- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... medical services and/or benefit administration of post-acute determinations. The Manager , Utilization Management Nursing...to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in IL, WI, MN, SD, ND, IA,… more
- Evolent Health (Oklahoma City, OK)
- …others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager in supervising the ... operational productivity of the Utilization Management nurses by implementing and maintaining an efficient and...department. The UM Lead, in collaboration with the UM Manager and Director, ensures compliance with all regulatory standards… more
- Select Medical (Oklahoma City, OK)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** **$10,000 Sign On Bonus** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Prime Therapeutics (Oklahoma City, OK)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Fresenius Medical Center (Oklahoma City, OK)
- …under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- SSM Health (Oklahoma City, OK)
- …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... and act as a case manager liaison with post acute providers (skilled ...department's Scope of Service. + As an SSM Health nurse , I will demonstrate the professional nursing … more
- Huron Consulting Group (Oklahoma City, OK)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (Oklahoma City, OK)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more
- Abbott (Oklahoma City, OK)
- …Wound and Bariatric accounts. Key stakeholders such as: Nutrition Services, Nursing , Quality, Materials Management , Physicians, and nutrition-related task forces ... exceed established sales goals. + Work closely with District Manager and cross-functional / interdisciplinary teams to execute the...to execute the strategic account plan + Prioritizing the utilization of resources to drive return on investment +… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more