- SSM Health (Oklahoma City, OK)
- …Anthony Hospital - Oklahoma City **Worker Type:** Regular **Job Highlights:** . Department: Behavioral Health . Schedule: Full Time, Days . Starting Pay: ... to feel valued while respecting teamwork and collaboration. Our Case Management roles are an integral piece in our...and we see it as a partnership. At SSM Health , we know the healing power of presence begins… more
- CVS Health (Lawton, OK)
- …Using holistic approach consults with manager , Medical Directors and/or other physical/ behavioral health support staff and providers to overcome barriers to ... coordinating all care management activities with members to evaluate the medical and behavioral health needs to facilitate the member's overall wellness. +… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- General Motors (Oklahoma City, OK)
- …is not expected to report to a GM worksite unless directed by their manager . **Company Vehicle:** **Upon successful completion of a motor vehicle report review, you ... (GPSSC) organization, leads the development of a comprehensive safety case for automated driving systems (ADS). This work supports...crashes, zero emissions, and zero congestion. As the AV Behavioral Regulatory Lead, you will report to the Head… more
- Highmark Health (Oklahoma City, OK)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- CVS Health (Oklahoma City, OK)
- …judgment and critical thinking skills to facilitate appropriate member behavioral health transitions. The TOC Coordinator BH leverages case management tools, ... to identify comprehensive member needs. + Follows members through their inpatient behavioral health admission and continues oversight through transition from the… more
- Highmark Health (Oklahoma City, OK)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- CVS Health (Oklahoma City, OK)
- …McClain, Garvin, Murray, Carter, Lowe, Marshall, Johnston, Pottawatomie, and Lincoln. The Case Manager , RN, for Transitions of Care (CMRN TOC) utilizes ... Model. + Ensures members transition upon discharge with adequate supervision, recommended behavioral health , physical health , pharmacy resources, and care… more
- Highmark Health (Oklahoma City, OK)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... policies as it relates to the provision of the highest quality health care service to our patients. **Responsibilities** **Job Duties:** + Ensures compliance… more