- CVS Health (Oklahoma City, OK)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- SSM Health (Oklahoma City, OK)
- …Hospital - Oklahoma City **Worker Type:** Regular **Job Highlights:** . Department: Behavioral Health . Schedule: Full Time, Days . Starting Pay: $23.41. Shift ... 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… more
- Humana (Oklahoma City, OK)
- …resources, schedules, and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, communication skills, and independent ... caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes ...of Oklahoma without restrictions + 3+ years of post-degree clinical experience in direct patient care. + 2+ years… more
- 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 ... case management throughout the continuum of care. The case manager will offer guidance. support, and...each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
- Highmark Health (Oklahoma City, OK)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… 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 ... in training and orientation of new employees. + Provides technical and clinical information and communicates results of monitoring activities to patients, nurses and… more
- CVS Health (Oklahoma City, OK)
- …Suite applications (Teams, Outlook, Word, Excel, etc.) - Successfully complete the Behavioral Health Case Manager certification training provided through ... appropriate treatment/services. - Applies and/or interprets applicable criteria and clinical guidelines, standardized case management plans, policies,… more
- CenterWell (Oklahoma City, OK)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
- CenterWell (Oklahoma City, OK)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
- Highmark Health (Oklahoma City, OK)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more