• Clinical Case Manager…

    CVS Health (Oklahoma City, OK)
    …of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... to take and manage crisis calls. **Required Qualifications:** + Unencumbered Independent Behavioral Health clinical license in the state where they reside… more
    CVS Health (09/10/25)
    - Related Jobs

  • Complex Case Manager RN - GI Nurse…

    Highmark Health (Oklahoma City, OK)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (08/27/25)
    - Related Jobs

  • Clinical Staff Pharmacist

    KPH Healthcare Services, Inc. (Oklahoma City, OK)
    **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... in training and orientation of new employees. + Provides technical and clinical information and communicates results of monitoring activities to patients, nurses and… more
    KPH Healthcare Services, Inc. (07/16/25)
    - Related Jobs

  • Manager , Utilization Management - Aetna…

    CVS Health (Oklahoma City, OK)
    …And we do it all with heart, each and every day. **Position Summary** The Manager , UM Clinical Services, conducts oversight and management of clinical team ... Professional Counselor (LPC), Licensed Marriage & Family Therapist (LMFT), Licensed Behavioral Practitioner (LBP), or Licensed Clinical Social Worker (LCSW)… more
    CVS Health (09/06/25)
    - Related Jobs

  • RN Care Manager I

    Intermountain Health (Oklahoma City, OK)
    …Plans, and fully funded and self-funded Commercial Employer plans. The Care Manager works with Select Health members, their family, caregivers, and a ... to access benefits, resources, and services to meet comprehensive medical, behavioral , and social needs of members while promoting self-management, quality, and… more
    Intermountain Health (09/10/25)
    - Related Jobs

  • Care Manager - Physical Health

    Humana (Oklahoma City, OK)
    …will focus on those enrollees with primarily physical health needs. The Care Manager , Telephonic Physical Health Nurse, will utilize clinical expertise and ... in this role will work as an Oklahoma-based, primarily telephonic care manager , assessing and evaluating enrollees' needs and requirements to achieve or maintain… more
    Humana (08/29/25)
    - Related Jobs

  • Coding Auditor Educator

    Highmark Health (Oklahoma City, OK)
    …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (08/08/25)
    - Related Jobs