- 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 (Applied Behavior Analysis (ABA)) for medical necessity… more
- Health Care Service Corporation (Tulsa, OK)
- …**Job Summary** Job Description Summary This position is responsible for performing Behavioral Health Case Management in accordance with accepted department ... physicians, and members. **Required Job Qualifications:** **Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a … more
- Saint Francis Health System (Tulsa, OK)
- …Marriage and Family Therapist (LMFT). Work Experience: 3 - 4 years of related experience in behavioral health care , part of which may be experience in ... matching the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation… more
- Highmark Health (Oklahoma City, OK)
- …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with members, physicians, and pharmacies to… 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 (OK)
- …presentations. **Required Qualifications** - Candidate must reside in Oklahoma - 3 years' experience in health care , behavioral health , managed care , ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...Early and Periodic Screening Diagnostic, and Treatment (EPSDT) Program Coordinator to serve on the clinical support team. This… 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
- 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