• Social Services Care Manager

    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 environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Lead Behavioral Health Therapist

    SSM Health (Oklahoma City, OK)
    …Anthony Hospital - Oklahoma City **Worker Type:** Regular **Job Highlights:** . Department: Behavioral Health ​​ . Sign On Bonus: $10,000​ . Schedule: Full Time, ... Our therapist roles are an integral piece in our care team and we see it as a partnership....other duties as assigned. EDUCATION + Master's degree in Behavioral Health or related field EXPERIENCE +… more
    SSM Health (01/16/25)
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  • Provider Engagement - Behavioral

    Humana (Oklahoma City, OK)
    …and strong interpersonal skills. Key Role Objectives + Serve as primary relationship manager with behavioral health providers to ensure positive provider ... appropriate courses of action. The Provider Engagement Professional - Behavioral Health is responsible for day-to-day front...Primarily Southeast Oklahoma + 2 or more years of health care or managed care more
    Humana (02/22/25)
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  • Social Work Care Manager

    Intermountain Health (Oklahoma City, OK)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • Case Manager , RN

    CAI (Oklahoma City, OK)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    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 (03/13/25)
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  • Program Manager

    Highmark Health (Oklahoma City, OK)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Category Manager

    Highmark Health (Oklahoma City, OK)
    …management and performance **Preferred** + 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 (02/18/25)
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  • Manager Strategic Risk Adjustment Programs

    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 ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Program Manager - OKC

    BrightSpring Health Services (Oklahoma City, OK)
    …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... lines of business. If your passion is managing and developing staff to ensure quality care to help our clients live their best life, we encourage you to apply today!… more
    BrightSpring Health Services (03/13/25)
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  • Accreditation Manager

    Humana (Oklahoma City, OK)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (02/24/25)
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  • Market VP, Value-Based Care Business…

    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 ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/14/25)
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  • Field Case Management RN

    CVS Health (Oklahoma City, OK)
    …discharge with adequate supervision, recommended behavioral health , physical health , pharmacy resources, and care management support. + Educates and ... channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care . + Utilizes influencing/motivational… more
    CVS Health (03/07/25)
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  • Senior Strategy Professional, Specialty…

    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
    CenterWell (03/19/25)
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  • Advanced Practice Registered Nurse (Family)

    Defense Health Agency (Oklahoma City, OK)
    …**Responsibilities** **MISSION/GOALS:** To serve as the Primary Care Manager and function as a privileged health care ... conditions. **POSITION DUTIES:** Duty 1 - Serves as the Primary Care Manager providing comprehensive primary, preventative, and therapeutic health care more
    Defense Health Agency (02/21/25)
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  • Senior Application Developer (Person360 & MDM)

    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 (01/30/25)
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  • Mom's Maternity Telephonic Nurse

    Humana (Oklahoma City, OK)
    …The individual in this role will work as an Oklahoma-based, primarily telephonic care manager , assessing and evaluating enrollees' needs and requirements to ... of the care management team and/or coordinating in-person meetings between the care manager and the enrollee. This team-based approach is designed to ensure… more
    Humana (03/21/25)
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  • National leader, Provider Education

    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 ... or operational leadership experience in the areas of Population Health Management, Practice Management, (VBC) Value Based Care...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/06/25)
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  • Senior Clinical Pharmacy Technician

    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
    CenterWell (02/20/25)
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