- BrightSpring Health Services (Oklahoma City, OK)
- … team in gathering and obtaining missing information needed to initiate care. The Clinical Review Coordinator is a specialist intake role, which will ... nationwide through our growing network of branches and healthcare professionals. The Clinical Review Coordinatorwill support the new referral process / patient… more
- Evolent (Oklahoma City, OK)
- …request. + Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion. + Addressing ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as...our daily operations this individual also works with our clinical team, which includes our Nurse, Clinical … more
- Evolent (Oklahoma City, OK)
- …request. + Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion. + Addressing ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as...our daily operations this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs,… more
- Humana (Oklahoma City, OK)
- …assignments. **Achieve your best at Humana. Join Us!** The UM Administration Coordinator 2 provides non- clinical support for the policies and procedures ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … more
- Cardinal Health (Oklahoma City, OK)
- **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the ... the particular needs of an individual patient. **_Job Summary_** The Coordinator , Individualized Care supports patient access to therapy through Reimbursement… more
- Prime Therapeutics (Oklahoma City, OK)
- …our passion and drives every decision we make. **Job Posting Title** Appeals Coordinator **Job Description** + Maintains a caseload and monitors day to day ... compliance of appeal decision time frames. + Reviews clinical and medical records for completeness and determines administrative or clinical appeal. + Assigns… more
- Cardinal Health (Oklahoma City, OK)
- **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Highmark Health (Oklahoma City, OK)
- …authorization case in Highmark's Utilization Management system for Prior Authorization clinical review , status research, etc. Ensures all accurate information ... SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal request,… more
- CVS Health (Oklahoma City, OK)
- …to determine the accuracy and appropriateness of a benefit/administrative denial. + Can review a clinical determination and understand rationale for decision. + ... Able to research claim processing logic and various systems to verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. + Serves as point person for newer staff in answering questions… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Manage medical care for a panel ... medical record system for documentation, workload capture, alert management, and for review of Veterans' current and future medical care needs Serve as the… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Duties may include, but are not ... by manifest refraction. -Prescribe telescopic or other subnormal vision aids. -Plan clinical schedules in collaboration with support staff. -Serve as consultant to… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Diagnostic Radiologic ... improve quality of exams utilizing the new technologies available. The purpose of this review is to provide the patients with the best possible scans for diagnostic… more
- BioLife Plasma Services (Del City, OK)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... regarding employee incidents. + You can be a Pandemic Coordinator when authorized by EHS and support investigations associated...BioLife Medical Support Specialist + Two years in a clinical or hospital setting **What Takeda can offer you:**… more