- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
- Humana (Oklahoma City, OK)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in the state of Virginia or ... licensure + Previous Medicare/Medicaid experience a plus + Previous experience in utilization management , case management , discharge planning and/or home… more
- CVS Health (Oklahoma City, OK)
- …is reimbursed per our company expense reimbursement policy. **Preferred Qualifications** + Managed care/ utilization review experience + Case management in an ... thinking skills to facilitate appropriate member care. The CM RN leverages case management tools, such as...care to meet the member's goals. + Utilizes case management , utilization management , and quality… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines… more
- Sedgwick (Oklahoma City, OK)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **We are growing and looking for nurses who have their ... clinical data; to complete complex submissions revisions/updates in preparation for Medicare review and act as an internal resource regarding Centers for Medicare &… more