Top 29 Utilization management Jobs in Vinita, Ok

Crisis Care Navigator
GRAND Mental Health —Vinita, OK
- $20.19 - $23.65 an hour
- Full-time
- Clean driving record
- Writing skills
- HIPAA
Quick Apply
RN, Registered Nurse, Saint Francis Vinita
Saint Francis Hospital Vinita, Inc. —Vinita, OK
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
RN, Registered Nurse, Vinita Senior Behavioral/Renaissance (Nights)
Saint Francis Hospital Vinita, Inc. —Vinita, OK
- Full-time
- Nursing
- RN License
- Discharge planning
Quick Apply
CT Tech
INTEGRIS Health —Oklahoma
- Overtime
- Hospital
- Mid-level
- Radiology
- Health insurance
- Paid time off
Quick Apply
RN, Registered Nurse, Vinita ER (Nights)
Saint Francis Hospital Vinita, Inc. —Vinita, OK
- Full-time
- Nursing
- RN License
- Discharge planning
Quick Apply
RN, Registered Nurse, Saint Francis Vinita - ECB
Saint Francis Hospital Vinita, Inc. —Vinita, OK
- Part-time
- Nursing
- RN License
- Hospital
Quick Apply
RN Case Manager - Baptist
INTEGRIS Health —Oklahoma
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
RN Manager - Baptist Case Management
INTEGRIS Health —Oklahoma
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
Crisis Operations Manager
GRAND Mental Health —Vinita, OK
- $60,000 - $70,000 a year
- Full-time
- Mid-level
- Residential
- 3 years
Quick Apply
Registered Nurse, Vinita OCR - ECB
Saint Francis Hospital Vinita, Inc. —Vinita, OK
- Part-time
- Nursing
- RN License
- Hospital
Quick Apply
6d
CT Tech PRN
INTEGRIS Health —Grove, OK
- Overtime
- Mid-level
- Radiology
Quick Apply
Patient Access Specialist - PRN
Ensemble RCM LLC —Pryor, OK
- $17.00 - $18.15 an hour
- Part-time
- Hospital
- Customer service
- Inpatient
- Tuition reimbursement
Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Physician ED Claims Reviewer
Vytwo —United States
- Full-time
- Remote
- Mid-level
- 2 years
Quick Apply
Remote Registered Nurse (RN) | $34/hr
Carenet Health —United States
- $34 an hour
- Weekends as needed
- Remote
- Bilingual
- Nursing
- RN License
- Continuing education credits
- Paid holidays
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
8d

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utilization management jobs near vinita, ok

Crisis Care Navigator

GRAND Mental Health -
Vinita, OK

Quick Apply

Job Details

Full-time
$20.19 - $23.65 an hour

Qualifications

Electronic health records (EHR) management
English
High school diploma or GED
Driver's License
Documentation tools
Computer skills

Full Job Description

This role is pivotal in the organization and execution of client-centered discharge and transition planning
for clients receiving stabilization services. The Crisis Care Navigator is responsible for prioritizing identified
client needs and ensuring that all relevant team members are coordinating and documenting
interventions. On-unit and care coordination interventions are provided with the express purpose of
assisting clients with long-term recovery efforts which extend beyond the client’s need for crisis
stabilization services. This position is central to ensure that the necessary resources and documentation
is complete and delivered in a timely manner.

EDUCATION, QUALIFICATIONS, AND EXPERIENCE:

High School Diploma or equivalent required
Required to be certified through Oklahoma Department of Mental Health and Substance Abuse

Services (ODMHSAS) as a Certified Peer Recovery Support Specialist (CPRSS), Certified Family Peer
Recovery Support Specialist (CFPRSS) or Case Management (CM) I; CM II preferred.

Current and valid Driver’s License
Maintain driver’s license and have a clean driving record and reliable transportation

KNOWLEDGE, SKILLS, AND ABILITIES:

Proficiency in healthcare documentation and charting standards.
Working knowledge of confidentiality standards related to HIPPA, CFR 42 Pt 2, Oklahoma Title 43A, as

well as all relevant statutes and regulations.

Ability to successfully navigate an Electronic Health Record and identify gaps in documentation.
Ability to effectively facilitate collaboration between a multidisciplinary treatment team.
Ability to maintain high documentation standards in a crisis unit environment.
High communication and delegation skills.
Ability to work in a fast-paced treatment environment.
Ability to communicate effectively, both orally and in writing.
Ability to communicate using a trauma informed, person-centered approach with clients, staff, and

community partners.

High degree of conflict resolution and alliance building to help create collaboration and cohesion in a

team-based environment.

Proficient use of Eleos and other agency approved documentation technology as a required function of

this position. In addition, must possess skill in working cooperatively and effectively with clients, staff, management,
and other professional groups; in exercising mature judgment in dealing with people; in presenting ideas
clearly and accurately; in reading and comprehending the English language;
This role should have an expectation of core competencies in relation to individuals with co-occurring
disorders.

JOB DUTIES AND RESPONSIBILITIES:
This position is responsible and held accountable for the following duties:

Maintain and monitor standardized communication processes on the unit.
Act as the primary liaison between the crisis unit and internal and external care coordination

treatment partners.

Provide oversight to unit staff to ensure completeness of documentation required for seamless

transition for clients between levels of care as well to external referring partners.

Maintain working knowledge of local referral sources related to treatment and social services to meet

clients’ basic needs.

Ensure completeness of Release of Information and related chart documentation related to identified

parties (e.g., contact logs, Care Coordination Care Pathway, Contact Information, etc.).

Complete or ensure completion of assessments to help identify and prioritize client’s resources

needs for stabilization.

Identifies charting gaps and communicates and delegates gaps appropriately to meet client needs in a

timely manner.

Communicate with outpatient providers when high utilization clients admit to the crisis stabilization

unit.

Collaborate with crisis unit staff and utilizations specialists to assist in dispositioning client insurance

needs, including but not limited to; identifying insurance, entering the Payer Care Pathway, assisting in
applying for insurance, etc.

Utilizes Eleos, the agency’s AI supported scribing tool, for eligible services.
Understands and promotes our Certified Community Behavioral Health Clinic (CCBHC) concept by

providing or supporting community-based mental and substance use disorder services; advancing
integration of behavioral health with physical health care; assimilating and utilizing evidence-based
practices on a more consistent basis; and promoting improved access to high quality care.

Performs other reasonably related duties as assigned by the immediate supervisor or other

management as requested.

Meet or exceed “satisfactory” expectations at any scheduled job performance evaluation.
Regular and predictable attendance is essential and expected for this position.

Performance Metrics

95% of transitions to the Addiction Recovery Center charts have all required charting completed.
90% of clients dispositioned have a release of information or referral entered for a Primary Care

Provider.

>90% of clients dispositioned have a follow up appointment scheduled with outpatient service
providers.

>95% of clients have an appropriate CDC entered at time of transition which accurately reflects the

outcome of their transition.
Must perform the specific job duties as listed above to meet position expectations.

WORK ENVIRONMENT:

This position works mainly in an indoor environment. This position will be working in an office setting.
This role will require occasional travel (up to 25%) to various community locations and in the client’s

residence as needed for the role (e.g., schools, government offices, medical facilities, etc.)

Must be willing and able to perform all job-related travel normally associated with this position (this

may include transportation of clients).

Travel expectations can vary from time to time based on coverage needs

Quick Apply

Refine Your Search

utilization management jobs in vinita, ok

Crisis Care Navigator

RN, Registered Nurse, Saint Francis Vinita

RN, Registered Nurse, Vinita Senior Behavioral/Renaissance (Nights)

CT Tech

RN, Registered Nurse, Vinita ER (Nights)

RN, Registered Nurse, Saint Francis Vinita - ECB

RN Case Manager - Baptist

RN Manager - Baptist Case Management

Crisis Operations Manager

Registered Nurse, Vinita OCR - ECB

CT Tech PRN

Patient Access Specialist - PRN

Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)

Physician ED Claims Reviewer

Remote Registered Nurse (RN) | $34/hr

Remote Psychologist - US Location

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