Behavioral Health Specialist - Oklahoma County, OK

Only for registered members Oklahoma County, OK, United States

1 month ago

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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.

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