Pre Licensed Therapist Bilingual

JOB PURPOSE: The Medication Prior Authorization Specialist is responsible for facilitating and processing medication prior authorizations to ensure timely patient access to prescribed therapies. This role operates within the Quality Department and is responsible for ensuring that all processes related to medication prior authorizations adhere to regulatory standards, quality control protocols, and best practices. The Medication Prior Authorization Specialist's main function is to complete prescription prior authorizations. The Medication Prior Authorization Specialist ensures patients receive medications that require pre-authorization from insurance carriers. Communicates with plans and pharmacy by analyzing insurance prior authorization requirements. It is the responsibility of the Medication Prior Authorization Specialist to receive, process and document all requirements, submit the required documentation, and update the Prior Authorization submission documents when necessary. They will collaborate with cross-functional teams to monitor, assess, and improve the quality of processes for prescription prior authorizations and medication services. This role requires a deep understanding of quality assurance principles, and strong analytical skills. In addition, the Specialist may be asked to perform other tasks in support of the Quality and Innovation team. The Medication Prior Authorization Specialist serves in a specialized administrative support role.   In this position, the defined duties and responsibilities for a Medication Prior Authorization Specialist will adhere to the regulations and the Policies and Procedures of El Rio Health. The Quality team works with periodic supervision and review, and any work problems involving departures from standard policies, interpretations, or procedures are reviewed with the supervisor for direction and resolution.   Essential Job Functions: * Performs and/or completes all assigned duties, tasks, responsibilities, and assignments supporting the quality team with focus on Medication Prior Authorizations within established time frames; meeting established rates of performance for the quality and quantity of work for the position; demonstrating a high level of technical expertise, quality, efficiency, and accuracy in the employee’s job performance that ensures the highest standards of excellence. * Maintains proficient skill levels that meet defined performance expectations for a Medication Prior Authorization Specialist evidenced by successful demonstration of skills performance for this position upon evaluation. * Always maintains employee and/or patient confidentiality by controlling the environment and information being disclosed to authorized individuals ensuring compliance with all HIPAA and corporate compliance standards, as well as accepted human resources confidentiality standards. * Understands and complies with all organizational Code of Conduct standards, Policies and Procedures, and Service Excellence requirements with all patients, visitors, employees, and internal/external clients or representatives. * Always demonstrates a professional attitude and acceptable job performance for all duties, tasks, responsibilities, and assignments for this position at the assigned location and/or duty assignment that supports the operational needs of El Rio Health and as assigned by organizational leadership. * Possesses and demonstrates the knowledge, understanding, and specialized technical skills to complete all assigned duties, tasks, and responsibilities, in addition to working with the electronic health record. * Serves as an informational contact point for El Rio’s Quality & Innovation Team in relation to Medication Prior Authorizations supporting payors bringing any issues or requests to timely and effective resolution. * Collects, analyzes, and interprets quality-related data to identify trends and opportunities for enhancement. * Initiate authorization requests for Pharmacy in accordance with the prior authorization workflow. * Process faxes within established standards, follow up outbound calls with plans and pharmacies. * Gains and maintains a comprehensive understanding and proficient ability to ensure full compliance with all regulations, standards, or requirements for all Federal, State, and local laws; as well as all standards and requirements for internal/external grants or funding sources. * Demonstrates an exceptional level of customer service; answers and responds to all incoming calls, emails, and inquiries in a timely and effective manner, responds to requests and forwards any issues or complaints for resolution. * Maintains a clean, safe, and hygienic work environment in compliance with all Policies and Procedures including but not limited to work areas, workstations, examination rooms, hand washing, infection prevention and control etc. for this position. * Demonstrates an understanding of and proficiency with the application of all compliance and reporting requirements respective to Joint Commission Certification (JCC) standards. * Identifies and reports any safety hazard, or potential hazard, by immediately notifying supervisory staff and communicating the hazard in compliance with all Policies and Procedures; thereby ensuring that El Rio Health provides safe and clean facilities for all patients and visitors, as well as a safe and clean work environment for all employees. * Plans, organizes, and facilitates assigned events and projects that support the operations of the Quality and Innovation Department. * Demonstrates self-initiative by being aware of your work environment in order to assist co-workers and others while maintaining and enhancing a respectful and positive attitude in the work environment. * Always serves as a positive and effective role model/mentor to co-workers and other employees. * Participates in a learning environment by being willing to train, and learn with and from other employees, gaining new skills and knowledge to enhance and improve the quality of service provided to employees, as well as all internal/external clients or representatives.   Minimum Education and Experience: * High School Diploma or General Education Diploma (G.E.D). * Three (3) years experience working with insurance plans, Pharmacy benefits (PBM), and eligibility. * Two (2) years experience processing Medication Prior Authorizations, insurance verification and formularies. * Familiarity with EHR's EPIC     If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job.   Required Licenses, Certifications, and Registrations: * Current certification in Basic Life Support (BLS) for health care providers.  * Level I fingerprint clearance card: current valid and in good standing or have applied for it within seven working days after beginning employment. * Employees in this position are required to have reliable transportation that can meet any operational reassignments of the organization during the workday. If an employee is driving during work hours, the employee is required to possess a valid driver’s license and must comply with Arizona vehicle insurance requirements.   Preferred Education, Experience, Skills, Abilities: * Associate’s Degree in a Business or Finance related field from an accredited College or University. * A current License as a Pharmacy Technician in accordance with the Arizona State Board of Pharmacy requirements. * Two (2) years administrative experience, preferably in a healthcare environment. * Bilingual (English/Spanish) with the ability to speak, read and write in both languages.   Reasonable accommodations may be made to enable individuals with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for sincerely held religious beliefs, observances, and practices to perform the essential functions of the job.  El Rio Health does not discriminate based on race, color, religion, sex (including pregnancy, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors. El Rio Health requires all AZ employees to have a Level One Fingerprint Clearance card. A.R.S. 36.425.03. New hires and transfers must submit their fingerprint clearance card or fingerprint receipt before their hire date or transfer date. Level One (1) Non-IVP Fingerprint Clearance card must be received within 30 days after the new employee hire date or transfer date.  All employees are strongly recommended to obtain and maintain vaccination status (i.e., as recommended by CDC and/or other public health agencies) to include an Influenza vaccination. Subject to exemptions and accommodations when required by law. (Policy: Adm-016 & Adm-045).  All employees are required to undergo drug testing prior to employment and will be subject to post-accident, reasonable suspicion, return to duty and follow up drug and alcohol testing in compliance with Federal and State regulations for alcohol and controlled substance testing. Employees in positions holding responsibility for the safety and welfare of others will also be classified as safety sensitive.  El Rio Health is a non-profit 501(c)(3) Federally Qualified Health Center (FQHC) and abides by all applicable federal Drug-Free Workplace standards. El Rio Health is an equal opportunity employer.

Description Position at Clarvida - California Job Title : Pre-Licensed Therapist Location : San Diego County, California Employment Type : Full-time Salary : $37–$39/hour Date Posted: 06/26/2026 About the Role The Pre-Licensed Therapist-Catalyst Program is responsible for overseeing all aspects of administrative operations within the program. This role ensures effective coordination of services, supervises staff performance, manages workflows, and supports compliance with organizational, county, and regulatory standards. The position also plays a key leadership role in fostering staff development, maintaining program quality, and supporting recovery-oriented services. Responsibilities Provides crisis intervention consultation and other activities directly related to the interventions process Provides individual (adult and children), group and family therapy Provides occupational, education, and other information to enable individual to formulate realistic educational and vocational plans Participates in interdisciplinary treatment planning Participates in program development and staff in-services Participates in staff meetings as required Performs administrative functions consistent with the needs of the program Provide work-related supportive services. Transport clients to accommodate community relationships. Use of personal car or vehicle is required. Conducts counseling or therapeutic interviews to assist individual to gain insight into personal problems, define goals, and plan action reflecting interest, abilities, and needs Documents in medical record according to requirements of company and regulatory agencies Evaluates data to identify causes of problem of individuals and to determine advisability of counseling or may refer to other specialist or institutions Maintain and ensures HIPAA, ethical standards and professional boundaries with all staff and clients Follows up results of counseling to determine reliability and validity of treatment used May be required to provide a minimum number of hours weekly, as specified by supervisor or director May provide consultation/education to community service clubs, organizations, school districts, human service agencies, hospitals, and various county departments May provide linkages to intensive interventions to develop skills aimed at mediating the effects of mental health crisis, trauma, or depression May teach various educational classes (parenting, domestic violence, anger management, etc.) and provide on-site therapy in schools Monthly Productivity Requirement as determined by program Required Qualifications · Master’s degree in Social Work, Psychology, Counseling, or related field from an accredited institution · Registered as Associate Marriage and Family Therapist (AMFT), Associate Professional Clinical Counselor (APCC), or Associate Clinical Social Worker (ACSW) · Minimum two (2) years of experience working with mental health clients (inpatient or outpatient) · Direct clinical and case management experience with knowledge of rehabilitation philosophy · Strong clinical, interpersonal, written, and verbal communication skills · Intermediate computer proficiency · Valid California driver’s license, reliable transportation, and active auto insurance Compensation & Benefits Full-time Employees: · Paid vacation days (increase with tenure) · Separate sick leave that rolls over annually · Up to 10 paid holidays* · Medical, dental, and vision insurance options · DailyPay – access your earnings without waiting for payday* · Training, development, and continuing education opportunities All Employees: · 401(k) · Free licensure supervision · Pet insurance · Employee Assistance Program (EAP) · Perks @ Clarvida – national discounts on shopping, travel, Verizon, and entertainment · Mileage reimbursement · Cellphone stipend (*Benefits may vary by state or county) Work Location San Diego County, California Employment Type Full-time How to Apply If you are passionate about providing mental health services to youth and families in a school-based setting, click “Apply Now” to join Clarvida as a Pre-Licensed Therapist. About Clarvida Clarvida’s success is built on the strength of our people and a shared commitment to improving lives and communities. We empower employees to bring their full potential to their work while delivering outcome-driven, person-centered services. Learn more: http://www.clarvida.com/mission-vision-and-values/ See other opportunities: https://www.clarvida.com/working-at-clarvida Equal Opportunity Employer Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic. Fraud Alert Clarvida never charges fees to apply. Official communication regarding job opportunities will only come from authorized @clarvida.com email addresses, [email protected] , or verified LinkedIn profiles associated with Clarvida email accounts. Keywords Pre-Licensed Therapist, AMFT, APCC, ACSW, School-Based Therapy, Mental Health Services, Youth and Family Therapy, Behavioral Health, Crisis Intervention, Clarvida Careers