Behavioral Health Specialist - Oklahoma County, OK
1 month ago

Job summary
The Behavioral Health Specialist is responsible for evaluating the medical necessity, appropriateness, and quality of care for members receiving behavioral health services. This role involves conducting clinical record reviews, liaising with providers, and assessing member needs to ensure effective care delivery.Responsibilities
- Evaluate medical necessity, care appropriateness, and quality through clinical record analysis and provider communication.
- Monitor treatment progress and engagement.
Job description
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