- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Evolent (Oklahoma City, OK)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Humana (Oklahoma City, OK)
- …skills to make an impact** **Required Qualifications** + **Must Reside in Oklahoma** + Registered Nurse , licensed in Oklahoma without restrictions + 3+ years of ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- SSM Health (Midwest City, OK)
- …Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse (RN) Issued by Compact State + Or + Registered ... care and prevention program in order to achieve exceptional clinical outcomes. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Evaluates… more
- SSM Health (Oklahoma City, OK)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse (RN) - Missouri Division of Professional Registration + Or + ... care and prevention program in order to achieve exceptional clinical outcomes. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES +... Registered Nurse (RN) Issued by Compact State… more
- Highmark Health (Oklahoma City, OK)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more