ABA Care Review Clinician - Quality & Compliance (FL)
$26.41 - $51.49 per hourMolina Healthcare of Illinois
Molina Healthcare is seeking a Behavioral Analyst to support member clinical review processes for ABA services. The role involves assessing compliance, analyzing clinical requests, and collaborating with care management departments to provide quality care to members with autism and related disorders. A BCBA License, healthcare experience, and excellent communication skills are essential. The position is based in California and offers a competitive pay range of $26.41 – $51.49 per hour. #J-18808-Ljbffr
$26.41 - $51.49 per hour
...support for member clinical review processes specific to... ...behavioral analysis (ABA) services. Responsible... ...integrated delivery of care across the continuum. Contributes... ...strategy to provide quality and cost‑effective... ...cost‑effectiveness and compliance with all state and...SuggestedHourly payWork experience placementLive inWork at officeLocal area$26.41 - $51.49 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...strategy to provide quality and cost-effective member care... ...outcomes, cost-effectiveness and compliance with all state/federal regulations...SuggestedHourly payWork experience placementWork at officeRemote work$26.41 - $51.49 per hour
...California, MO is seeking a Clinical Member Services Reviewer. The role includes assessing clinical service requests, ensuring compliance with regulations, and collaborating with... ...2 years of experience in hospital or managed care settings. Competitive pay is offered, ranging...SuggestedHourly pay$27.61 - $53.83 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...strategy to provide quality and cost-effective member care... ...outcomes, cost-effectiveness and compliance with all state/federal regulations...SuggestedHourly payContract workWork experience placementWork at office$27.61 - $53.83 per hour
...clinical member services in California. The role includes assessing services to ensure compliance with regulations and optimizing member outcomes through effective collaboration and review processes. Candidates should have at least 2 years of relevant healthcare experience...SuggestedHourly payWork at office$27.61 - $53.83 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...strategy to provide quality and cost-effective member care... ...outcomes, cost-effectiveness and compliance with all state/federal regulations...Hourly payContract workWork experience placementWork at office- ...is seeking a skilled professional to provide utilization review and coordinate care for members in California. The successful candidate will have... ...RN License. Key responsibilities include ensuring quality and cost-effective healthcare. Experience in utilization and...
- ...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Qualifications Nursing school graduate. California Registered Nurse License upon hire. 3 years...Work at office
$110 - $130 per hour
...6 years. We've won awards for our high-quality care with patients and continue to grow rapidly... ...uphold our commitment to regulatory compliance. We value teamwork, empathy, and a commitment... ...110 - $130 per visit. Responsibilities Review OASIS assessments for completeness,...Daily paidFull timeFlexible hours$74.29k - $111.43k
...NeueHealth in California is seeking a Concurrent Utilization Review Nurse responsible for conducting clinical reviews to ensure the medical... ...and appropriateness of services provided under a managed care plan. The role requires 2-3 years of clinical experience, preferably...$45 - $55 per hour
...Quality Assurance Registered Nurse (RN) - Home Health... ...experienced **OASIS Review Nurse (Registered Nurse... ...clinical quality, regulatory compliance, and documentation... ...with home health clinicians to clarify documentation... ...with patient condition, care guidelines, and...Hourly payFull timePart timeSecond jobRemote work$53 - $61 per hour
...All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through... ...approach. Our dedicated clinicians provide flexible, high-quality care that meets patients... ...Evaluate patients and review medical records to understand...Hourly payFull timePart timeReliefWork at officeLocal areaWork from homeRelocation packageFlexible hours$77.91k
...E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This... ...position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate...Remote work- ...ancillary staff provide whole person care that is safe, complication free, and... ...to achieve goals for patient safety, quality of care and compliance with regulatory requirements. Creates... ...infections. Conducts emergency preparedness reviews. Performs other job‑related duties as...Work experience placementShift work
$77.91k - $116.86k
...Alignment Healthcare LLC is seeking a remote Inpatient Review Nurse to assist patients through the continuum of care while ensuring safety and quality. The role requires effective communication and collaboration with healthcare providers, focusing on seniors and frail...Full timeRemote workMonday to Friday$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...is responsible for ensuring that member care is provided at the most appropriate level, for the appropriate duration, and in compliance with regulatory and contractual requirements...Full timeContract workTemporary workLocal areaRemote work$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation... ...Values Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As...Hourly payRemote workMonday to Friday$74.29k - $111.43k
...Summary The Concurrent Utilization Review (UR) Nurse is responsible for... ...to members under a managed care health plan. The role... ...communication with payers, and ensuring compliance with health plan policies and... ...trends and support quality improvement initiatives. Education...Work at office- ...published more than 20 peer‑reviewed studies, and delivered unmatched... ...Lyra’s transformative care model helps people recover twice... ...platform combining the highest‑quality care and technology solutions... ...improve care quality. Ethics and Compliance – Ensure compliance with all...Contract workFor contractorsRemote work
- ...delivery of safe, efficient, and high-quality patient care in alignment with the standards of the... ...quality assurance initiatives, including compliance with policies, procedures, and... ...support efficient practice operations. Review and approve staff timesheets, conduct...
$90 - $110 per hour
...Pathologist (SLP) Social Connections ABA Therapy Inc. Ontario | Part... ..., and evidence‑informed care. Our team values meaningful relationships... ..., participation, and overall quality of life. Services may be... ...supervision meetings and review documentation completed by CDAs...Hourly payPart timeFor contractorsCasual workMonday to FridayFlexible hoursWeekend workDay shiftAfternoon shift$120k
...is the leader of the Patient Care Team that ensures that patients... ...receive continuity and quality of care from admission to discharge... ...productivity expectations. Reviews and approves payroll,... ...Quality Improvement/Regulatory Compliance Monitors clinical records and...Contract workFlexible hours$77.91k - $116.86k
Overview Alignment Health seeks an Inpatient Review Nurse to join the remote Utilization Management team. The role involves... ..., coordinating discharge, and ensuring cost‑effective care while maintaining safety and quality. Schedule: Monday - Friday, 8:00AM - 5:00PM Pacific...Remote jobMonday to Friday- ...coordination of inpatient trauma care across the continuum,... ...The NP II is responsible for reviewing critical labs and results, performing... ...meets regulatory, compliance, and billing standards, and maintaining... ..., and accountability for quality and compliance. This position...Work at officeLocal areaShift workWeekend workAfternoon shift
$120k - $173.81k
...licensure and as part of a team of health care professionals to provide quality primary medical care in a... ...care to patients through the peer review processes including chart review, by... ...adherence to safety and quality programs, compliance with National Patient Safety Goals,...Full timeRelocation packageFlexible hoursShift workWeekend work$40.85 per hour
...Licensed Clinician (California, 2nd Shift) 3 weeks ago Be among the first 25 applicants.... ...effective personalized digital mental health care that is available to all. We do this by... ...practice and contribute to clinical policy reviews. Contribute to discussions with...Hourly payFull timeContract workRemote workWork from homeFlexible hoursShift workNight shiftAfternoon shift$125.4k - $179.3k
...Responsibilities Provide and coordinate primary care to an assigned panel of SCAN members in... .... Actively monitor and address clinical quality gaps in partnership with other providers.... ...by attending educational workshops and reviewing professional publications. Contribute to...For contractorsWeekend work- ...multi-disciplinary team, the Clinician will conduct psychotherapy with... ...responsible for maintaining the highest quality provision of direct individual... ...individual service plan; review and update it upon completion... ...a fully integrated system of care – including outreach, interim...Permanent employmentFull timeTemporary workInterim roleWork at officeLocal areaMonday to FridayFlexible hours
$27.02 - $48.55 per hour
...Position Purpose Performs a clinical review and assesses care related to mental health and substance... ...Analyzes BH member data to improve quality and appropriate utilization of services... ...’s degree for behavioral health clinicians required. Clinical knowledge and ability...Hourly payFull timeContract workPart timeWork at officeRemote workFlexible hours- ...Advanced Practice Clinician, Integrated Care Delivery (Orange County) page is loaded## Advanced Practice... ...monitor and quickly address clinical quality gaps in care in partnership with... ...attending educational workshops and reviewing professional publications.Contribute...Weekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to ABA Care Review Clinician - Quality & Compliance (FL). Be the first to apply!
- clinician California, MO
- bilingual clinician California, MO
- mental health clinician California, MO
- school based clinician California, MO
- crisis clinician California, MO
- licensed mental health clinician California, MO
- intake clinician California, MO
- quality distribution California, MO
- quality environment health safety manager California, MO
- quality facilitator California, MO

