• Behavioral Health Case…

    Saint Francis Health System (Muskogee, OK)
    …and effective patient outcomes. Minimum Education: Bachelor's Degree in a health related field. Licensure, Registration and/or Certification: None. Work Experience: ... members; attends interdisciplinary/treatment team and patient planning meetings. Coordinate case management with utilization management. Decision Making: Independent judgment… more
    Saint Francis Health System (04/09/25)
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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, ... therapists, who are responsible for group and individual services, case management and documentation and charging of services; also...other duties as assigned. EDUCATION + Master's degree in Behavioral Health or related field EXPERIENCE +… more
    SSM Health (04/17/25)
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  • Complex Case Manager RN - Pediatrics…

    Highmark Health (Oklahoma City, OK)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (05/15/25)
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  • Social Worker - Case Management

    Ascension Health (Tulsa, OK)
    …the following required: + Clinical Counselor credentialed from the Oklahoma State Board of Behavioral Health obtained prior to hire date or job transfer date. + ... Counselor credentialed from the Oklahoma State Board of Behavioral Health obtained prior to hire date...prior to hire date or job transfer date. + Case Manager credentialed from the Commission for… more
    Ascension Health (04/30/25)
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  • Manager Business Platform - HNAS

    Highmark Health (Oklahoma City, OK)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
    Highmark Health (04/29/25)
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  • Product Manager - Billing

    Highmark Health (Oklahoma City, OK)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
    Highmark Health (03/20/25)
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  • Transition of Care Coordinator

    CVS Health (Oklahoma City, OK)
    …judgment and critical thinking skills to facilitate appropriate member behavioral health transitions. The TOC Coordinator BH leverages case management tools, ... to identify comprehensive member needs. + Follows members through their inpatient behavioral health admission and continues oversight through transition from the… more
    CVS Health (05/15/25)
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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 ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
    Highmark Health (03/06/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Oklahoma City, OK)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • Manager , Care Management LTC

    Healthfirst (OK)
    …Care Management: + Associates degree + NYS RN + LCSW or LMSW (any state) + For Behavioral Health (BH) Care Management + Associates degree + NYS RN or + LCSW, ... documentation systems + Adept at planning, organizing, and executing + Knowledge of health insurance, Medicaid, Medicare and MLTCP + Care management experience in a… more
    Healthfirst (05/07/25)
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