- Centene Corporation (Oklahoma City, OK)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure ... to member care, provider interactions, and facilitates operations within utilization management. + Manages behavioral health...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Humana (Oklahoma City, OK)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works directly with network providers to support key clinical transformation programs ... with a focus on utilization of appropriate care. The team member works with...or healthcare administration in a provider office, hospital and/or health systems, or healthcare consulting in provider setting. +… 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 ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- CenterWell (Oklahoma City, OK)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- Centene Corporation (Oklahoma City, OK)
- …to practice in the State of Oklahoma. Must successfully complete the Behavioral Health Case Manager certification training provided through the Department ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....and promote desired outcome + Assess the member's current health status, resource utilization , past and present… more
- Centene Corporation (Oklahoma City, OK)
- …to practice in the State of Oklahoma. Must successfully complete the Behavioral Health Case Manager certification training provided through the Department ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....and promote desired outcome + Assess the member's current health status, resource utilization , past and present… 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 ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Marriott (Oklahoma City, OK)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more
- HCA Healthcare (Oklahoma City, OK)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Surgicare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …policies as it relates to the provision of the highest quality health care service to our patients. **Responsibilities** **Job Duties:** + Ensures compliance ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more