- Centene Corporation (Oklahoma City, OK)
- …rotating holidays.** **Location Requirement: Must reside in Oklahoma.** + **Conduct clinical reviews for medical necessity (utilization review ).** + ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Evolent (Oklahoma City, OK)
- …the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as...I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools… more
- Evolent (Oklahoma City, OK)
- …The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the ... appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for… more
- Fresenius Medical Center (Oklahoma City, OK)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of… more
- CenterWell (Oklahoma City, OK)
- …in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate ... in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate… more
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