- Healthfirst (OK)
- … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… 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 **Tinker ... Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend...for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with… more
- Saint Francis Health System (Tulsa, OK)
- …promptly to the Process Improvement/Quality Director, to appropriate clinicians and to the UM Manager . Reviews eligibility and benefits of patients, matching the ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
- Highmark Health (Oklahoma City, OK)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- US Tech Solutions (May, OK)
- **Duration: 06 months contract** **Position Summary** + The UM Nurse Associate I is responsible for reviewing and completing criteria-based prior authorizations in ... for final decision by a pharmacist. + Work distributed case volumes and client exceptions. + Maintain accurate, timely...other assignments as directed by the PA supervisor or manager . **Requirements** **Experience** + 1-3 years of related work… more