- Evolent (Oklahoma City, OK)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- BioLife Plasma Services (Oklahoma City, OK)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Fresenius Medical Center (Oklahoma City, OK)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- … medical record system for documentation, workload capture, alert management, and for review of Veterans' current and future medical care needs Serve as the ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...include, but are not limited to the following: Manage medical care for a panel of Veterans enrolled in… more
- Humana (Oklahoma City, OK)
- …guidance where needed. Follows established guidelines/procedures. **KEY ACCOUNTABILITIES** + Review medical documentation, obtain additional information that may ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals....TRICARE, all HGB policies and procedures as well as medical necessity review criteria and privacy requirements… more
- Humana (Oklahoma City, OK)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...coding experience to conduct a clinical validation review of the inpatient medical record to… more
- Cardinal Health (Oklahoma City, OK)
- …both scheduled outbound calls and inbound call queue. + Meets regularly with Clinical Supervisor and/or Senior Nurse , Individualized Care to discuss feedback ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- Datavant (Oklahoma City, OK)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Highmark Health (Oklahoma City, OK)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- BrightSpring Health Services (Oklahoma City, OK)
- Our Company Amerita Overview The Nurse Practitioner Supervisor will be responsible for the oversight of the MosAIC Nursing team to include, day-to day staff ... affordable benefits for all Full-time and Part-time Employees: + Medical , Dental & Vision Benefits plus, HSA & FSA...Time Keeping system + Participate in the annual performance review process + Provide feedback for staff performance improvement… more
- CVS Health (Oklahoma City, OK)
- …of Care. + Evaluate patient status post-ED visit or observation stay through a clinical assessment and medical record review . + Triage to determine ... TCM is the primary member of the CVS Health clinical care team and facilitator of interdisciplinary collaboration and...steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure… more
- CenterWell (Oklahoma City, OK)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Oracle (Oklahoma City, OK)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …a small panel of HBPC Veterans and to serve in rotation for other clinical assignments within GEC as scheduled or assigned. VA offers a comprehensive total rewards ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are...Care Unit), a clinic (PALU-PACT), and is the primary clinical site for a Hospice & Palliative Medicine Fellowship… more
- Fresenius Medical Center (Oklahoma City, OK)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- Fresenius Medical Center (Yukon, OK)
- …counseling services to patients as permitted within the scope of their clinical training and state license. + Provides educational and goal directed counseling ... and the patient's family/support persons. + In collaboration with the physician and nurse , participates in the discussion of patient DNR status in the facility to… more
- Datavant (Oklahoma City, OK)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...to author appeal letter Identification of referrals to the medical director for review + Select appropriate… more
- Humana (Oklahoma City, OK)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
- Oracle (Oklahoma City, OK)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- CenterWell (Oklahoma City, OK)
- …are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary ... in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate… more