- Highmark Health (Oklahoma City, OK)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (Oklahoma City, OK)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- CVS Health (Lawton, OK)
- …such as ambulatory care or outpatient clinic/facility) + Must complete the Behavioral Health Case Manager certification training provided through the ... consults with manager , Medical Directors and/or other physical/ behavioral health support staff and providers to...Ability to speak to medical and behavioral health professionals to influence appropriate member care .… more
- Highmark Health (Oklahoma City, OK)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Oklahoma City, OK)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Oklahoma City, OK)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Oklahoma City, OK)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- J&J Family of Companies (Oklahoma City, OK)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Sodexo (Lawton, OK)
- …of health - care specialties: Oncology, Surgical, Cardiovascular, OB/GYN, Behavioral Health , General Medicine, and Rehabilitation Services. **Position is ... join their dynamic clinical team as a **Clinical Nutrition Manager ** at Comanche County Memorial Hospital, a 283 bed...+ Have prior inpatient clinical experience in an acute care setting + Prior experience in electronic patient charting… more
- Sharecare (Oklahoma City, OK)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Veterans Affairs, Veterans Health Administration (Lawton, OK)
- …well as providing clinical supervision for licensure. The incumbent will provide the CBOC Behavioral Health Program Manager and CBOC medical leadership with ... as a clinical/counseling Senior Social Worker in one of OKC VA Health Care System's Community Based Outpatient Clinics (CBOC) which provides both General Mental… more
- Highmark Health (Oklahoma City, OK)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more
- Evolent (Oklahoma City, OK)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,...either requesting or submitting prior authorization requests. Or relevant health care experience in claims or appeal… more
- CenterWell (Oklahoma City, OK)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Evolent (Oklahoma City, OK)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be...either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …to AristaCare policies as it relates to the provision of the highest quality health care service to our patients. **Responsibilities** **Job Duties:** + Ensures ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more