- Cognizant (Oklahoma City, OK)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Saint Francis Health System (OK)
- …their placement in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
- CVS Health (Oklahoma City, OK)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules...will include weekends, holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process to… more
- US Tech Solutions (May, OK)
- …years of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. . Considers all documented system information… more
- Dispatch Health (Tulsa, OK)
- …**What You Need** + Certification/Licensure in the State of **OK** as a Licensed Registered Nurse or licensure from a state participating in the multistate ... care model while helping reduce hospital admissions, decrease ER utilization , improve patient success, and increase the patient and...others: this may seem like a given, but the Clinical RN role requires the nurse to… more
- Fresenius Medical Center (Ponca City, OK)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (Muskogee, OK)
- …orientation, competencies and providing quality improvement and enhance outcomes utilization . Provides clinical community-based case management services to ... (PMI), severe functional impairment, and high Inpatient MH unit utilization , in coordination with existing community and Veterans Affairs...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- SSM Health (OK)
- …of nursing or education equivalency for licensing EXPERIENCE + Two years' registered nurse experience REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State ... for MO / WI/ OK admissions. Prior experience in Utilization Review is required. **Job Summary:** Evaluates the medical...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State… more
- Saint Francis Health System (Tulsa, OK)
- …65 or older to be given sensitive and exemplary care. Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the ... of Surgical, ortho, neuro and hospice / comfort measures. Utilization of hands-on skills Play an important role in...Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 -… more
- Saint Francis Health System (Muskogee, OK)
- …(http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld)** **to login and apply.** Full Time Nights ** Registered Nurse Full-time ICU** **Adult Intensive ... Care Unit** **6-12 months Registered Nurse experience required** Staff floats to...of general disease state management processes, bio-psychosocial model, and clinical pathways. Effective interpersonal, written, and oral communication skills.… more