- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CVS Health (Oklahoma City, OK)
- …and effective utilization of health care resources. Reporting to the Executive Behavioral Health Medical Director , Aetna Medicaid, this role ... Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. * Attend and actively participate in clinical… more
- Valor Health (Altus, OK)
- Clinic Medical Director (MD/DO) VA Outpatient Clinic Altus, OK (http://maps.google.com/maps?q=1604+North+Main+Street+Altus+OK+USA+73521) Apply Description About ... to none. Valor Healthcare is looking for a passionateClinical Medical Director (CMD)to join our team at...set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. Final compensation will… more
- Saint Francis Health System (Muskogee, OK)
- …psychosocial factors. Documents steps of the nursing process. Utilizes proper medical terminology. Addresses problems and progress toward goals. Facilitates patient ... other healthcare professionals and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: None. Supplemental Information: This… more
- Highmark Health (Oklahoma City, OK)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Oklahoma City, OK)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Oklahoma City, OK)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- CenterWell (Oklahoma City, OK)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Associate Director , Product Management...or in-practice role (eg, Center Administrator, Front Office, Scheduling, Medical Assistant, Physician, or Physician Extender). + Two or… more
- American Express Global Business Travel (Oklahoma City, OK)
- …offer an inclusive and collaborative culture where your voice is valued. The Director of GTM Analytics is a strategic, high-visibility leader responsible for driving ... across Marketing, Commercial and Decision Analytics to translate segmentation and behavioral insights into actionable targeting strategies across the full bowtie… more
- Saint Francis Health System (Tulsa, OK)
- …therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state ... Experience: 3 - 4 years of related experience in behavioral health care, part of which may...patient situations, reporting them promptly to the Process Improvement/Quality Director , to appropriate clinicians and to the UM Manager.… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …to apply. Responsibilities This is a full-time psychiatry position serving as the Medical Director for the Substance Treatment and Recovery Clinic for the ... Oklahoma City VA Health Care System. The psychiatrist should be board certified/board...in local geriatric population and has served as a Medical Director for a Substance Abuse Clinic.… more
- BrightSpring Health Services (Tulsa, OK)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... of data into the company system(s). Works with Executive Director and billing/collection staff to ensure maximum reimbursement to...office) and data entry skills + Basic knowledge of medical terminology and medical office insurance billing… more
- Humana (Oklahoma City, OK)
- …participates with facility discharge planners, Care Coordinators/Care Managers and the behavioral health personnel in coordinating the member's discharge needs. ... Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient therapies,...specifying rational for approval, or for forwarding to the CMO/ Medical Director for further review. + Create… more