Top 3393 Job board 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
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Saint Petersburg, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Manager, Claims Operations - Property Claims
USAA —Tampa, FL
- $103,450 - $186,210 a year
- Hybrid work
- Military
- Mid-level
- Office
- Paid holidays
- Health insurance
7d
Healthcare Recruiter
Cell Staff —Tampa, FL
- From $45,000 a year
- 8 hour shift
- Hybrid work
- Research
- Mid-level
- Education
- Health insurance
- Dental insurance
Quick Apply
Director of Sales (Remote)
Michael & Associates, Attorneys at Law —Florida
- $150,000 - $200,000 a year
- Full-time
- No degree
- In-person
- Senior level
Quick Apply
Core Crew (Front Desk & Sales) - Hyde Park, FL
[solidcore] —Tampa, FL
- $14 an hour
- Part-time
- High school diploma or GED
- Organizational skills
- Ability to stand for extended periods
Quick Apply
Dishwasher - M.Bird
M.Bird —Tampa, FL
- $16 - $18 an hour
- Weekends as needed
- High school diploma or GED
- Restaurant
- Communication skills
- Paid training
- Employee discount
Quick Apply
Hotel Front Desk Attendant
Home2 Suites by Hilton Tampa —Tampa, FL
- $17 - $18 an hour
- Weekends as needed
- Microsoft Outlook
- Hotel
- Ability to lift 25 pounds
Quick Apply
Customer Service Associate
Walgreens —Tampa, FL
- $15.00 - $17.50 an hour
- Part-time
- Maintenance
- English
- Cleaning
- Health insurance
- Dental insurance
1d
Sales Representative Job in Tampa, FL | $100K Salary & Uncapped Sales Commissions | Paycom Careers
PAYCOM —Tampa, FL
- $80,000 - $100,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Customer Service Associate - Temporary
Walgreens —Tampa, FL
- $15.00 - $17.50 an hour
- Part-time
- Maintenance
- English
- Cleaning
- Health insurance
- Dental insurance
5d
Dishwasher - Stone's Throw
Stone's Throw —Tampa, FL
- $16 - $18 an hour
- Weekends as needed
- High school diploma or GED
- Restaurant
- Communication skills
- Paid training
- Employee discount
Quick Apply
Registrar (Data Processor) - Florida Connections Academy
Connections Education —Temple Terrace, FL
- Remote
- Office
- Travel
- Organizational skills
Food Service and Dishwasher Associate
Ikea us —Tampa, FL
- $17.58 - $24.83 an hour
- 12 hour shift
- Merchandising
- Food service experience
- Restaurant
- Paid parental leave
- Paid holidays
8d
Retail Sales Associate - Part Time
Curaleaf —Tampa, FL
- $15 an hour
- Part-time
- Basic math
- High school diploma or GED
- Ability to lift 50 pounds
- Disability insurance
- 401(k)
Quick Apply
8d
Dishwasher - Ro Hyde Park
CBFS Hyde Park —Tampa, FL
- $16 - $18 an hour
- Weekends as needed
- High school diploma or GED
- Restaurant
- Communication skills
- Paid training
- Employee discount
Quick Apply
Dishwasher - 1983
1983 —Tampa, FL
- $17 an hour
- Part-time
- Bar
- High school diploma or GED
- Ability to lift 50 pounds
- Paid training
- Employee discount
Quick Apply
Welcome Center Receptionist
Metropolitan Ministries Inc —Tampa, FL
- $46,000 - $49,000 a year
- Call employer
- Bilingual
- Microsoft Word
- Microsoft Excel
- Paid holidays
- Health insurance
FACULTY ADMINISTRATIVE ASSISTANT
Moffitt Cancer Center —Tampa, FL
- $19.17 - $29.21 an hour
- Full-time
- Hybrid work
- High school diploma or GED
- Associate's degree
- Communication skills
13d
Data Processor
Hillsborough County Public Schools —Tampa, FL
- Background check
- Office
- Continuous improvement

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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

job board jobs in tampa fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (RN) - Remote in FL

Manager, Claims Operations - Property Claims

Healthcare Recruiter

Director of Sales (Remote)

Core Crew (Front Desk & Sales) - Hyde Park, FL

Dishwasher - M.Bird

Hotel Front Desk Attendant

Customer Service Associate

Sales Representative Job in Tampa, FL | $100K Salary & Uncapped Sales Commissions | Paycom Careers

Customer Service Associate - Temporary

Dishwasher - Stone's Throw

Registrar (Data Processor) - Florida Connections Academy

Food Service and Dishwasher Associate

Retail Sales Associate - Part Time

Dishwasher - Ro Hyde Park

Dishwasher - 1983

Welcome Center Receptionist

FACULTY ADMINISTRATIVE ASSISTANT

Data Processor

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