- Health Care Service Corporation (Tulsa, OK)
- … diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute in-patient ... This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the… more
- CVS Health (Oklahoma City, OK)
- …and coordinate with internal stakeholders to identify and address patient needs (eg care team, social work, behavioral health , utilization management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing… more
- Highmark Health (Oklahoma City, OK)
- …Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent ... Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail… more
- CVS Health (Oklahoma City, OK)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... in the assigned market time zone. The Case Management Coordinator (ie CC) utilizes critical thinking and judgment to...and procedures. **Required Qualifications** - 2+ years experience in behavioral health or social services. - Must… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …and/or training; or equivalent combination of education and experience in the home health care field. + Basic knowledge of the Insurance approval/authorization ... system. Once authorization has been obtained then the Intake coordinator notifies the AristaCare Health team that...Excel proficiency + Must be able to work independently ** Behavioral Traits** : + Intuitive/Open minded: Must be able… more
- Fresenius Medical Center (Yukon, OK)
- …Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...affect adherence to treatment. Works with patient, family and health care team to provide education tailored… more