- CVS Health (Oklahoma City, OK)
- … care resources. **This is a remote-based (work from home) role.** In this role as Medical Director ( Behavioral Health ), you will: * Provide leadership ... and medical necessity decisions * Provide comprehensive behavioral health care management to facilitate delivery...evaluation of clinical/ medical programs * Confer with behavioral health practitioners regarding the care of… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- State of OK JD McCarty Center (Norman, OK)
- …+ Monitors and completes Quality Assurance indicators as assigned by Department Director . + Provides behavioral support to patients attending Camp ClapHans. ... as necessary and provide training to Direct Care Staff on implementing behavioral interventions. + Participates as needed, depending on training, in completing… more
- Highmark Health (Oklahoma City, OK)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
- Highmark Health (Oklahoma City, OK)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- CVS Health (Oklahoma City, OK)
- …**Required Qualifications** - Candidate must reside in Oklahoma - 3 years' experience in health care, behavioral health , managed care, public health , ... help ensure report quality and accuracy. In coordination with the QM Director , regularly interacts with Population Health /Integrated Care Management, Marketing… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …group psychotherapy, triage/crisis management, and other interventions such as behavioral health and community interventions. Conducts psychological assessments. ... professional advice and consultation in areas related to professional psychology and behavioral health . Knowledge of clinical research literature Reference: For… more
- Evolent (Oklahoma City, OK)
- …as required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- CenterWell (Oklahoma City, OK)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with… more