- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Fresenius Medical Center (Oklahoma 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 operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Oklahoma City, OK)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to… more
- CVS Health (OK)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- SSM Health (Midwest City, OK)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... in standard work. + May also be responsible for: utilization management process, ED case management...Registered Nurse ( RN ) - Missouri Division of Professional… more
- SSM Health (Midwest City, OK)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... in standard work. + May also be responsible for: utilization management process, ED case management...Registered Nurse ( RN ) - Missouri Division of Professional… more
- BD (Becton, Dickinson and Company) (OK)
- …possible** with us. **Job Overview:** This position reports to the Regional Business Manager and supports the Specimen Management business unit, South Central ... customers. **Responsibilities:** + Fosters a continually evolving partnership between Specimen Management and our valued customers in a Clinical Process advisory… more
- Select Medical (Oklahoma City, OK)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... + Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** +… more
- CenterLight Health System (Stilwell, OK)
- … systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be legally authorized (for example, ... of five (5+) years of experience in care/case management , disease management , population health management , utilization review, quality assurance, or… more