- CVS Health (Oklahoma City, OK)
- …issues. * Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the ... care issues through established channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care. * Utilizes… more
- 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 (Shawnee, 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
- CVS Health (Oklahoma City, OK)
- …Office Suite applications (Teams, Outlook, Word, Excel, etc.) - Successfully complete the Behavioral Health Case Manager certification training provided ... Model. - Ensures members transition upon discharge with adequate supervision, recommended behavioral health , physical health , pharmacy resources, and care… more
- Highmark Health (Oklahoma City, OK)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Humana (Oklahoma City, OK)
- …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...the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate… more
- Ascension Health (Tulsa, OK)
- …the following required: + Clinical Counselor credentialed from the Oklahoma State Board of Behavioral Health obtained prior to hire date or job transfer date. + ... Counselor credentialed from the Oklahoma State Board of Behavioral Health obtained prior to hire date...prior to hire date or job transfer date. + Case Manager credentialed from the Commission for… 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
- Humana (Oklahoma City, OK)
- …support specialists, SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Physical Health Nurse, work assignments are varied ... but will focus on those enrollees with primarily physical health needs. The Care Manager , Telephonic Physical Health Nurse, will utilize clinical expertise… more
- Magellan Health Services (Fort Sill, OK)
- …school in social/work, psychology, marriage, family, and child counseling, counseling or behavioral science, education, community health or public health . ... and presented to personnel at intervening agencies. + Assesses imminent risks for health and/or safety of the victim and make referrals as appropriate. + Assists… more
- BrightSpring Health Services (Tulsa, OK)
- …+ Monitoring clients' vital statistics and reporting abnormal findings to the case manager and physician assessments + Performs medication administration, ... actions of all care given and communicates with family, case manager , and physicians as well as...living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare… 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
- CenterWell (Oklahoma City, OK)
- …+ Previous Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + ... and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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 ... ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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