- Oklahoma City County Health Department (Oklahoma City, OK)
- …(QI) training deemed necessary by their supervisor. QUALIFICATIONS/REQUIREMENTS: -Valid Oklahoma Registered Nurse License required -BSN -Five years professional ... work assignments. 4. Supervising employee activities by direct observation and review of job products. 5. Monitoring and evaluating employee performance, attendance,… more
- SSM Health (OK)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... for MO / WI/ OK admissions. Prior experience in Utilization Review is required. **Job Summary:** Evaluates...Registered Nurse ( RN ) - Missouri Division of Professional… more
- US Tech Solutions (May, OK)
- …of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1...months of Prior Authorization. Education: . Active and unrestricted RN licensure in state of residence **About US Tech… more
- Humana (Oklahoma City, OK)
- …an impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...in an acute care setting + Previous experience in utilization management/ utilization review for a… more
- Saint Francis Health System (OK)
- …their placement in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers ... reimbursement issues and participate in treatment teams, Patient Care Committee, and the Utilization Review Staff Committee by providing data and contributing to… more
- Cognizant (Oklahoma City, OK)
- …to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. + Review clinical denials including but not limited to referral,… more
- Saint Francis Health System (Tulsa, OK)
- …PM Minimal call with 30 minute response time is required Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
- Saint Francis Health System (Tulsa, OK)
- …Call with a 30 minute response time is required \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum of two years… more
- Fresenius Medical Center (Ponca City, OK)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- HCA Healthcare (Oklahoma City, OK)
- …Surgicare have the opportunity to make a real impact. As an Operating Room Registered Nurse you can be a part of change. **Benefits** Oklahoma Surgicare, ... positive outcomes for your patients as an Operating Room Registered Nurse . We want your knowledge and...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Saint Francis Health System (Muskogee, OK)
- …of worked hours per month as needed by the department; limited benefit offerings. Nights ** Registered Nurse ECB PCU** **Not accepting New Grads with less than 6 ... months RN experience** Staff floats to ICU unit (as skills...on each of two designated holidays** Job Summary: The Registered Nurse I assesses, plans, implements and… more
- Dispatch Health (Tulsa, OK)
- …**What You Need** + Certification/Licensure in the State of **OK** as a Licensed Registered Nurse or licensure from a state participating in the multistate ... care model while helping reduce hospital admissions, decrease ER utilization , improve patient success, and increase the patient and...this may seem like a given, but the Clinical RN role requires the nurse to be… more
- Saint Francis Health System (Tulsa, OK)
- …65 or older to be given sensitive and exemplary care. Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the ... of Surgical, ortho, neuro and hospice / comfort measures. Utilization of hands-on skills Play an important role in...Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 -… more
- Saint Francis Health System (Tulsa, OK)
- …to learn and grow. Come join our team today! \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
- Health Care Service Corporation (Tulsa, OK)
- …the organization in delivery of services to the customer. **JOB REQUIREMENTS** **:** + Registered Nurse ( RN ), with current, unrestricted license to practice ... direct clinical care to the consumer. + 2 years utilization review / managed care experience. + Leadership...years) at the independent practice level + If a Registered Nurse ( RN ): must have… more
- Health Care Service Corporation (Tulsa, OK)
- …office visits to acute in-patient to out-patient office visits. **JOB REQUIREMENTS:** * Registered Nurse ( RN ) or Masters-level Behavioral Health Professional ... skills. *PC and database experience. **PREFERRED JOB REQUIREMENTS:** * Utilization review experience. *MUST be licensed to...of years) at the independent practice level *If a Registered Nurse ( RN ): must have… more
- CVS Health (Oklahoma City, OK)
- …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... member-centered care; preventing avoidable readmissions; and managing efficient resource utilization . **We are recruiting TCMs who would be available to… more
- CenterWell (Oklahoma City, OK)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …Administers medications accurately and promptly under the general supervision of a registered nurse . Demonstrates understanding of the effects and/or reactions ... habits, identifies, and immediately reports any unsafe conditions to the registered nurse . Identifies any life-threatening environmental hazards immediately,… more
- Evolent (Oklahoma City, OK)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
