Florida Licensed Specialty Therapist

Job Summary

To support member services review assessment activities, the full-time Florida Licensed Specialty Therapist will analyze clinical service requests, ensure alignment with clinical guidelines, and collaborate with multidisciplinary teams in a remote capacity.

Key responsibilities

• Analyze clinical service requests against evidence-based clinical guidelines
• Conduct reviews to determine prior authorization and financial responsibility for treatments
• Collaborate with teams to promote the Molina care model and ensure quality member care

Required qualifications

• At least 2 years of experience in a hospital acute care, inpatient review, or managed care setting
• Active and unrestricted license as an Occupational Therapist, Physical Therapist, or Speech-Language Pathologist in Florida
• Ability to prioritize and manage multiple deadlines effectively
• Proficiency in Microsoft Office and applicable software programs
• Strong organizational and critical-thinking skills