Oklahoma Indigent Defense System
Behavioral Health Specialist
Oklahoma Indigent Defense System, Oklahoma City, Oklahoma, United States, 73116
Position:
Behavioral Health Specialist
Agency:
807 HEALTH CARE AUTHORITY
Location:
4345 N Lincoln Blvd, Oklahoma City, OK 73105
Salary:
$65,607 per year
Work Hours:
Monday‑Friday, 8:00 a.m. – 5:00 p.m.
Why You’ll Love Working Here At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values—Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best‑in‑Class, Outcome‑Driven and Servant Leadership—we foster a workplace where people feel supported, respected, and empowered to make an impact.
Benefits
Generous state‑paid benefit allowance to offset insurance premiums.
A wide selection of insurance plans with no pre‑existing condition exclusions.
Flexible Spending Accounts for health care and dependent care.
Retirement Savings Plan with employer contributions.
11 paid holidays annually.
15 days of vacation and 15 days of sick leave in the first year.
Longevity Bonus recognizing years of public service.
Public Service Loan Forgiveness eligibility and tuition reimbursement.
Wellness benefits, including an on‑site gym and fitness center discounts.
Job Purpose The Behavioral Health Specialist evaluates medical necessity, appropriateness, and quality of care for members receiving behavioral health services. Responsibilities include conducting clinical record reviews, liaising with providers, and assessing member needs to ensure effective care delivery. The specialist monitors treatment progress, addresses barriers, and identifies necessary services, supporting optimal health outcomes and continuous improvement of behavioral health services aligned with OHCA’s mission.
Principal Activities / Responsibilities
Evaluate medical necessity, care appropriateness, and quality through clinical record analysis and provider communication.
Monitor treatment progress and engagement, assessing ongoing member needs through regular contact with involved parties, linking members to necessary services.
Identify and address barriers to provider participation and member access, offering recommendations for policy improvement.
Cultivate effective relationships within and outside the organization to fulfill responsibilities effectively.
Optimize member care delivery through integrated management of pre‑approvals, quality control, and care coordination activities.
Perform other duties as assigned.
Knowledge, Skills, and Abilities The role requires in‑depth knowledge of clinical and behavioral health practices, state and federal healthcare policies, and program administration. Key skills include evaluating care quality, effective communication with providers, and coordinating services across stakeholders. The position aligns with the
Decision Quality
and
Collaborates
Korn Ferry competencies.
Education and Experience
Valid behavioral health license (LPC, LCSW, or LMFT) in Oklahoma.
Master’s degree in psychology, counseling, human relations, clinical/direct practice social work, or a closely related field, including one semester of at least 300 hours of applied clinical practicum and one year of post‑master’s experience providing professional counseling services.
Preferred Qualifications
Certifications such as CCM, CAS, CPI, or PMP.
Experience with SoonerCare, state or federal government work, integrated healthcare delivery, utilization management, inpatient psychiatric hospital, care coordination, or case management.
Physical Demands and Work Environment Office setting with climate control and moderate noise levels. The job requires speaking, standing, walking, reaching, and extended periods of sitting with daily computer and phone use. Travel associated with the position is required. Presence at the office is an essential function.
Accommodation Statement OHCA complies with applicable civil rights laws and does not discriminate. All qualified applicants will receive consideration without regard to race, color, sex, religion, disability, age, national origin, or genetic information. For accommodations, contact the Civil Rights Coordinator at 405‑522‑7335.
Notice to Applicants Add OHCAHR@okhca.org to your address book or safe‑senders list. Check junk folder for correspondences. For status inquiries, contact HR at 405‑522‑7093. Applications accepted until 11:59 PM the day prior to posting end date.
Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
#J-18808-Ljbffr
Behavioral Health Specialist
Agency:
807 HEALTH CARE AUTHORITY
Location:
4345 N Lincoln Blvd, Oklahoma City, OK 73105
Salary:
$65,607 per year
Work Hours:
Monday‑Friday, 8:00 a.m. – 5:00 p.m.
Why You’ll Love Working Here At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values—Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best‑in‑Class, Outcome‑Driven and Servant Leadership—we foster a workplace where people feel supported, respected, and empowered to make an impact.
Benefits
Generous state‑paid benefit allowance to offset insurance premiums.
A wide selection of insurance plans with no pre‑existing condition exclusions.
Flexible Spending Accounts for health care and dependent care.
Retirement Savings Plan with employer contributions.
11 paid holidays annually.
15 days of vacation and 15 days of sick leave in the first year.
Longevity Bonus recognizing years of public service.
Public Service Loan Forgiveness eligibility and tuition reimbursement.
Wellness benefits, including an on‑site gym and fitness center discounts.
Job Purpose The Behavioral Health Specialist evaluates medical necessity, appropriateness, and quality of care for members receiving behavioral health services. Responsibilities include conducting clinical record reviews, liaising with providers, and assessing member needs to ensure effective care delivery. The specialist monitors treatment progress, addresses barriers, and identifies necessary services, supporting optimal health outcomes and continuous improvement of behavioral health services aligned with OHCA’s mission.
Principal Activities / Responsibilities
Evaluate medical necessity, care appropriateness, and quality through clinical record analysis and provider communication.
Monitor treatment progress and engagement, assessing ongoing member needs through regular contact with involved parties, linking members to necessary services.
Identify and address barriers to provider participation and member access, offering recommendations for policy improvement.
Cultivate effective relationships within and outside the organization to fulfill responsibilities effectively.
Optimize member care delivery through integrated management of pre‑approvals, quality control, and care coordination activities.
Perform other duties as assigned.
Knowledge, Skills, and Abilities The role requires in‑depth knowledge of clinical and behavioral health practices, state and federal healthcare policies, and program administration. Key skills include evaluating care quality, effective communication with providers, and coordinating services across stakeholders. The position aligns with the
Decision Quality
and
Collaborates
Korn Ferry competencies.
Education and Experience
Valid behavioral health license (LPC, LCSW, or LMFT) in Oklahoma.
Master’s degree in psychology, counseling, human relations, clinical/direct practice social work, or a closely related field, including one semester of at least 300 hours of applied clinical practicum and one year of post‑master’s experience providing professional counseling services.
Preferred Qualifications
Certifications such as CCM, CAS, CPI, or PMP.
Experience with SoonerCare, state or federal government work, integrated healthcare delivery, utilization management, inpatient psychiatric hospital, care coordination, or case management.
Physical Demands and Work Environment Office setting with climate control and moderate noise levels. The job requires speaking, standing, walking, reaching, and extended periods of sitting with daily computer and phone use. Travel associated with the position is required. Presence at the office is an essential function.
Accommodation Statement OHCA complies with applicable civil rights laws and does not discriminate. All qualified applicants will receive consideration without regard to race, color, sex, religion, disability, age, national origin, or genetic information. For accommodations, contact the Civil Rights Coordinator at 405‑522‑7335.
Notice to Applicants Add OHCAHR@okhca.org to your address book or safe‑senders list. Check junk folder for correspondences. For status inquiries, contact HR at 405‑522‑7093. Applications accepted until 11:59 PM the day prior to posting end date.
Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
#J-18808-Ljbffr