- CVS Health (Oklahoma City, OK)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- SSM Health (OK)
- …review of pre-admission, perioperative, and post operative surgical cases. + Performs other utilization management tasks as assigned. + Applies the existing body ... for MO / WI/ OK admissions. Prior experience in Utilization Review is required. **Job Summary:** Evaluates the medical...payor decision. + Escalates denials to physician (advisor, attending consultant , outside consultant ) for peer to peer… more
- CVS Health (Oklahoma City, OK)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more