- Fresenius Medical Care (Ponca City, OK)
- …Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. ... Test. Preferred but not required: 3+ years supervisory or project/program management experience. Med/surg or ICU/CCU experience. PHYSICAL DEMANDS AND WORKING… 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 ... not all inclusive nor does it prohibit the assignment of additional duties. Utilization Review Management - Yale Campus Location: Virtual Office, Oklahoma 73105… more
- CenterWell (Oklahoma City, OK)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- US Tech Solutions (May, OK)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review. . MUST HAVE 1 YEAR OF UTILIZATION ... . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior...in state of residence . Must have prior authorization utilization experience . Able to work in multiple IT… more
- Saint Francis Health System (Tulsa, OK)
- …not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location: Tulsa, Oklahoma 74136 **EOE ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
- Veterans Affairs, Veterans Health Administration (Yukon, OK)
- …The Veterans Affairs Oklahoma City Health Care System is seeking a Registered Nurse (Ambulatory Care/Outpatient Staff) for all elements of the nursing process when ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… more
- Veterans Affairs, Veterans Health Administration (Lawton, OK)
- …The Veterans Affairs Oklahoma City Health Care System is seeking a Registered Nurse (Ambulatory Care/Outpatient Staff) for all elements of the nursing process when ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… 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 ... length of stay and identify any barriers to discharge. + Assist Utilization Management team with access to external medical record information (if available)… more
- Saint Francis Health System (Tulsa, OK)
- …and apply.** Full Time Days Minimum of 5 years bedside experience preferred. Virtual Nurse works from an on-site office location (not a remote position) Will perform ... to patient rooms. Shift: 10a - 10p \#RNSIND Job Summary: The Registered Nurse I (Virtual) assesses, plans, implements and evaluates nursing care, utilizing the… more
- Evolent (Oklahoma City, OK)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- Saint Francis Health System (Muskogee, OK)
- …**to login and apply.** Full Time Nights **Registered Nurse Fulltime PCU** 6-12 months Registered Nurse ... + Shift Differentials + Employee Benefits \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the nursing… more
- Saint Francis Health System (Muskogee, OK)
- …month as needed by the department; limited benefit offerings. Nights **Registered Nurse ECB Women's Services** Registered Nurse Experience required **36 hours ... 12-hour shift on each of two designated holidays** Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the nursing… more
- Select Medical (Oklahoma City, OK)
- **Overview** Nurse Manager- Registered Nurse (RN) Full-Time Days **Select Specialty Hospital-Oklahoma City** is a critical illness recovery hospital committed to ... of the most vulnerable, painful moments of their lives - and the Nurse Manager plays a central role in providing compassionate, excellent treatment and leadership… more
- ERP International (Tinker AFB, OK)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker AFB,… more
- Intermountain Health (Oklahoma City, OK)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- Humana (Oklahoma City, OK)
- …Office products including Word, Excel and Outlook **Preferred Qualifications** + Utilization Review/Quality Management experience + Experience working with MCG ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals... 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require… more
- SSM Health (Midwest City, OK)
- …and communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of evidence to ... + Participates in ministry and system-wide evaluation of resource utilization as it pertains to wound, ostomy, and continence...of the healthcare team as it relates to the management of wounds, ostomies, and continence. + Works in… more
- Saint Francis Health System (Tulsa, OK)
- …by the department; limited benefit offerings. Days Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the nursing ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum of 2 years of related experience… more
- Saint Francis Health System (Tulsa, OK)
- …Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 1 - 2 years related experience. Knowledge, ... of medical/health care errors. Knowledge of principles and methods of management and effective supervision, of organization standards for facility and departmental… more
