in Tampa, Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
MDS Coordinator, RN
Aviata at Oakfield —Brandon, FL
- $38 - $44 an hour
- Full-time
- Skilled nursing facility
- Mid-level
- LPN
Quick Apply
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
RN MDS COORDINATOR
Harbourwood Post-Acute and Rehab —Clearwater, FL
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
- COVID-19 protective measures
- Health insurance
Quick Apply
ADON/Infection Preventionist
Confidential —Hillsborough County, FL
- Weekends as needed
- CPR Certification
- Nursing
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
RN MDS Coordinator
Fairway Oaks Center —Tampa, FL
- Full-time
- Background check
- Skilled nursing facility
- RN License
- Opportunities for advancement
Quick Apply
10d
Clinical Quality Assurance Specialist, RN
Wider Circle —Tampa, FL
- $80,000 - $95,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Licensed Clinical Social Worker
- Health savings account
- AD&D insurance
Quick Apply
CLINICAL DOCUMENTATION SPECIALIST II
Moffitt Cancer Center —Tampa, FL
- $82,934.80 - $126,427.60 a year
- Full-time
- Nursing
- RN License
- Writing skills
LPN/RN MDS Coordinator
SNF Recruitment —Tampa, FL
- $75,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Clinical Nurse Navigator
BayCare —Tampa, FL
- Full-time
- Remote
- RN License
- Adults
- Inpatient
8d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Tampa, FL
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Utilization Reviewer 2
Enlyte —Tampa, FL
- $59,500 - $76,000 a year
- Full-time
- RN License
- Mid-level
- Office
- Health savings account
- AD&D insurance
3d
PATIENT NAVIGATOR RN III
Moffitt Cancer Center —Tampa, FL
- $37.90 - $56.84 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- 5 years
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Molina Healthcare —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
9d
Clinical Research Infusion Rn I
Moffitt Cancer Center —Tampa, FL
- $35.05 - $52.56 an hour
- Full-time
- Nursing
- Patient monitoring
- RN License
3d
Nurse Case Manager
Battelle —Tampa, FL
- Full-time
- Hybrid work
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health insurance
Registered Nurse Pact Care Manager SCI
US Veterans Health Administration —Tampa, FL
- $78,737 - $151,012 a year
- Part-time
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
3d
RN AMBULATORY CLINIC
Moffitt Cancer Center —Tampa, FL
- $34.36 - $52.20 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
ENTEROSTOMAL THERAPIST
Moffitt Cancer Center —Tampa, FL
- $82,934.80 - $126,427.60 a year
- Acute care
- Acute care experience
- Senior level
10d
Clinical Quality Coordinator RN
AdventHealth Tampa —Tampa, FL
- $72,786.83 - $135,385.27 a year
- Full-time
- Microsoft Word
- Background check
- Nursing
- Paid parental leave
- Disability insurance
9d

I want to receive the latest job alert for mds coordinator, rn in tampa, 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

mds coordinator, rn jobs near tampa, fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Tampa, FL

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

mds coordinator, rn jobs in tampa, fl

Care Review Clinician (BH Licensed) - Remote in FL

MDS Coordinator, RN

Care Review Clinician (RN) - Remote in FL

RN MDS COORDINATOR

ADON/Infection Preventionist

RN MDS Coordinator

Clinical Quality Assurance Specialist, RN

CLINICAL DOCUMENTATION SPECIALIST II

LPN/RN MDS Coordinator

Clinical Nurse Navigator

Senior Consultant - Clinical Documentation Specialist

Utilization Reviewer 2

PATIENT NAVIGATOR RN III

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

Clinical Research Infusion Rn I

Nurse Case Manager

Registered Nurse Pact Care Manager SCI

RN AMBULATORY CLINIC

ENTEROSTOMAL THERAPIST

Clinical Quality Coordinator RN

I want to receive the latest job alert for mds coordinator, rn in tampa, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected