UNKNOWN

ADAPTED_NOW

HOUR

See Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum.

JOB DESCRIPTION Behavioral Health experience required.Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - 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 to ensure 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 (MDs) and presents them 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 the Molina care model.  • Adheres to utilization management (UM) policies and procedures.  Required Qualifications  • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.  • Registered Nurse (RN). License must be active and unrestricted in state of practice.  • Ability to prioritize and manage multiple deadlines.  • Excellent organizational, problem-solving and critical-thinking skills.  • Strong written and verbal communication skills.  • Microsoft Office suite/applicable software program(s) proficiency.  Preferred Qualifications  • Certified Professional in Healthcare Management (CPHM).  • Recent hospital experience in an intensive care unit (ICU) or emergency room.  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 Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.Powered by SonicJobs (an advertiser on Monster). By applying, you consent to share your data with SonicJobs and the employer. Monster or SonicJobs does not store or use your application data beyond facilitating the application. See Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions

Molina Healthcare

Care Review Clinician (RN)(Behavioral Health)

Acute Care

Analysis Skills

Behavioral Health

Clinical Practices/Protocols

Clinical Support

Communication Skills

Compensation and Benefits

Cost Control

Cost Effectiveness Analysis

Establish Priorities

Federal Laws and Regulations

Financial Management

Healthcare

Healthcare Management

Insurance Regulations

Maintenance Services

Managed Care

Microsoft Office

Organizational Skills

Patient Care Authorizations

Presentation/Verbal Skills

Problem Solving Skills

Registered Nurse (RN)

State Laws and Regulations

Time Management

Utilization Management

Writing Skills

SonicJobs Redirect

Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months. *Please note that SonderMind does not provide office space; therapists are responsible for securing their own location for in-person sessions, but we can help connect you with other SonderMind therapists looking to share space.

SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools. We are seeking compassionate and highly skilled clinicians to join our expanding network, offering the flexibility to manage your own practice, bring your existing clients, and benefit from steady referrals. At SonderMind, we believe there can’t be mental healthcare without mentally-strong clinicians. Our platform is designed to outsmart burnout and streamline your workflow, allowing you to focus on what matters most—your clients. We are committed to fostering relationship-driven care, providing ethically grounded, human-first tools that enhance outcomes and reduce administrative burdens. Benefits of Joining SonderMind:<ul style="min-height:1.5em"><li>Flexibility: Enjoy the freedom to set your own working hours and maintain a healthy work-life balance. Sessions can be conducted via telehealth or in-person.</li><li>Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months.</li><li>Guaranteed Pay: We handle all the billing for you and guarantee pay bi-weekly for completed sessions-including no-shows.</li><li>Referrals and Practice Support: Seamlessly onboard your existing clients while receiving new referrals. Benefit from thoughtful client matching to personalize your caseload, with support from a dedicated account manager to help you grow your practice across various specialties.</li><li>Absolutely no fees or membership charges: We don’t charge you to deliver care, and all of the features, access, tools, and resources you get come free of charge.</li><li>Innovative AI-Powered Tools: Outsmart burnout and focus on what matters most—your clients. Our secure, clinically-developed AI tools eliminate administrative tasks and keep clients engaged between sessions. This includes:<ul style="min-height:1.5em"><li>AI Notes: Auto-generates editable, insurance-compliant clinical notes, saving you time and reducing documentation burden.</li><li>Session Takeaways: Extend your care between sessions by reviewing and sending client-friendly summaries of key insights.</li><li>Session Prep: Help clients clarify goals and focus areas before each session, ensuring you hit the ground running.</li><li>Goal Setting: Collaborate with clients to set and track goals, increasing engagement and accountability.</li><li>Treatment Plan: Easily align with clients on diagnoses, goals, and care plans in a clear, clinically grounded format.</li><li>Reflections: Clients can journal through AI-guided prompts between sessions, providing you with deeper context.</li></ul></li></ul>Requirements:<ul style="min-height:1.5em"><li>Master's degree or higher in counseling, psychology, social work, or a related field.</li><li>Must be fully licensed by the State Board to provide therapy independently and without supervision (e.g., LPC, LCSW, LMFT, LMHC, LCPC, LCSW-C, LISW, or LP).</li></ul>Pay: $77-$105 per hour. Pay rates are based on the provider license type, session location, and session types. *Please note that SonderMind does not provide office space; therapists are responsible for securing their own location for in-person sessions, but we can help connect you with other SonderMind therapists looking to share space.

SonderMind

Mental Health Therapist (Minnesota)

Administrative Skills

Artificial Intelligence (AI)

Billing

C Programming Language

Customer Support/Service

Documentation

Health Plan

Identify Issues

Insurance

Licensed Clinical Social Worker (LCSW)

Licensed Marriage and Family Therapist (LMFT)

Licensed Mental Health Counselor (LMHC)

Psychiatry and Mental Health

Psychology

Safety/Work Safety

Sales Management

Set Goals

Social Work

Telehealth

Treatment Plan

Appcast PX 2

FULL_TIME

FEED

OTHER

Based on jail needs and employee licensure, this role will support Integrated Support and Recovery Services (ISRS) programs (e.g., Outpatient Clinic, Crisis, Comprehensive Community Services) providing similar clinical services such as assessment, treatment planning, supervision, and counseling. FLSA: EXEMPT This is a professional Master’s degree–level clinical position within the Integrated Support & Recovery Services (ISRS) section of the La Crosse County Human Services Department.

OverviewFLSA: EXEMPT This is a professional Master’s degree–level clinical position within the Integrated Support & Recovery Services (ISRS) section of the La Crosse County Human Services Department. The primary role of this position is to provide clinical services to justice-involved individuals participating in re-entry programs. Responsibilities include conducting substance use assessments, delivering individual and group therapy, developing treatment plans, and providing ongoing support to promote successful community reintegration.The employee will also offer mental health services for individuals experiencing needs such as suicide risk, crisis concerns, or other behavioral health challenges. Services may be delivered in correctional settings, community-based environments, or other locations aligned with business operations.Administrative oversight is provided by the Outpatient Mental Health & Substance Abuse Clinic Administrator, in collaboration with re-entry program leadership and justice system partners. Clinical supervision will be provided as required for credentialing and professional development.Essential Leadership Functions Act with Integrity and Build Trust <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Demonstrate mutual respect, humility, and honesty in all interactions. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Speak up appropriately, even when expressing unpopular viewpoints. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Actively listen and remain open-minded to diverse perspectives. </li></ul>Drive for Results <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Set clear goals and objectives to motivate self and others to achieve outcomes. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Seek new opportunities to improve processes and drive sustainable results. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Hold self and others accountable through consistent evaluation and monitoring. </li></ul>Develop Talent and Effective Teams <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Foster a collaborative environment that encourages knowledge sharing and growth. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Provide mentorship and support to help self and others reach full potential. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Recognize and leverage diverse strengths within self and team. </li></ul>Lead with Vision and Strategy <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Understand and communicate a compelling vision that aligns with organizational goals. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Develop and execute comprehensive strategies to achieve long-term objectives. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Connect daily work to the bigger picture, inspiring self and others to contribute meaningfully. </li></ul>Lead with Paradoxical, Critical, and Agile Thinking <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Navigate complex situations by considering multiple perspectives. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Adapt quickly to changes and uncertainties in the work environment. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Make critical decisions using analytical skills, experience, and input from others. </li></ul>Build and Maintain Effective Relationships <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Communicate and collaborate effectively with stakeholders across the organization. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Influence others through coaching, consulting, and team-minded thinking. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Develop and sustain partnerships that create positive outcomes for all stakeholders. </li></ul> Cultivate Community Engagement and Provide Excellent Service <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Understand and address the needs and concerns of the community. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Incorporate community perspectives into decision-making processes. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Drive initiatives that create positive impacts beyond the organization. </li></ul>Demonstrate Emotional Intelligence <ul style="margin-bottom:0in;margin-top:5.26667px"><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Show self-awareness and manage emotions effectively in challenging situations. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Seek and respond constructively to feedback, even in the face of setbacks. </li><li style="margin:3.95pt 0in 0in 0px;font-size:11pt;font-family:'gill sans mt' , sans-serif">Balance empathy with accountability when leading self and working with others. </li></ul>Essential Job FunctionsResponsibilities include conducting substance use and mental health assessments and services to individuals incarcerated in the La Crosse County Jail and individuals associated with Outpatient Clinic.Develops and implements treatment plans based on clinical assessments to address identified mental health and substance use needs.Delivers counseling, therapeutic services, and care coordination in person or through telehealth; ensures accurate documentation, reporting, and charting.Provides clinical support, education, and training to part-time clinicians, social workers, and interns.Collaborates with the Re-Entry Coordinator to support transition planning and connection to community resources for individuals preparing for release.Participates as an engaged team member, contributing authentically to discussions and decision-making.May provide administrative supervision of interns, consistent with educational and licensure requirements.Demonstrates reliability by maintaining regular attendance and responsible use of leave.Related job functionsBased on jail needs and employee licensure, this role will support Integrated Support and Recovery Services (ISRS) programs (e.g., Outpatient Clinic, Crisis, Comprehensive Community Services) providing similar clinical services such as assessment, treatment planning, supervision, and counseling.This description is not exhaustive; other duties may be assigned as appropriate to meet business needs.Physical demandsMost work occurs in an office or jail setting, involving frequent sitting, communication, and computer use. The position requires occasional standing, bending, reaching, and movement throughout the facility or to other sites. Lifting light office materials (e.g., files, paper) is required. Minimal risk of exposure to hostile behavior from clients.This job description is not intended to encompass every job duty or responsibility but is only illustrative. This position is required to perform other duties as may be assigned or required.Knowledge, Skills, and AbilitiesStrong knowledge of clinical assessment, treatment planning, documentation standards, and evidence-based practices for mental health and substance use.Proficiency in suicide and substance use assessments and understanding of psychotropic medications.Ability to provide constructive clinical direction and support to staff and interns.Typical Work Hours: 8:00 AM to 4:30 PM; However, ability to work flexible hours as needed to meet client needs. Training, Experience and Other RequirementsMaster’s degree in social work, Psychology, Counseling, or a closely related field.Wisconsin clinical licensure (LCSW, LPC, LMFT) required or the ability to obtain prior to hire. Applicants with in‑training licenses (APSW, LPC‑IT, MFT‑IT) are encouraged to apply; clinical supervision toward full licensure is available. Must have training and demonstrate competence in substance use disorder (AODA) assessment and treatment, consistent with scope of practice. Must maintain licensure per Wisconsin Department of Safety and Professional Services requirements.Preference for someone who holds a Wisconsin Clinical Supervisory License.Proficiency in computer use and data entry.Valid driver’s license and access to reliable transportation.Experience in mental health or substance use treatment settings, preferably with justice-involved populations.Familiarity with Motivational Interviewing or other evidence-based practices for co-occurring disorders.<img alt=" " height="1" src="https://ars2.equest.com/?response_id=c37d19d746dd032aeb6a55ff06bc85a4&view" width="1"/>

La Crosse County is one of the largest employers in the areas with over 1300 employees. Our mission is to provide the ‘Best of Public Service’ for taxpayers. We provide a broad range of governmental services to the public, including health & human services, long-term nursing care facilities, public safety, road maintenance, land information, court services, child support agency, libraries & parks, to mention a few. This broad range of services provides a variety of employment opportunities for an array of skill-sets. We are an Equal Opportunity Employer, which offers competitive wages and a comprehensive benefit package.
 
La Crosse County is the center of the tri-state area (WI, MN and IA), within 250 miles of several metropolitan areas, and has a modern airport facility. The area is served by several excellent public school systems, many fine parochial schools, and institutes of higher learning. It is also home to two nationally renowned health care facilities.

There is something for everyone in La Crosse County: outdoor recreation, a multitude of casual and fine dining establishments, breathtaking scenery, parks and trails, arts and entertainment, cultural opportunities, historical landmarks and museums, sporting events and much more.

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Care Review Clinician (RN)(Behavioral Health) Molina Healthcare

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MENTAL HEALTH THERAPIST La Crosse County

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