- 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 ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- BrightSpring Health Services (Shawnee, OK)
- …and implemented and monitors and ensures staff follows procedures to promote optimum health care and behavior supports, including the implementation of services ... and regulatory requirements. + Other duties as assigned Qualifications + BA/BS in Business, Health Care Administration or a Social Science degree or High school… more
- Humana (Oklahoma City, OK)
- …(SDOH). Plan shall include psychosocial issues, home environment and behavioral health needs across the full continuum of care . Maintain beneficiary's ... the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate.... + Experience with TRICARE policies and/or the military health care delivery system. + Knowledge of… more
- Public Consulting Group (Oklahoma City, OK)
- …(HFW) is a highly structured, team-based collaborative model with a single accountable care coordinator that adheres to the fidelity of the model, convenes ... social support network to build an individualized plan of care that incorporates formal and informal services and supports...of Excellence (COE) for Innovative Systems and Practice in Behavioral Health is to increase the capacity… 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