- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management Team, providing ... approach for case management throughout the continuum of care. The case manager will offer guidance. support, and coordination of the beneficiary's care as… more
- Public Consulting Group (Oklahoma City, OK)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- SSM Health (Midwest City, OK)
- …Summary:** St. Anthony's Hospital in Midwest City is seeking a dedicated and compassionate Case Manager to join our System Case Management team. This ... ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health,… more
- CVS Health (Oklahoma City, OK)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Oklahoma City, OK)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- SSM Health (Oklahoma City, OK)
- …process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home ... - Oklahoma City **Worker Type:** PRN **Job Highlights:** **Department:** System Case Management **Schedule:** PRN, Schedule on an as needed basis **Location:**… more
- Sedgwick (Oklahoma City, OK)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Oklahoma City, OK)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Otsuka America Pharmaceutical Inc. (Oklahoma City, OK)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Public Consulting Group (Oklahoma City, OK)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Oklahoma City, OK)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Oklahoma City, OK)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Oklahoma City, OK)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... intervention skills preferred Managed care/utilization review experience preferred. + Case management and discharge planning experience preferred. + Managed… more
- SSM Health (Oklahoma City, OK)
- …patient first and helps you to feel valued while respecting teamwork and collaboration. Our Case Management roles are an integral piece in our care team and we see ... + Works effectively with internal and external customers and proactively improves case management processes. + Works in a constant state of alertness and… more
- Cardinal Health (Oklahoma City, OK)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Oklahoma City, OK)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- SSM Health (Oklahoma City, OK)
- …Coordinates, facilitates and performs interdisciplinary plan of care through assessment and evaluation of patient condition and effectiveness of care under the ... direction of the attending physician by traveling to patient homes, Community-Based Residential Facilities (CBRF), assisted living locations, hospitals or other to meet patient and family/caregivers, assess patient care needs, acuity in relation to policies,… more
- Baylor Scott & White Health (Oklahoma City, OK)
- …based on position type and/or level **Job Summary** As a Registered Nurse Case Management , oversee, strategize, and monitor the team to provide quality services ... partnerships with various stakeholders to improve member health outcomes through case management services. **Essential Functions of the Role** + Collaborates in… more
- Travelers Insurance Company (Oklahoma City, OK)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- CVS Health (Oklahoma City, OK)
- …(Teams, Outlook, Word, Excel, etc.) - Successfully complete the Behavioral Health Case Manager certification training provided through the Department of Mental ... skills to facilitate appropriate member transitions. The TOC Coordinator RN leverages case management tools, such as assessments and care planning, direct provider… more